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1 <br />L <br />The EL•rt�G' IT, <br />green <br />r -- CONSTRUCTION <br />everett PERMIT PERMIT NO. 14332 <br />CITY HALL 2598745 <br />EVERETT. WA 98201 ❑ COMBINATION $X BUILDING - MECHANICAL .__ PLUMBING <br />OWNER NAIL ADDRESS CRY ZIP PHONE <br />First Interstate Bank 2817 Colby Avenue Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />Tube Art Displays P.O. Box C19013 Seattle 98109 1-800-562-2854 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE X2 SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />f 4,000.00 <br />Install electrical 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 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 />PERF RMANCE OF CONSTRUCTION, <br />SIGNSMNAU OF CONTRA TOR R AUTHO ED AGENT DATE <br />X �- �E}'� <br />LEGAL DESCRIMON OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOT -BLOCK -OF <br />JOB ADDRESS <br />2817 Colby Avenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET(TOILETI <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — M.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — 8.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 — RAINLEADERS <br />METAL FIREPLACE 8. CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL f <br />SUBTOTAL f <br />PERMIT f <br />PERMIT S <br />_ <br />TOTAL ItEE $ <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE LONE <br />LOT AREA <br />VACANT SITE <br />I -- <br />..YES NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONRT. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />$4,000.00 <br />15 <br />00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREJ <br />YES NO <br />MECHANICAL <br />— <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.G. <br />SEC. 303 (e) <br />100 <br />2. BUILDING PLANS <br />— <br />TOTAL <br />_ <br />1S <br />9. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />FERMI VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SP9C ) THIS LS TO�t} -JIT _ (V <br />G. 7 l LAYS/ <br />'I <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 />_ <br />APPR. FOR ISSUANCE B)' <br />NV/LN'C <br />r <br />ADDRESS FILE <br />J <br />