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� i <br /> '..� <br /> , — . <br /> `''���"A„"' � —� �CONSTRUCTIO " <br /> ��T,.oF <br /> everett PERMIT PERMIT NO. 13175 <br /> CITY HALL 259�87d5 <br /> EVERETT.WA98201 ❑ COMBINATION ❑ BUILDING �F MECHANICAL ❑ PLUMBiNG <br /> - OWNEfl MAILALDRESS CITY ZIP PHONE <br /> Gianni's 5030 Svergreen [•!ay Everett <br /> ARCHITECT OR OESIGNEF MAIL ADORESS CITY Z�P PHONE <br /> GENEBAL CONTRACiOB MAIL ADOPES$ QTY ZIP PMONE ULENSE♦ <br /> Natural Gas Equipment 1624 East t•farine View Drive 98201 258-2441 <br /> MECHANICnL CONTFACTOR MAIL AD�RE55 GITY ZIP PHONE LICENSE� <br /> Pll1MBING CONTRACTOR MFIL AD�RESS CITY ZIP PMONE LILEKSE N <br /> C1A55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION �REPAIR O DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br /> VAWATION OF WOPK <br /> S ____ <br /> UESCRIBE WORK <br /> PRO�OSED USE OF OIIILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TtiIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUI= AND <br /> LEGAL DE'iCRIPiION OF PROPEfliY�SMOY�BELO`N OR ARACH FOUR COPIES� CORRECT. ALL PROVISIOIJS OF LAWS AND ORDIN�INCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN_OF WHETHER SPE��IFIED HEREIN OR NOT.THE GRANTING CF A <br /> PEP,MI7 DOES NOT PRESUMETO GIVEAUThIORITYTO VIOLAi E <br /> -- OR CANCEL THE PROVISIONS OF ANY OTHER STATE 11R <br /> LOCAL LANy REGULAT�NG CONSTRUCTION OR TF!E <br /> PERFORMANCEOFCONSTRUCTION. <br /> JOB ADDFESS SIG URE Of CONTR:.CTOR OR UTMORIZEO AGEN' 4/Z 9�TE <br /> / 4 <br /> 5030 Evergreen Way X G� r _ CtG � `? � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WA7ERCLOSET(TOILETI AIR COND. UNITS— H.P. EA. _ <br /> BATHTUB REFFlIGEFATION UNITS— H.P. EA. <br /> LAVA70RY(WASHBASIN) BOILERS— H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS— B.T.U. M EA. <br /> �ISHWASHER 1VALL HEATERS— B.T.U. N1 <br /> LAUNORYTRAY UNIT HEATEFS— B.T.U. M <br /> GLOTHES WASHER EVAPORATIVE CQOLERS <br /> WA7ER HEATER CLOTHES DRVERS <br /> URINAL VENTILATION FAN <br /> OFItJKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR IIANDLING UNI7— C.F.M. <br /> VACUUM BREAKERS STOVE— WOOD <br /> ROOF DRAINS— RAINLEAOERS h:EiAL FIREPLACE 6 CHIMNEY <br /> SINK(SEfiVICE— BAR,E7C.) FIREf`LACE INSEFT <br /> HEAT PUMP <br /> 1 Water kleater 4 50 <br /> SUB TOIAL S SU9 TOTAL 5 S 50 <br /> PERMI7 S PERMIT S <br /> TOTAL FEE S TOTAL FEE 3 14 SG <br /> SIDE YARD SETBACKTTREET SETBACK REAR YARL`SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> I FEE RECEIPT NO. <br /> USE ZONE L(lT A(iEA VAC.ANT SI7E FEES VALUAT�ON FEE <br /> i:YEE i_NO — <br /> TYpE OF COM1ST. OCCUPANGY GRUUP NO.OF�WELLING UNI1S _ ___ <br /> �UILDING 3 <br /> SIZE OF EIDG. NO.OF STORIES MA%.OCQ LGAD —' <br /> PLUTAf31NG <br /> FIREZONE BASEMENT FIFF.SPRINKLERS MECHAVICAL <br /> FEQL'�HED 11; SO <br /> :-'.YES ;.NO —'— � <br /> APPROVALS BY �A7E J7HER —_— _ <br /> 7.ENVIFONMEFTAI CHECK IIST PFNAL7Y U.B.C. <br /> SEC.3U3(a) <br /> 2.BUILDINGPLANS TQTp� 14 SO <br /> 3.FIRE HYDRANT <br /> 4.FIR[PROTECTION SYSTEM PERMIT VALI�ATICN <br /> 5.G(iADING _ _ WHE�IPRUPERLYVALIDATED�INTHI�Sp79THlS�xO�lylPE�k7�tIT._�� , <br /> U I � U <br /> 6.DRAINHGE �—�{ <br /> 7.ENVIRONMENTALIMPACTST<�EMENT _ ("'? <br /> F..HEA.LTH DISTFICT � ; „ (� .C. !_'�i'� � <br /> APFLICA710N ACC.BY PLANS CHECI(EO 3Y APPR.F07 ISSUANCE BY � - <br /> _'r'.��`i h ,j,'-' �� <br /> 1 <br /> - ? ;�r� E 4 <br /> ADDRE55 FII.[ <br />