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the Evergreen C1 T N ST R U CTI O N <br />CITY OF <br />everett PERMIT <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION !LX BUILDING ❑ MECHANICAL <br />PERMIT NO. 06281 <br />LJ FLUMBING <br />OWNER <br />UAL ADDRESS <br />Everett <br />98201 <br />PHU1; <br />258-4291 <br />Olympic Bank <br />Olympic <br />2817 Colby <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PNGNE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />98206 <br />PHONE LICENSE <br />259-4138 <br />Sanford Wright <br />P.O. Box 809 <br />Everett <br />MECHANIC AL CONTRACTOR <br />MAIL ADDRESS <br />CRY <br />ZIP <br />FHONE LICENSE, <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK <br />❑NEW ❑ADDITION agLTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN EIGARAGE <br />VALUATION OF'VORK <br />s 3,000.00 <br />DESCRIBE WORK <br />On 4th floor <br />PROPOSED USE OF BUILDIN <br />commerclai <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />LEGAL OF SCPIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />5-6 66'� Everett <br />LOT RLOCK_ F <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A FERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL T HE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PE RMANCE OF CONSTRUCTION. <br />SIGNATURE OF ONTRAGiOR OR AUT RIZED AGENT DATE <br />6 2 6 r 9 <br />JOB ADDRESS <br />X <br />2817 Colby <br />PLUMBING <br />MECHANICA <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />No. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />BOILERS - H P. EA, <br />GAS FIRED AC. UNITS -TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS - B T.U. M EA <br />KITCHEN SINK 8 DISP. <br />WALL HEATERS -BT.U. M <br />DISHWASHER <br />TRAY <br />UNIT HEATERS - B.T.U. M <br />LAUNDRY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F M <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />SUB TOTAL $ <br />PERMIT <br />$ <br />PERMIT = <br />TOTAL FEE <br />$ <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />$ 3,000 <br />24 <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 />REQUIRED <br />MECHANICAL <br />❑YES ONO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303(R) <br />2. BUILDING PLANS <br />TOTAL <br />24 <br />00 <br />3. FIRE HYDRANT <br />PERMIT VALIDATION <br />4, FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />6 (j 4 s 4E $ �. J.d <br />'. <br />-A <br />S. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />' <br />40 <br />B. HEALTH DISTRICT <br />U1�' <br />4IJE Irpr C <br />a .i Y U U <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />K.C. <br />K.C. <br />I <br />1 <br />I <br />1 <br />