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..l <br /> r <br /> (he GwCITYon `pNSTRUGTlO �( <br /> everett PERMIT PERMIT NO. 12120 <br /> CITY HALL 259 8745 <br /> EVERETT,WA 98201 L1 COMBINATION L BUILDING XX, MECHANICAL PLUMBING <br /> ADOflE55 CRY PHONE <br /> AIL P�' <br /> OWNER 1 <br /> EVERETT MARINE AND FISHING MAIL <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY .u' PHONE <br /> GENERAL CONTRAC OR MAIL AODPESS CITY 21P PHONE LICENSE E <br /> THE WESTLIN GROUP PO BOX 1332 Lynnwood 98036 778-0171 <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY SIP PHONE LICENSE F <br /> PLUMBING CONTRACTOR MAIL ADORE89 CITY 21? PRONE LICENSE <br /> CLASS OF WORK <br /> IA NEW ❑ADDITION ❑ ALTERATION El REPAIR ❑DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVFJFIREPIACE INSERT <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORK <br /> Wood stove <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Retail sales APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR CONES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT__BLOCK_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 <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIa URE OF CONT CT 0 TH R12ED AGENT 6/22/83ATE <br /> 1220 - 80th Street SW X TV r <br /> PLUMBING MECF1 NICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—M.P.EA. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—N.P.EA. <br /> SHOWER OAS FIRED A.C.UNITS—TONNAGE EA. _ <br /> KITCHEN SINK B DISP. FORCED AIR SYSTEMS—B.T.U. M EA, <br /> DISHWASHER WALL HEATERS—81.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS 1 METAL FIREPLACE B CHIMNEY <br /> SINK(SERVICE—BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> BUB TOTAL E SUBTOTAL f <br /> PERMIT f PERMIT f <br /> 17 IL <br /> TOTAL FEE f TOTAL FEE f <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> YES NO <br /> TYPE OF CON57. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING f <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD PLUMBING <br /> FIRE ZONE BASEMENT FEE SPRINKLERS MECHANICAL 17 60 <br /> L YES NO J <br /> APPROVALS BY DATE OTHER <br /> U.B.C. <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY SEC.303 LAI <br /> 2.BUILDING PLANS TOTAL 17 150 _ <br /> 3.FIRE HYDRANT <br /> A.FIRE PROTECTION SYSTEM PERMIT VALIDATION bL fV fyjj — <br /> WHEN PROPERLYVALIDATION <br /> VALIDATED LIN THI SPC I THIS 0 T <br /> 5.GRADING <br /> L B.DRAINAGE <br /> 7.ENVIRONMENTAL IMPACT STATEMENT CV <br /> S.HEALTH DISTRICT YOUR RECEIPT'-i <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR.FOR ISSUANCE BY <br /> THANK YOU <br /> 2 2 ,uN 8 3 <br /> ADDRESS FILE <br /> L <br /> J <br />