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the £o CITY OF CONSTRUCTION <br />CITY OF <br />everett PERMIT PERMIT NO.07743 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />IV' <br />PHONE <br />� lvmnic Bank <br />2817 Colby <br />Everett <br />258-3770 <br />ARCHITELT OR DESIGNER <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />Bntet;nh Naah <br />47f11 Rnrlrer <br />259-0868 <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LIC 714SE1 <br />Sanford Wright <br />P.O. Box 809 <br />259-4138 <br />WR-IG-JS <br />378NO <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />PH(NELICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE( <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR IJDEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />Remove walls & ceilings <br />PROPOSED USE OF BUILDING <br />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 />SIGNATURE OF CON ACTOR OR AUTHORIZED A DATE <br />X 6-17-90 <br />LEGAL DESCRiPTIONOFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />1-2-7 N301 <br />LOT -BLOC F <br />JOB ADDRESS <br />4201 Rucker <br />PLUMBING <br />MECHANICAL <br />NO. <br />I TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPt OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CONE. UNITS — H.P. EA. <br />P"HTUB <br />REFRIGERATION UNITS — H.P. EA <br />/ATORY (WASH BASIN, <br />BOILERS — H P. EA. <br />_ <br />oHOWER <br />GAS FIRED AC UNITS —TONNAGE EA. <br />KITCHEN SINK & DISP <br />FORCED AIR SYSTEMS — B T U. M EA. <br />DISHWASHER <br />WALL HEATERS — R.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — IT.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C F.M. <br />VACUUM BREAKERS <br />STOVE <br />_ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />SUBTOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />PEE <br />FEE <br />RECEIPT NO <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES F'NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />$ <br />00 <br />00 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />❑YES IINO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C. <br />SEC. 303 (a) <br />— <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />00 <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�cy,] <br />3 5 7 8 <br />I` <br />r <br />_ l= <br />TI U R R E C E I P I <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTWCT <br />nPPLICATICN P:'C. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />