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• the Evergreen CONSTRUCTION f <br /> r, everett <br /> CITY OF PERMIT <br /> everett <br /> CITY HALL 250 BUSEVERETT,WA 08201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br /> OWNER 1n L nUGIi ESS ZIP ) - l�'t10 NL <br /> John Salter 212 olytIpic B nL. TT <br /> i <br /> ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. g <br /> 7 q, pppq �5,� -I <br /> GENERAL CON MN Rine. 11223MJ1L LO.KeESLevens Road 33A 19N�. ON LE V',AFY�€NG. 2 <br /> 1 fiC <br /> MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. W <br /> RI <br /> PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. _.t 7J <br /> nPERMIT CLASS OF WORK <br /> G'COMBINATION <br /> 8 BUILDING 0 PLUMBING ❑MECHANICAL ya <br /> ❑NEW ['ADDITION6 ALTERATION ['REPAIR <br /> VALUATION OF WORK <br /> S 40,000 00 0 DEMOLISH [FENCE ['SIGN ❑SWIMMING POOL <br /> DESCRIBE WORK <br /> HOW O"ice Space <br /> PROPOSED USE MECHANICAL <br /> Office Area <br /> LEGAL DESCRIPTION OF PROPERTY(SHOW BELOW OR ATTACH TYPE OF ENERGY <br /> FOUR COPIES) <br /> ['GAS ['ELEC. <br /> NO. TYPE OF EQUIPMENT FEE <br /> LOT BLOCK OF AIR COND.UNITS-H.P.EA. S I <br /> 1 <br /> REFRIGERATION UNITS-14.P.EA. I <br /> 1 <br /> BOILERS-1L.P.EA. I <br /> FORCED AIR SYSTEMS-B.T.U,MEA. I <br /> I <br /> I <br /> JOB ADDRESS SPACE&WALL HEATERS-B.T.U- i <br /> "0 Olympic Blvd. UNIT HEATERS-B.T,U. I <br /> EVAPORATIVE COOLERS 1- j <br /> PLUMBING CLOTHES DRYERS I <br /> VENTILATION FAN i <br /> RANGE HOOD I <br /> NO. TYPE OF FIXTURE OR ITEM FEE AIR HANDLING UNIT- C.F.M. <br /> 1 <br /> BATH TUBS S i __ I <br /> CLOTHES WASHER WATER HEATER <br /> I DISH WASHERS t PAC.BUILT FIREPLACE&CHIMNEY <br /> DRINKING FOUNTAINS FLOOR DRAINS 1CAS.SYSTEM NO OP OUTLETS <br /> KITCHEN SINKS&DISP. I SUB TOTAL S -- <br /> BAR SINKS I _ PERMIT S <br /> ROOF DRAINS-RAIN LEADERS ! TOTAL FEE S <br /> , SHOWER BATHS 7 1 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUI <br /> •' SERVICE SINKS 4 1 VO TION AUTHORIZED IS NOT COMMENCED WITHIN 120 GAYS,OR IF <br /> SUMPS -SEWAGE PUMP I CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br /> —1- <br /> A I IOU <br /> PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br /> - URINALS4 0 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br /> WATER CLOSETS `�2 1 10 PLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT,ALL <br /> 7 WATER HEATERS-ELECTRIC l 1, _, PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIi IS TYPE <br /> WASH BASINS I OF WORK WILL F3E COMPLIED RAN)At WI4ETHER SPECIFIED HEREIN <br /> LAUNDRY TRAYS OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANY OTHER STATE OR LOCAL I:AYJ REGUI. -ING CONSTRUCTION <br /> OR TII PERFORMANCE 0 STRUCT j <br /> SUB TOTAL L I 00 <br /> PERMIT 5 1 OC ,,• .13,76 <br /> TOTAL FEE $ 1'J hE X z./J ' <br /> WATER SERVICE SIZE BLDG SUPPLY SIZE 4-A.T.0IITE"-OF TR- R TPAUTIT AGENT DATE <br /> SIDE YARD SETBACK STREET SETBACK REAR YARDSETBN CK/LAN CHECK NUMBER PLAN CHECK FEE <br /> I / 77/1 12 FEE 102.'50 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE / <br /> a,ES ONO' FEES VALUATION FEE <br /> TYPE OF CONST. OCCUPANCY GROUP NO OF DWELLING I <br /> UNITS 1 <br /> I <br /> SIZE OF BLDG. NO.OF STORIES MAX.BCC.LOAD BUILDING S 40,000.00 157 I OO <br /> -- 13 'CO <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRESPRINKLERS <br /> REOUIIIED <br /> OYES ONO MECHANICAL <br /> — <br /> SPECIAL CONDITIONS: OTHER <br /> -- _ r <br /> PENALTY SEC.3031n1 <br /> .... ._ ____ _ TOTAL 7., � 00 <br /> 3 � <br /> �. di <br /> PERMIT VALIDATION <br /> ..� 0.-- •- .. 1IIt. y <br /> r /'� ...._ _._-_. ........_._. 1V I1L:I.I PROPERLY VALIDAT[D iIS il�.�'iPACi �t5�i ot3.L'f.17I•1 <br /> ". .,. - _ _ — , YOUR RECEIPT <br /> n, I „t;. IAPPP Tt-t.�1NK YOU <br /> . ale—: .11 ... <br /> , l K.c. <br /> .1 ? !'� <br /> F.l <br />