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,,7eL1�TYeOF F ";®NSTRUCT1W <br />everett PERMIT PERMIT NO. 14 3 <br />CITY HALL 259 B745 <br />EVERETT. WA 98201 ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />First Interstate Hank 7502 Evergreen Way Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Tube Art Displays 808 Aloha Street Seattle 98109 TUBEAD*311QS <br />LICENSE 11 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />GLALS ur wvnn <br />CHYIEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD S70VEIFIREPLACE INSERT <br />$ 3600.00 <br />J.nscuJ.i 111LuuJ.tta�vu o�y.. <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINE-) THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_BLOCK_OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR NCE OF RUCTION. <br />SIG NATU CONTRACT OR A ED AGENT <br />JOB ADDRESS <br />/DPTE <br />7502 Evergreen Way <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />EY <br />SII IK (SERVICE - BAR, ETC.) <br />MA <br />SUB TOTAL <br />$OTAL <br />$ <br />PERMIT <br />SIT <br />5TOTAL <br />FEE <br />SL <br />FEE <br />S <br />SIDE YARD SETBACK <br />S, REET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />ION <br />FEE <br />-,YES :J NO <br />rFEE <br />—� <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />. <br />15 <br />00 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />I.tAX. OCC. LOAD <br />PL:IMBING <br />I <br />FIRE ZONE <br />BASEMENT <br />PRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />-YES C NO <br />APPROVALS <br />BY DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />Sao <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />_ <br />PERMIT VALIDATION �„' <br />WHEN PROPERLY VALIDATED (IN THIS SPAFE) THIS IS YIO�1R PERMIT <br />5. GRADING <br />I . CD <br />m <br />qqzr <br />6. DRAINAGE <br />._ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />_ <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />.. -H <br />N x <br />0 <br />m <br />co <br />m o <br />n <br />om <br />-1 z <br />x -I <br />m <br />O z <br />a -H <br />r x <br />K <br />0 <br />n 7 <br />� 3 <br />-I m <br />x <br />N <br />or <br />n m <br />C n <br />3 N <br />m <br />Z f') <br />-I r <br />• m <br />a <br />--I <br />S <br />D <br />z <br />--i <br />x <br />.. <br />N <br />ADDRESS Fill <br />