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01, /,"t,''I"'n CONSTRUCTION <br />everett PERMIT <br />COMBINATION ❑ BUILDING MECHANICAL <br />1.•All RI 1. <br />DAN1I:11 L_SCOTT 912 93rd ST S,G. EyERETT_. <br />I:ENEPAL CONTRA4TOR VAIL APDRE SS-- <br />sr.r.r <br />I'l UMBING CUNTRACTOR <br />PERMIT NO. 06339 <br />PLUMBING <br />962-QA <br />PI.14.! <br />� In4gR <br />IICENfI • <br />—__ PHONE <br />LICEF0 <br />nI+U++! <br />L'CFNS, <br />C LASS OF WORN - - - - <br />❑NEW [$AUUITICN M.1IRATIli N OFPtdH (i(.MUI110.1N AINLI _.STUN ))GARAGE <br />s^�v 500,00 <br />enn •.Ann r..n <br />PROPOSED USE OF BUKOM. <br />_ <br />I 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 />SIGN RF FCORT CT OR DKHnzrl) AGENT OATf <br />X ` 7/11/79 <br />I(GAL DESCRIPRGN OF PROPERTY SROW UHCd On ATTACH fouR ( nncs, <br />LOT 8 mDa_orMT VIEW NO 3 <br />JOB ADDRESS <br />912 93rd ST, S, E. <br />PLUMBING <br />MECHANICAL <br />NO. _ TYPE OF EQUIPMENT - FEE ---- <br />AIR LONU UNITS - IF P EA <br />REFRIGERATION UNITS - H P EA <br />I BOILERS - H P EA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />GAS FIRED A C UNITS -- TONNAGE EA <br />KITCHEN SINK A LISP _ <br />FORCED AIR SYSTEMS -- B T U M LA <br />DISHWASHER <br />WALL HEATERS - B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS - B T U M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />I RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C F M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR. ETC.1 <br />SUBTOTAL <br />SUBTOTAL i <br />PERMIT i <br />PERMIT i <br />L FEE I <br />I <br />I <br />TOTAL <br />FEE 1 <br />SIDE YARD SE TRACK <br />6 it <br />STREET SFTRAC,k <br />20ft <br />REAR YARD SETBACK <br />20ft <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />Ft[ <br />RECEIPT NO <br />USE ZONE <br />R-1 <br />LOT AREA <br />VACANT SITE <br />I:YES I NO <br />X <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />1 <br />BUILDING <br />= 500.00 <br />5 <br />00 <br />SIZE OF RIOG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />3 <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />1 YES :NO <br />MECHANICAL <br />APPROVALS <br />BY <br />OATS <br />OTHER <br />1 ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC 303(el <br />2 BUILDING PLANE <br />3 FIRE HYDRANT <br />TOTAL <br />5 <br />00 <br />A FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION ' <br />WHEN PROPERLY VALIDATED (IN THIS SPACEI THIS IS YOUR PERMIT <br />0 Q 5. 0 0 U M <br />QD <br />YOUR RECEIPT <br />THANK YOU <br />5 GRADING <br />DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATE MFNT <br />7.STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />NWM <br />APPR FOR ISSUANCE BY <br />HWM/LC <br />n 19 <br />