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TM Ewrgrimm <br />APPLICATION FOR <br />CITY OF <br />:ONSTRUCTION <br />everett <br />PERMIT <br />e <br />DEPT OF COMMUNITY DEVELOPMENT <br />SERVICES <br />CITY HALE 259-8745 <br />EVERETT, WA9fl201 ❑COMPINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER <br />YFred <br />MAIL ADDLE SS CITY ZIP <br />PHONE <br />and Frank <br />Hopkins 2721 Wetmore Everett, 98201 <br />2583411 <br />ARC NI T I C T OR DI SIGH R <br />MAIL ADDR1$5 CITY ZIP <br />PHONE <br />GI NIRAIC N AC10R` Pr <br />S MAIL ADDRISS!/7rQ 4A //emu ./_ CITY TIP <br />(tme" ( <br />P O, L/pIICEHSIR <br />J <br />^� � �"£W, <br />3028—We Everett 98205 <br />4 <br />MICHANICM CONTRACTOR <br />MAIL A00R155 CITY LIP <br />PHONE ss 2INS1 f <br />331; N r <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />[]NEW❑ADDITION <br />ITT <br />LpIALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN <br />❑GARAGE ❑BUILDINC RELOCATION <br />VALUATION OF WORK <br />$10,000.00 <br />DESCRIBE WORK <br />Replace light <br />fixtures, remove portion of wall between offices, <br />paint and repair <br />X <br />PROPOSED us[ of BUDDING <br />Office <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. / Q <br />SIGNATURE OF CI�CTOR OR AUTHORIZED AGENT DATE J�C%3 /• O' <br />,- <br />x <br />LEGAL DESCRIPTION OF PROPERTY ISHOSYN BHOSA OR ATTACH [OURC01I151 <br />/(:,// 717 Plat of Everett , f1rSt <br />Lol BLOCK <br />Addition, Division "A" <br />OF, ADDRESS <br />3028 Wetmore Everett <br />PLUMING <br />MECH )CAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSE I I TOLIE7) <br />AIR CONEY UNITS -HP EA <br />BATHTUB <br />REFRIGERATION UNITS-H P EA <br />LAVATORY (WASH BASIN) <br />BOILERS -HP EA <br />SHOWIK <br />GAS TIRED AC UNITS-TONNAGEEA <br />KIICHEN SINK A DISC <br />IORCI D AIR SYSTEMS-B T U M EA <br />OISWASHIR <br />WALL HFATLRS-B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS -BTU M <br />CIOIHLS WASHER <br />EVAPORATIVE COOLERS <br />WATER HEAHR <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />I IGOR DRAIN <br />AIR HANDLING UNIT- C f M <br />VACUUM FIRE AKERS <br />STOVE <br />ROOF DRAINS -- RAINLE AGE( RS <br />MEIAL FIRIPLACI A CHIMNEY <br />SINK (SIRVICI -BAP, I TC ) <br />SUBTOTAL <br />SUB TOTAL B <br />PERMIT f <br />PERMIT B <br />TOTAL FIT f <br />TOTAL FEE f <br />SIDE YARD SF TRACK <br />S1R1 [T SETBACK <br />BEAR YARD SI IBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK ITT <br />ELECT IPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES GNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OI CONST <br />OCCUPANCY GROUP <br />[3-Z <br />NO OF DWELLING UNITS <br />BUILDING <br />S �l <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX DEC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />ILL UROOMS <br />FIRE SPRINKLIRS <br />REQUIR <br />OYES O <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 INVIRONNIENIAL CHECK LIST <br />PINALIV <br />SC <br />SFC 30>fAl <br />2 BUILDING PLANS <br />TOTAL <br />7 FIR[ HYDRANT <br />A FIRE PROTECTION SY571M <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />5 GRADING4 NX AVAI ION A 01 ARINGIGRUBRING <br />6 DRAINAGE <br />RISSUA%Cl <br />7 INVIRONMLNTAL IMPACT STATEMENT <br />B HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECK[D BY <br />91 79 <br />