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''"�'���;Y`oF �_- ';ONSTRUCTIO�'__ " <br /> everett PERMIT PERMIT N0. 16296 <br /> CITV HALL 259�8745 <br /> EVERETT,WA98201 [� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> oWN�R & D Investment Suite 100 M#�AooBe1� Lake Dr Bellevue WA ZP454-3993 PMONE <br /> ARCMITECT ON UESIGNER MAIL ADORE55 CITY 21P PHONE <br /> GENERAL CONIRACTOR MAIL ADDRE55 CITV ZIP PMONE LICENSE� <br /> Slfdk Statewide Building S ,�tems 205 - 241 St. SW Bothell lJA 98021 <br /> MECHANICAL CONTRACTOR MAIL AOORESS QTV ZIP PHONE LICENSE II <br /> PLUMBING CONTRACTOR MAIL AODRE55 CITV 21P PHONE LILENSE t <br /> CLA55 OF WORK <br /> O NEW ❑ ADDITION N� ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ W000 STOVFJFIREPLACE INSERT <br /> VALUATION OF WOpN <br /> f10,799.00 <br /> DESCHI9E WORK <br /> 1'enant partitions, doors, relites, cabinet� <br /> PROPOSED USE OF 9111LOING <br /> Real Estate I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL IlESGRIPTION OF PROPERTY�SMOW BELOW OR ARALH FOUR COPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK_OF 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 VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE OF CONTRACTOR OR AUTHON:2ED AGENT DPTE <br /> 111 StlYI(KX S. E. Everett Mall Way X <br /> PLUMBING MECMANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WA7ERCLOSET�TOILET) AIR COND.UNITS— H.P. EA. <br /> BATHTUB REFRIGERATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASIN) BOILFRS— H.P. EA. <br /> SHOW[R GAS FIRED A.C.UNITS—TONNAGE EA. <br /> � KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS— U.T.U. M EA. <br /> � DISHWASHER WALL HEATERS— B.T.U. M <br /> _I LAUNDRY T�7AV UNIT HEATERS— B.T.U. M _ <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> —�_tWATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> —rRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HAIJDLING UNIT— C.F.M. <br /> VAGUUM BPEAKERS STOVE—WOOD <br /> POOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE — BAF, ETQ) FIREPLACE INSERT _ <br /> HEAT PUMP <br /> SUB TOTAL i Q OO SUB TOTAL S <br /> PEHMIT S PEHMIT f <br /> TOTAL FEE S Q OO TOTAL FEE S <br /> SIDE YARD SETBAGK STREET SETBACK REAR YARD SETBACH PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 86 1629 _56.23 <br /> C-� i;YE5 X:NO FEES YALUATION FEE <br /> TYPE OF CONST. OCCUPANGY GROUP NO.OF OINELLINC UNITS <br /> V-N B-2 <br /> BUILDING 5 <br /> SIZEQE9LSf NO.OfSTOPIES MA7�.03C3. LOA0 pLUNBING <br /> 3CJb I _Q9_ <br /> FIRE ZONE BASEMFNT FIRE SPRINKLERS MECHAKICAL <br /> REOUIRED <br /> . �YES �. .NO - <br /> APPROVALS BY UATE �tHEH <br /> 1. ENVIRONMENTAI CHECK LI.",T PENALTY U.B.C. <br /> SEC.30J(a) <br /> 2.BUILDING PLANS — TOTAL JO 5O <br /> 3.FIREMYDRANT s_ <br /> 4.FIRE PFOTECTION SYSTEM� PERMIT VALIDA710N <br /> WHEN PROPERLY VALIDA?ED(IN THIS SPACE)THIS IS YOUR PERMIT . <br /> S.GRADING � � �� 5 � 0 8 6. 5 0 - �- t• <br /> 6.ORAINAGE ,,.� � <br /> '7iENVIRONMENTALIMPAC75fATEMENT , . <br /> 'B:HEALiHD15TRICT `-� . . ; <br /> A1'PLICATION ACC. BY ��PLANS CHECKED BY APPR.FOR ISSl1ANCE BY � .. �� -.� ` .. , � <br /> c� . . o . . . . . <br /> ` � mm � jef lc ' <br /> . <br /> , � . . <br /> � - - ,. � � ,, <br /> ADDRESS FILE <br />