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I I <br />I <br />r <br />L <br />the Eter%reen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT. WA 98201 <br />CONSTRUCTIO►`' <br />PERMIT <br />❑ COMBINATION 91 BUILDING ❑ MECHANICAL <br />PERMIT NO. 14331 <br />r J PLUMBING <br />OWNER MAIL ADDRESS CITY CIP PHONE <br />First Interstate Bank 2817 Colby Avenue Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONC <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE F <br />Rube Art Displays <br />P.O. Box C 19013 <br />Seattle <br />98109 1-800-562-2854 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />TUBE9311QS PHON^: LICENSE <br />ZIP PRONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL AUURESS <br />CITY <br />CLASS OF WORK <br />❑ IIEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ftSIGN ❑ WOOD STOVHFIRLI.tACE INSERT <br />VALUATION OF WORK <br />S 3000.00 <br />DESCRIBE WORK <br />Install illuminated Sign <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 />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPEC171ED 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 REGULATIN3 CONSTRUCTION OR THE <br />PERFORMANCE OF C, NST4UCTION. <br />SIGNA E OF CONTRACTOR ON A ORIZED AGENT DATE <br />X <br />LEGAL OESCRIPi1CN OF PROPERTY )SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOCK —OF <br />JOB ADDRESS <br />2817 Colby Avenue <br />PLUMBING _ <br />MECHANICAI. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR CONP '1NITS — It P. EA. <br />BATHTUB <br />_ <br />REFRIGU ATIOA UNI -3 — H.P. EA <br />BOILERS — II.P. EA <br />LAVATORY (WASH BASIN) <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />Ki CHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISEWASHER <br />WALL HEATERS — B.T.U. M <br />LAUN1,4Y TRAY <br />I UNIT HEATERS — B.T.U. M <br />CLOTHE' WASHER <br />EVAPORATIVE COOLERS <br />WATER HE,�TER <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 />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL $ <br />SUBTOTAL $ <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />FEAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACAN— SITE DYES ENO ENO <br />FEES VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GRvUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 3,000. <br />12 <br />00— <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. BCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />OYES ]NO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (al <br />2. SJILDING PLANS <br />TOTAL <br />12 <br />OO <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS,SPACE) THIS IS YOI�R�ERN{)T —� <br />% .. I 111J II'' M. <br />M <br />qcr <br />It"i <br />� <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />RF <br />APPR. FOR ISSUANCE BY <br />NV/LNC <br />07I <br />i <br />■° ADDRESS FILE <br />