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Me flwvvm <br />CITY OF <br />r INSTRUCTION <br />everett <br />PERMIT <br />18618 <br />PERMIT <br />NO. <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />❑ MECHANICAL <br />0 PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />Bayview Assoc. <br />1812 Hewitt Everett 98206 <br />258-6473 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CRY ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE F <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CRY ZIP <br />PHONE <br />LICENSE• <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE. <br />R&R Plumbing <br />9720 183rd Pl. NE Arlington, WA <br />98223 435-0576 <br />Mn RRPLU194RP <br />CLASS Or WORK <br />- <br />❑ NEW LJADDITION ❑ ALTERATION O REPAIR <br />❑ DEMOLITION <br />❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f 450.00 <br />- <br />DESCRIBE WORK <br />Rough -in and install <br />one sink. <br />HEAT SOURCE <br />❑ ELECTRICITY <br />❑ GAS ❑ WOODSTOVE <br />❑ OTHER <br />PROPOSED USE OF BUILDING <br />Commercial <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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P RFORMANCE OF CONSTRUCTION. <br />9GNATI Of CONRRA'51 OR AUTHORIZED AGENT, OR OWNER DATE <br />X g-13-fl <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH F OUR COPIES <br />LOT _ BLOCK _ OF <br />JOB ADORFSs <br />2911 Bond St. <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 )TOR ET) <br />MC - A/HNDLG UNITS - H P <br />BATHTUB <br />REFRIGERATION UNITS -H P. EA <br />LAVATORY ( WASH BASIN) <br />BOILERS - B.T.U./H P. <br />SHOWER <br />GASFIREDAC. UNITS-B.T.U. <br />1 <br />KITCHEN SINK & DISP. <br />5 <br />oO <br />FORCED AIR SYSTEMS - B.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 />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />Ht— <br />BACKFLGW PREVENTEnS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR, ETC) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />f <br />5 <br />OO <br />SUB TOTAL <br />PERMIT <br />f <br />lO <br />OO <br />PERMIT <br />TOTAL FEE <br />S1 <br />15 100 <br />TOTAL FEE <br />FRONT SETBACK <br />REARSETBACK <br />SNE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />H <br />PLUMBING <br />!iYK E� <br />00046615 <br />00 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. ACC. LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YF.S NO <br />INVESTIGATION FEE <br />;� LSI@. 3D4(B) <br />STATE BUILDING SURCHARGE <br />IW!L'� T $1 <br />LOLL <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S.H. <br />PLANSCHECKEDBY <br />AMR. FOR ISSUANCE BY <br />L.RIVEWAY PERMIT <br />TOTAL <br />15 <br />00 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />«) <br />ADDRESS FILE <br />