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the EVerRreen <br />CITY 0° <br />everett <br />CITY HALL 259 B745 <br />EVERETT, WA 98201 <br />0;ONSTRUCT101`E <br />PERMIT <br />❑ COMBINATION ❑ BUILDING !X]X MECHANICAL <br />PERMIT NO. 15704 <br />E PLUMBING <br />OWNER <br />On Broadway Auto Shop <br />MAIL ADDRESS <br />2934 Broadway <br />CITY <br />Everett <br />',F <br />98204 <br />PHONE <br />258-4418 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IT <br />Puget Heating P.O. Box 336 Lake Stevens 98258 334-4111 <br />PLUMBING CONTRACTOF MAIL ADDRESS LITY ZIP PHONE LICENSE # <br />PU GE TH 264 8D <br />CLASS OF WOHe <br />❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑ FENCE ❑SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAUTE TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERN114G THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_BLOCK_OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINC 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 />PERFORMANCE OF CONSTRUCTION. <br />SI RE OF CONTRACTOR OR AUTHO ED AGENT OATS <br />/' 11/18/85 <br />JOB ADDRESS <br />2934 Broadway <br />PLUMBING <br />ME16HANICAL <br />NO. <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 />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />M <br />EATEg <br />15 <br />00 <br />CLOTHES WASHER <br />ATIV <br />WATER HEATER <br />ES D <br />URINAL <br />ATIO <br />DRINKING FOUNTAIN <br />HOO <br />FLOOR DRAIN <br />NDLIC.F.M. <br />VACUUM BREAKERS <br />- W <br />7tMETAL <br />ROOF DRAINS - RAINLEADERS <br />FIREEYSINK <br />(SERVICE - BAR, ETC.) <br />ACE <br />UMPn <br />SUB TOTAL <br />i <br />SUB TOTAL $ <br />1 <br />PERMIT <br />f <br />PERMIT = <br />�- <br />TOTAL FEE <br />f <br />TOTAL FEE : <br />2700 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />❑YES <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />27 <br />00 <br />REQUIREDYES <br />OTHER <br />NO <br />APPROVALS <br />BY <br />DATE <br />U.B C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />27 <br />00 <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TH)S ¢PfC� TH11%Y21 1`61IT <br />5. GRACING <br />j 7 I <br />Lr <br />YOUR RECEIPT <br />6.DRAINAGEI <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8, HEALTH DISTRICT <br />APPLICATIOti ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />THANK YOU <br />18 NOV 8 5 <br />-H �t <br />nm <br />m <br />oco <br />mo <br />­!c <br />O 3 <br />m <br />m <br />m <br />GD 2 <br />C <br />-� In <br />on <br />3 <br />-H m <br />x <br />m <br />N <br />O <br />CO T <br />Cz <br />C In Ln <br />3 �+ <br />m <br />z � <br />— m <br />• m <br />ADDRESS FILE <br />