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thr Eerrqn•cn <br /> everett � ^ ~�ONSTRUCTIOI� � <br /> PERMIT PERMIT NO. 15315 <br /> qTV HAIL 259�87a5 <br /> EVERETT,WA9q201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMElING <br /> OWNER MAILADDRE55 pTY Z�P PMONE <br /> Black Pine Wood Stoves 14825 Highway 99 S.W. Lynnwood 98037 743-0287 <br /> qp�HrtECT OR DESiGNER MAIL ADDRE55 GTV ZIP PHGNE <br /> GENERAL COhTR4GTOR MRIL RDDRESS GTY 21P PHONE LIGENSE• <br /> Same <br /> MELMANICAL CONTR�GTOR MAIL AODRE55 CITY ZIP PMONE �IGENSE� <br /> PLUMBING CONiRFCTOR MRIL ADDRESS CITY ZIP PMONE LIGENSE Y <br /> CLASS OF WORK <br /> ❑NEW O ADDITIOI: N� ALTERATION ❑REPAIR O DEMOLI710N D FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUA710N OF WORK <br /> f Z100�.�0 <br /> DESGRIBE WORK <br /> Add mansard roof-interior remodel <br /> PROPOSED USE OF BUILOING <br /> co�nercial I HEREBY CERTIFY THAT I HAVE READ AND EX.AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGALDE6CRiPT10NOPPNOVEFTY�SNOWBELOWORRT7ACHFOURCOPIES� CORRECT. ALL PROVISIONS OF I_AWS AND ORDINANCES <br /> �oT_e�ocK_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEFEIN OR NOT.TH�GRANTING OF A <br /> PER�dIT DOE OT PRESUME TO GIVE AUTNORITY TO VIO�+TE <br /> OR CANC T E PROV:310NS OF ANY OTHER STATE OR <br /> LOCAL A � REGULATING CONSTRUCTION OR THE <br /> PERFO CE OF CONSTRUCj10N. <br /> J09I.DORE55 SIGN TU NTRACTOR OR A MOR 0 AGENT ATE <br /> 3631 Broadway X o 8 21/85 <br /> w1 <br /> PLUMBIN6 f�AFCNANICAL <br /> N0. TYPE OF FIXTURE OR IiEM FE2 NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETQOILEn AIR COND. UNITS - H.P. EA. <br /> BATHTUB HEFRIGEFATION UNITS- H.P. EA. <br /> LAVATORY(WASH BASIN) BOILERS - H.P. EA. <br /> SHOWEF GAS FIRED A.C. UNITS -TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> DISHWASHER WALL HEATERS- B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS- B.T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> WATER HEATEP CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOO� <br /> FLOOF DRAIN AIR HANDLING UNIT- C.F.M. <br /> VACUUM BREAKERS STOVE -WOOD <br /> ROOF DR41N5- RAINIEADERS METAL FIREPLACEB CHIMNEY <br /> SINNISERVICE - BAR, ETC.) FIREPLACEINSERT <br /> MEAT PUMP <br /> SUB TOTAL t SUB TOTAL S <br /> PERMIT S VERMIT f <br /> TO7RL FEE S � TOTAL FEE f <br /> SIDE YARO SETBACK STttEET SETBACK REAR VARD SETBACK PLAN CHECK NUMBEF PLAN CHEGN FEE <br /> N/A N/A N/A g5/15315 FEE 11.38 �S�'�No. <br /> USE ZONE LOT AREA VACANT SITE <br /> B-7. g�p f.YES �.�Q FEES VAIUATION FEF <br /> TVPE OF CONST. OCCUPANCV GROUP K�.OF DWELLING UNITS <br /> V-N B-2 O BUILDING S 1,000.00 7.7 50 <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC. LOAD <br /> N/A 1 N/:-: P�UMBING <br /> FIREZONE BASEMENT FlRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> YES : NO <br /> APPROVALS BY DA7E OTHER <br /> 1.ENVIRONMENTAL CMECK LIST PENAL7Y U.B C. <br /> SEC.3031a) <br /> 2.BUILDING PLANS <br /> 3.fIREMYDRANT TOTAL 17 I SO <br /> 4.FIRE PROTEC710N SYSTEM PERMIT VALIDATION <br /> 5.GRADING �NHEN PROPERLY VALIDATE�pN THIS SPACE�THI6 lu YOUFl PEPMI7 � <br /> 6,DRAINAGE I � � `�"') <br /> 7.ENVIRONMENTALIMPACTSTATEMENT �� <br /> B.HEALTM DISTRICT . �^ <br /> APPLICATION ACC.BY PLANS CMECKEO BV APPR.fOF ISSUANCE BY , � s-i <br /> JEF <br /> ADDkE55 FILE <br />