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everett PERMh L( A <br />CITY HALL" 98 <br />LV ERETT. WA yA20120/ COMBINATION BUILDING MECHANICAL PUJtJi [31NG <br />OWNLH • <br />MAIL AUDHC,S <br />4W <br />I <br />Ben Holt Industries <br />22224 Highway 99 Edmonds <br />98020 <br />775-4616 <br />FRCNI7ECTOR DESIGNER <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO <br />LICC NSE NO. <br />PHONE <br />GENERAL CONI FACTOR <br />MAIL ADDRESS <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PHONE <br />LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO <br />[24COMBIIEATION <br />[$BUILDING ®PLUMUING ®MECHANICAL �+I ,-1 <br />LJ ]NEW ❑AbDIT10N L,F AL7£RAt1UN REPAIiI <br />VALUA7 ION OF WORK yy <br />It650,000.00 ❑DEMOLISH �]iENCE ❑SIGN [SWIMMING POOL - <br />DESCRIBE WORK <br />Tilt -up warehouses for mini storage <br />'PHUPU5LU U5E <br />mini storage _ <br />'LEGAL DESCRIPTION OF PROPERTY [SHOW BELOW O <br />FOUR COPIES) <br />COT __BLOCK__OF — <br />JOB ADDRESS <br />7909 Broadway <br />PLUMBING <br />WATER SERVICE SIZE PI,DG. SUPPLY c <br />SIDE YAROSETBACK <br />ST RFEI SLIHACK <br />BEAR <br />N/A <br />N/A <br />USE ZONE <br />LOT AREA <br />VACA <br />C-1 <br />BSxxxxxx x <br />El, <br />I YPE OF CONST. <br />OCCUPANCY GROUP <br />NO. <br />V-N Bld • <br />8-4 S R-3 <br />UNITE <br />y9 <br />•;IZE OF T12OG. <br />NO. OF STORIES <br />MAX. <br />BID, E, 6 F-I <br />2 1 none <br />'.1'1-CIAL CONDITIONS. <br />Bldg.A-40 _ <br />B-30 <br />-- D-18 ---- <br />E-36 - <br />N-36 -- - <br />ID SE TB. <br />N/A <br />;ITE <br />h ONO <br />1 <br />Es <br />MECHANICAL <br />TYPE OF FNERGY <br />❑GAS ❑ELEC. <br />NO. _T_P_E TV EO_UIP_ME_NT <br />AIn COND. UNITS -H.P. EA. S I <br />RLF nIGt RAT ION UNITS H.P.EA. �- <br />BOILERS ILP.EA. I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />_SPA_CE A WALL HEATf RS - R.T.L. _ <br />UNIT /IEA7ERS R.T.U. I <br />- - — - -- -- - — ---- --r- - <br />ty nrORnTIVE COOI£P:5 �U� <br />I CLOTHES OnYERS 3 1 O <br />C>„ V L N I I I A I ION 1 AN --- in <br />1 RANGE HOOD _ I <br />Atli HANUI ING U it -- C.F.M. <br />I <br />WATER HEATER ----_—_--___ <br />LAC. BUILT 5IRFPLACF 1% CHIMNEY__ I_ <br />OAS. SYSTEM. NO OP OUTLETS __ <br />SUBTOTAL S i— <br />PERMIT S <br />------�-- TOTAL FEE $_ 161 nn <br />THIS PE FIMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR [F <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK tSCOMMENCED. <br />I HERLAY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICA75ON AND KNOW 7HE SAME TO BE TRUE AND CORRECT, ALL <br />PnOVISIONS or LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WIT)/ WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTOORIIY TO VIOLATE OR CANCEL 714E PROVISIONS OF <br />ANY OIHI. 11 STATE OR LOCAL LAIN REGULATING CONSTRUCTION <br />On (fit PPPEEnr OHMANCE OF COON'2STRUUCTION. <br />SIIGNA-tIT I;KON RA RRAUTI/.AGENT PC <br />PLAN CHICK NumnIn PI.ANCHLCKFEE <br />713/774 FEE 200. 00 RECEIPT NO. <br />35913 <br />FEES VALUATION FEE <br />BUILDING <br />S 650,000.00 <br />1051 j 00 <br />PLUMBING — <br />MECHANICAL <br />32 100 <br />16 100 <br />_ <br />OTHER <br />I <br />1 <br />PENALTY <br />-- <br />TOTAL <br />SEC. 30.349) <br />I <br />1 1099 100 <br />PERMIT VALIDATION ' <br />WI/EN PROPERLY VALIDATED (IN T1/::;'SPACE) THIS IS YOURPERMIL <br />ADDRESS FILL <br />