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the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />rONSTRUCTION <br />PERMIT <br />PERMIT NO. 17642 <br />rJ DEMOLITION ❑ COMBINATION )0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Valley Propane 519 S.E. Everett Mall Way Everett 353-3535 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CON TRACTOR MAIL ADDRESS CITY ZIP PHONE LIC SEa <br />Beauvais Const. 2311 Hartford M Dr. Lk. Stevens WA 98258 334-0954 BEAUVAC191 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP PHONE LICENSER <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION IN ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 25000.00 <br />DESCRIBE WORK <br />Interior ilNUTM alteration <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Offices and storage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNA R F CONTRACTOR. A HOPIZED AGENT, OR OWNER DATE <br />X '/O -,�r4t <br />LEGAL DESCRIPTION O' PROPERTY (SHOW BF.LOWOR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />— <br />JOB ADDRESS <br />31 S.E. Everett Mall Way <br />PLUMBING <br />AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />ABC — A,HNDLG UNITS — H P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.U.,H P. <br />SHOWER <br />GAS FIRED A C UNITS — B.T.U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T U. M EA <br />DISHWASHER <br />WALL HEATERS — BTU. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEAOERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />87/17642 <br />FEE <br />163.80 <br />RECEIPT NO. <br />83484 <br />USEZONE <br />C-1 <br />LOT AREA <br />B-2 <br />VACANT SITE <br />❑YES Cl NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />&'/Z5O8`D.MZQM <br />DoaNa.iM <br />oa.Gr <br />TYPE OF CONST. <br />V—N <br />OCCUPANCY GROUP <br />B-2 <br />NO OF DWELLING UNITS <br />0 <br />PLUMBING <br />SIZE OF BLDG <br />6660 <br />NO OF STORIES <br />2 <br />MAX OCC LOAD <br />22 <br />MECHANICAL <br />ELDIS 125 <br />.00 <br />FIRE SPRINKLERS REQUIRED ❑ YES CI NO <br />INVESTIGATION FEE <br />P'-4PLQb4m $ <br />. •50 <br />_ <br />STATE BUILDING SURCHARGE <br />PW PC $4 <br />.00 1 <br />50 <br />STATE ENERGY SURCHARGE <br />PWINSP $-%03.00 <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />B.E. <br />APPR FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />TOTAL <br />253 <br />50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />d- <br />co <br />ADDRESS FILE <br />