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CITY OF -M-k PONSTRUCTION . <br />everett PERMIT PERMIT NO. 17980 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING 4MECHANICAL 4PLUMBING ❑ SIGN <br />OWNER <br />M0.1'. ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Valley Propane <br />31 SE Everett 101all <br />Way Everett 353-3535 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE. <br />Beauvais Const. <br />2311 Hartford Dr. <br />Lake Stevens 98258 <br />334-0954 <br />BEAUVC191OZ <br />MECHANICAL CONTRACTOR <br />MAR ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSER <br />Pi uunlNn rnNTRACTM <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ER ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S <br />DESCRIBE WORK <br />Office and storage <br />HEAT SOURCE <br />fI ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Office and Rk"ggs storage <br />1 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 PE�ORMANCE OF CONSTRUCTION. <br />SIGNA OF FCONTRACTOR. THORIZED AGENT, OR OWNER DATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />PLUMBING <br />EC AL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />15 <br />00 <br />MC - A: HNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS -H.P EA. <br />3 <br />LAVATORY (WASH BASIN) <br />15 <br />OO <br />BOILERS - B.T.U./H.P. <br />]_ <br />SHOWER <br />S <br />00 <br />GAS FIRED AC. UNITS -BT.U. <br />KITCHEN SINK S DISP. <br />FORCED AIR SYSTEMS- B T.U. M EA <br />DISHWASHER <br />WALL HEATERS-B.T.U. Al <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />3 <br />VENTILATION FAN <br />13 <br />50 <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />1 <br />WATER HEATER <br />G <br />5 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC.) <br />METAL FIREPLACE 3 CHIMNEY <br />FIREPLACE INSERT <br />hE AT RUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S 5 <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />I TOTALFEE <br />$ <br />TOTAL FEE <br />FRONTS LTUACK <br />PEAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPEOFCONST. <br />OCCUPANCYGROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />35 <br />00 <br />SIZE OF BLDU <br />NO OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES EI NO <br />INVESTIGATION FEE <br />Sea 304(v) <br />STATE BUILDING SURCHARGE <br />03/31/67 1: <br />3F'H OOORH4677 <br />ii. <br />STATE ENERGY SURCHARGE <br />/ <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />PLFG $ i5.00 <br />TOTAL <br />:.�.L <br />e r <br />7 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YUUH MHMH O <br />co <br />rn <br />L` <br />IC <br />ADDRESS FILE <br />