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EhPFL�TYOF `ONSTRUCTION i <br />everett PERMIT PERMIT NO.07154 <br />CITY HALT. 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ®XMECHANICAL ❑ PLUMBING <br />OWN1 I MAIL ADDRESS lnr ZIP PAINT <br />Jerry/Teri Wittmeyer 1520 Slat Place S. E. 98203 353-9495 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEE <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS GTY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />yV •~^ ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />L <br />DESCRIBE WORK <br />Install wood stove <br />PROPOSED USE OF BUILDING <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />St N VIRE OF CONTRALTO H RAZE DATE <br />X 1/22/80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK —Or <br />JOB ADDRESS <br />1520 ADDRESS <br />Place S.E. <br />PLUMBING <br />HANI <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS — H.P. EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P EA <br />LAVATORY WASH BASIN <br />BOILERS — M.P. EA <br />SHOWER <br />OAS FIRED A . UNITS — TONNAGE EA. <br />KITCHEN SINK b DISP. <br />FORCED AIR SYSTEMS — aT U. M EA, <br />DISHWASHER <br />WALL HEATERS — ST U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — FIT U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F II <br />VACUUM BREAKERS <br />1 <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />— <br />SU:9 TOTAL <br />SUB TOTAL <br />PERMIT <br />t <br />PERMIT ! <br />3L <br />TOTAL FEE <br />t <br />TOTAL <br />FEE 1 <br />7 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />----- <br />TYPE OF CONST. <br />OLJUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />! <br />SIZE OF BLDG. <br />N0, OF STORIES <br />MAX. DOC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />[]YES <br />SPRINKLERS <br />ONO <br />MECHANICAL <br />7 <br />--- <br />00 <br />-- <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UsC <br />SEC. 303 (a) <br />2. BUILDING PUNS <br />TOTAL 107 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />7285 �nL <br />ti <br />YOUR RECEIPT �, <br />THANK YOU <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8 HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPn. FOR ISSUANCE BY <br />ADDRESS FILE I . . 12 <br />