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rhr Fcrrcr�an <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />CONSTRUCTIO"I <br />PERMIT <br />El COMBINATION 5�R BUILDING L] MECHANICAL <br />PERMIT NO. 14339 <br />PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />Lfr PHONE <br />Muncheese <br />9504 19th S.E. <br />Everett <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Tube Art Displays P.O. Box C19013 Seattle 98109 1-800-562-2854 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />TU BE AR 311QS <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />LEA.. V, YYVnf. <br />❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ik SIGN ❑ W000 STOVEIFIREPLACE INSERT <br />s 3,000.00 <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ .AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAh:E TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTIO:. OF PROPERTY(SHOW B_I OW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_SLOCK_OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUI HORITY TO VIOLATE <br />OR CANCL_ THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PFRFO MANGE OF O RUCTION. <br />SIGNAT F CONTRAC R O A IHO Rl7ED AGENT DATE. <br />JOB ADDRESS <br />9504 19th S.E. <br />PLUMBING <br />MECHANICAL <br />NO. <br />TAPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — N.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <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 D;',AIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />_ <br />SINK (SERVICE -- BAR, ETC.) <br />FIREPLACE INSERT <br />PUMP <br />PHEAT <br />SUB TOTAL S <br />SUB TOTAL S <br />F_ <br />PERMIT <br />S <br />PERMIT — S <br />TOTAL FEE <br />S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES FEES <br />VALUATION <br />E <br />; YES -:.NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />N0. OF DWELLING UNITS <br />BUILDING <br />_ <br />s $3,000. <br />12 <br />00 <br />SIZE OF EILDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />_ <br />.-:YES [::NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />12 <br />�00 <br />3. FIRE HYDRANT <br />4, FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS -SPACE) THIS IS Yff (PRM17 <br />5. GRADING <br />J I ( �(Y" <br />.Q <br />' I <br />' II <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANE CHECKED BY <br />APPR.:OR ISSUANCE BY <br />RF <br />NV/LC <br />. <br />ADDRESS FILE <br />