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I <br /># <br />L <br />the Erergreen <br />CITY CF <br />everett <br />CITY HALL 25M745 <br />EVERETT. WA 98201 <br />CONSTRUCT'ON <br />PERMIT <br />❑ COMBINATION R BUILDING ❑ MECHANICAL <br />PERMIT NO. 14333 <br />D PLUMiJING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />First Interstate Bank 2817 Colby Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Tube Art Displays <br />P.O. Box C19013 <br />Seattle <br />9E1109 1-800-562-2854 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />l;TY <br />ZIP PHONE LICENSE# <br />TUBEAD*311QS <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />'IP PHONE LICENSE # <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE XM SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />s 3,000.00 <br />Install Illuminated Rion <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. AL'_ PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIG A RE OF rVUGON ACl R OR ORIZED AGENT DATE <br />X <br />MECHANICAL. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_B;.00K_OF <br />JOB ADDRESS <br />2817 Colby <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />CLOSET(TOILET) <br />SWATER <br />AIR COND. UNIT - H.P, EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />qFSE-- <br />SHOWER <br />GAS FIRED A.C. UNITS - ToEA, <br />KITCHEN SINK 8 OISP <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />_ <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 />VFNTILATION 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 - FIAINLEAD <br />I <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL $ <br />SUBTOTAL S <br />PERMIT $ <br />PERMIT y <br />TOTAL FEE $ <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FI.E <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES i_IJO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELL) YO UNITS <br />BUILDING <br />$3,000. <br />12 <br />00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />_ <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />uYES GNO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC, 303(!e) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />12 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />12. <br />(lry <br />!}' <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />RF <br />APPR. FOR ISSUANCE BY <br />NV/LC <br />I <br />.11 <br />ADDRESS FILE <br />.J I <br />