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the !Ci er.Yreen <br />LI1, O° ;._ CONSTRUCTIO" <br />everett CITY MALL 2598745 PERMIT PERMIT NO. 15104 <br />EVERETT, WA 98201 ElCOMBINATION LX1�' BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />BAYVIEIY ASSOCIATES <br />MAIL ADDRESF <br />CITY ZIP <br />PHONE —_ <br />ARCHITECT OR DESIGNER <br />FINLEY ARCIfI'fECTS <br />MAIL ADDRESS <br />1812 HEWITT PO BOX 1008 <br />CITY ZIP <br />FVERETT WA 98216 <br />PHONE <br />259-6471 <br />GENER 4l CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE 4 <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PLUMBING CONTRACTOR MAIL ADDRESS <br />CITY ZIP PHONE LICENSE• <br />PHONE LICENSE A <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR X] DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VALUATION OF WORK <br />Interior demolition <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 HEI EIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY l O VIOLATE <br />ANOE THE PROVISIONS OF ANY OTHER STATE OR <br />/LL c E S�LLATING CONSTRUCTION OR THE <br />OL <br />`SP MA C rNSTRUCTION. <br />P I R AUTHORIZED AGENT LATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />EOT-1--L BLOCK676 OF Everett Div "C" <br />JOB ADDRESS <br />2911 Bond Street <br />PLUMBING <br />ME HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />D. UNITS — H.P. EA. <br />BATHTUB <br />ERATION UNITS — H.P. EA. <br />LAVATORI'(WASH BASIN) <br />S — H.P. EA. <br />SHOWER <br />METYPE <br />ED A.C. UNITS — TONNAGE EA. <br />AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN SINK 6 DISP. <br />DISHWASHER _ <br />_ <br />EATERS — B.T.U. M <br />LAUNDRY TRAY <br />ATERS —B.T.U. M <br />CLOTHES WASHER <br />ATIVE COOLERSWATER <br />HEATER <br />S DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />F-LOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUU—j <br />M BREAKERS <br />STOVE — WOOD <br />ROOF ORAINS — RAINLEADERS <br />_ <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREFLACE INSERT <br />HEAT PUMP <br />SUBTOTAL S <br />SUB TOTAL S <br />PERMIT S <br />PERMIT S <br />TOTAL FEE S <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 ZONE <br />LOT AREA <br />VACANT SITE <br />..YES . NO <br />FEES <br />_ <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />ffBUILDING$ <br />00 <br />00 <br />SIZE Of BLDG. <br />FIRE ZONEt- <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />YES NO <br />MECHANICAL <br />-- <br />-- <br />'— <br />PPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIROHECK LII!T <br />PENALTY <br />U.B C. <br />SEC. 303 (a) <br />2. BUILDIN <br />3.BASEMENT <br />FIRE HY <br />TOTAL <br />00 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SrACE) THIS IS YOUR PERMIT <br />�--1 <br />LIB <br />5. GRADING <br />IT. DRAINAGE <br />7.ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY I PLANS CHECKED BY <br />—lc <br />APPR. FOR ISSUANCE BY <br />lc f <br />ADDRESS FILE <br />