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CONSTRUCTIC N <br /> everett PERMIT PERMIT NO. 15440 <br /> CITY HALL 259.8745 <br /> EVERETT,WA 98201 El COMBINATION LI BUILDING XX MECHANICAL PLUMBING <br /> 2517 80th Place S.E. PHONE <br /> L. WaynL Bond Eve <br /> MAIL ADDRESS <br /> Everett 98203 3 IONS 91 <br /> - — <br /> ARCHITECT OR DESIGNER MAIL ADDRESS rtY ZG' PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CITY 21P PHONE LICENSE <br /> MECHANICAL CONTRACTOR MAILADDRESS E <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br /> CLASS OF WORK <br /> ❑NEW O ADDITION Q ALTERATION ❑REPAIR El DEMOLITION ❑ FENCE Q SIGN A WOOD STOVEIFIREPLACE INSERT <br /> VALUATION OF WORK <br /> f <br /> DESCRIBE WORK <br /> install fireplace insert <br /> PROPOSED USE OF BUILDINGI HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS z <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY)SHOW BELOW OR ATTACH FOUR COPIE91 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES L� <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH m <br /> LOT_-LOCK_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE N m <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATU _F 1RACTOR ORA HORI2EC AGENT DATE <br /> 2517 80th Place S.E. X ,t;� 9/16/85 m o <br /> –I c <br /> PLUMBING MECHANICA *+ <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIqEA. <br /> MFEE m-z-1 <br /> WATER CLOSET)TOILET) AIR COND.UNITS- M.P.EA <br /> 4z <br /> BATHTUB REFRIGERATION UNITS - HC <br /> LAVATORYIWASH BASIN) BOILERS- H.P. EA. r _ <br /> SHOWER GAS FIRED A.C.UNITS- TKITCHEN BINK 6 CISP. FORCED AIR SYSTEMS- B.WALL HEATERS- B.T.U.LAUNDRYTRAY UNIT HEATERS- B.T.U. <br /> CLOTHES WASHER EVAPORATIVE COOLERS T^ <br /> V1 <br /> WATER NEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN c N <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT- C.F.M. 0 <br /> -z1 70 <br /> VACUUM BREAKERS STOVE -WOOD <br /> ROOF Pr 6- RAINLEADERS METAL FIREPLACE A CHIMNEY <br /> SINK(SL..FILW - BAR,ETC.) FIREPLACE INSERT "L <br /> S <br /> HEAT PUMP Z <br /> y <br /> S <br /> rr <br /> _ _ N <br /> SUB TOTAL i SUB TOTAL f C) <br /> PERMIT f PERMIT f -� <br /> TOTAL FEE IT PLAN <br /> FEE f f'1 <br /> PLAN CHECK FEE m <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> YES NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING f <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS MECHANICAL 17 50 <br /> IRED <br /> VES NO <br /> BY DATE OTHER _ <br /> APPROVALS U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST _ PENALTY SEC,303(a) <br /> 2.BUILDING PLANS TOTAL 17 50 <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION II � �� — <br /> WHEN PROPERLY VALIDATED ON TM�S <br /> �PAJE)THI Y P IT <br /> 5,GRADING <br /> B.DRAINAGE <br /> 7.ENVIRONMENTAL IMPACT STATEMENT L0 <br /> B.HEALTH DISTRICT YOUR RECEIPT '"{ <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR. FOR ISSUANCE BV THANK Y O U <br /> 19 SEP 85 <br /> ADDRESS FILE <br /> _ I <br />