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IINEv"TrTPII <br />APPLICATION FOR <br />GTM OF <br />ZONSTRUCTION <br />everett <br />PERMIT <br />DEPT OF COMMUNITY DEVELOPMENT SERVICES <br />CITY HALL 15"745 <br />EVERETT, WA9A201 EICOMBINATION ❑ BUILDING ❑MECHANICAL ❑PLUMBING PERMIT NO. <br />OWNER <br />`Fred <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />and Frank <br />Hopkins 2721 Wetmore Everett, 98201 <br />2583411 <br />ARCHITICT OR DESIGN{R <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />GFNlRAI[ 4 AC70RC �- <br />In <br />,' S MAIL ADDRI Siy 2 (� L�, `/uG� /( CITY ZIP <br />7� <br />J�77=pp= <br />LICENSE/ <br />W. 3028—Wetmore Everett 9820$ <br />.Y�PJ���J <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY LIP <br />PHONE ICLNSE F <br />PLUMPING CONTRACTOR <br />MAIL ADDRESS CITY ZIP <br />PHONE <br />LICENSE R <br />CLASS Of WORK <br />[]NEW[:]ADDITIONMALTERATION <br />'M <br />❑REPAIR ❑DEMOLITION ❑FENCE 05117,N <br />❑GARAGE ❑BUILDING RELOCATION <br />VAIUATIO%OF WORK <br />$10,000.00 <br />x <br />UISLRIHL WORK <br />Replace light fixtures, remove portion of wall between offices, paint and re air <br />PROPOS10 UsI of BULDRc <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 GOVEkNING 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. / <br />51GNATU0.I OF CO R CTOR OR AUTHORIZED AGENT DATE,; 3 { S, <br />A <br />ICM, DISC/RIPLIONOF PROPIR7YISHOWN PILOW OR ATTACH FOUR COPIISI <br />LOT`C T` / BLOCK 717 OF Plat of Everett, first <br />Addition, Division "A" <br />TOR ADDRESS <br />3028 Wetmore, Everett <br />PLUMBING <br />MECH ICAL <br />NO. <br />TYPE OF FIXTURE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET JOLIET) <br />AIR COND UNITS—H P EA <br />BATHTUB <br />REFRIGERATION UNITS—H P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS—H P EA <br />SHOWER <br />GAS FIRED AC UNITS —TONNAGE EA <br />KITCHEN SINK A DISP <br />FORCED AIR SYSTLMS—B T U M EA <br />DISWASHIR <br />WALL HEATERS—B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS—B T U M <br />CL07HES WASHER <br />IVAPORATIVE COOLERS <br />WATER HIAIER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION MN <br />DRINKING fOUNTAIN <br />RANGE HOOD <br />I LOOR DRAIN <br />AIR HANDLING UNIT— C F M <br />VACUUM BRI AKERS <br />STOVE <br />ROOF DRAINS —RAINLE AGE ITS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE —BAR. ETC) <br />SUB TOTAL <br />SUB TOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />FRIAR YARD 51 TRACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />6-z <br />NO OF DWELLING UNITS <br />If UIIDING <br />S <br />SIZE OF BlOG <br />NO OF STORIES <br />MAX OCC LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />HE DEI <br />FIRE SPRINKLERS <br />REQUIR <br />rlYTS O <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1 LNVIRONMENTALCHECKLIST <br />PENALTY <br />URC <br />SIC3 <br />SEC 70B(a) <br />Z BUILDING PUNS <br />FIRE HYDRANT <br />TOTAL <br />A TIRE. PROTECTION SYSTEM <br />PERMIT VAIIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR PERMIT <br />5 GRAUING%L %CAVAi10NACl1 ANING'GRUBflING <br />6 DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />A HEALTH DISTRICT <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />v, � , <br />91 79 <br />