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'11`'P""`., CONSTRUCT'ON <br />everett PERMIT PERMIT NO. 14592 <br />CITY HALL 259 8745 _- <br />EVERETT.WA98201 ❑ COMBINATION BUILDING E MECHANICAL PLUMBING <br />OWNER M1'eIL :UCPESS CITY ZIP PHONE <br />Muncheese 9504 19th Avenue S.E. Everett __ <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Tube Art Displays P.O. Box C19013 Seattle 98109 SHHH 562-2854 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />TU BE AD 311QS <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />c b yr nvnn <br />❑ NEW ❑ ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ${SIGN 0 WOOD S70VEIFIREPLACE INSERT <br />f 2,000.00 <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL'JESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <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 />GN. <br />PERFO ANCE OF CfdM�TDR RUCTION. <br />SIGNAT f CONTRACTO OR R ED AGENT UAIE <br />Z / f <br />JOB ADDRESS <br />9504 19th Avenue S.E. <br />X �� <br />PLUMBING <br />MECHANIC <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 — N.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS -- H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 OISP. <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 DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — RAINLEADER5 <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />i <br />SUB TOTAL f <br />_ <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />f <br />TOTAL FEE f <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 <br />VALUATION <br />FEE <br />(-:YES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f2 , 000. <br />9 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />TIRE SPED PRtKLERS <br />MECHANICAL <br />REQU:YES <br />OTHER <br />— <br />DNO <br />APPROVALS <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />9 <br />00 'M1 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VAUDATEO (IN THIS SPACC) THIS IS O�IR PE�fn,II T <br />5. GRADING <br />I r <br />8. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />I <br />NV/LC <br />ADDRESS FILE <br />