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PERMIT NO. 082A <br />evcrett <br />CITY HALL 259 B745 <br />❑ COMBINATION <br />tH BUILDING <br />❑ MECHANICAL <br />PLUMBING <br />EVERETT. WA 9B20T <br />OWNER <br />Olympic Bank 2817 Colby <br />MAIL ADDRESS <br />CITY <br />Everett <br />ZIP PHONE <br />98201 258-3770 <br />MAIL ADDRESS <br />.ITV <br />21P PHONE <br />AFY..HITELT OR DESIGNER <br />ORY <br />ZIP PHONE LICENSE r <br />GENERAL CONTRACTOR <br />Sanford Wright P.O. Box <br />MAIL ADDPE55 <br />809 <br />Everett <br />98206 259-4138 <br />- <br />CRY <br />ZIP vHONE LK:ENSEr <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />WR IG HS 377 <br />CRY <br />ZIP PHONE 3 y`E.NSL lr <br />/ lS IV U <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />OF WORK <br />❑NEW ❑ADDITION INXLTERATION ❑REPAIR 0—DEMOLITION <br />❑SIGN ❑GARAGE <br />s 25,000.00 <br />interior remodel of third <br />floor <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />Bank <br />AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />OF PROPERTY (SHOW B LOW OR ATTACH FOURLOPKS) <br />PLICATION <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL DESCRIPTION <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />1 Ear ,7 N3QOC13 220E South Park Re <br />lat <br />TYPE OF <br />NOT. THE GRANTING OF A PERMIT DOES NOT <br />HEREIN OR <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO <br />20 thru 28 <br />PRESUME TO <br />ANY OTHER STATE OR LOCAL LAW REGULATING <br />VISIONS OF <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />CONSTRUCTION <br />["OF <br />SI:;NATURE �CONTRAcroRORAUTNOPI "' 9/24/80 <br />JOB ADDRLSS <br />X <br />4201 Rucker <br />MECHANICAL <br />PLUMBING <br />FEE <br />NO. TYPE OP <br />TYPE OF FIXTURE OR ITfN <br />FEE <br />POAIPMENT <br />NO. <br />AIR COND. — <br />WATER CLOSET (TOILET) �, _ <br />REFRIGERATION UNITS — H.P. I <br />BATHTUB <br />BOILERS — M.P. EA. <br />LAVATORY (WASH DAAIN) <br />GAS FIRED AG. UNITS —TONNAGE EA <br />SHOWER <br />fORCED AIR SYSTEMS — BT.U. M LA <br />KITCHEN SINK & DISP. <br />WALL HEATERS — R T.U. IA <br />DISHWASHER <br />UNIT HrATEPB—B.T.U. _ IA <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS — <br />CLOTHES WASHER — <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN -- <br />URINAL <br />- <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT <br />_ <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPI ACE 8 CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />— <br />SUB TOTAL S' <br />SUB TOTAL <br />PERMIT t <br />PERMIT <br />s <br />TOTAL FEE _ <br />TOTAL FEE <br />ETREET SETBACK <br />= PLAN CHECK FEE <br />REAR YARD SETBACK PLAN CHECK NUMBER RECEIPT NO. <br />SIDE YARD SETBACK <br />8219 FEE 72.80 5n775 <br />USE ZONE LOT AREA <br />VACANT SITE <br />AYES LINO <br />FEES VALUATION FEE <br />TYPE OF CONST. OCCUPANCYBGRZUP <br />NO. OF D'rrELLING UNITS 112 OO <br />$25 000 <br />Remodel <br />BUILDING , <br />SIZE OF BLDO f •� id0. OF STORIES <br />MAX. DOC. LOAD <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />EYES I <br />APPROVALS <br />BY DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />U B C <br />PENALTY SEC. 303 (a) <br />2. BUILDING PLANS_ <br />TOTAL 112 OO <br />3. FIRE HYDRANT <br />PERMIT VALIDATION <br />PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />4, FIRE PROTECTION SYSTEM <br />WHEN <br />5. GRADING <br />6. DRAINAGE <br />L 7 3 S I I �. ^ �_ <br />U <br />100 <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY \, 1RECEIPT <br />1'. <br />�aft1-iNK YO-U <br />, <br />ADDRESS FILE - <br />