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O cl1,11,1,„ <br />641��I� <br />e�v1e�rett <br />C IT Y74Q2lv94�i,H1 <br />E`oT7�.�raincWMBINATION <br />CONSTRUCTION <br />PERMIT <br />• BUILDING • MECHANICAL • PLUMBING <br />evere" <br />,,e <br />OWNER MAIL ADDRESS ZIP PHONE <br />Ben Holt Industries 22224 Highway 99 Edmonds 98020 775-4616 <br />'D <br />M <br />X <br />RGYLTE ER MAIL ADDRESS PHONE LICENSE NO. <br />9 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />Z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />W <br />01 M <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />cn <br />PERMIT <br />[ 3COMBIMATION <br />BUILDING ®PLUMBING ®MECHANICAL <br />CLASS OF WORK <br />]NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />VALUATION OF WORK <br />S 650,000.00 <br />DESCRIBE WORK <br />Tilt -up warehouses for mini storaga <br />PROPOSED USE <br />mini storage <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL OF PROPERTY ISIiDW BELOW OR ATTACH <br />FOUR <br />FOUR COPIES) <br />LOT BLOCK —OF <br />S)A FAI <br />r' <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S 1 <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />�� , • <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />JOB ADDRESS <br />7909 Broadway <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />3 1 OO <br />VENTILATION FAN <br />RANGEHOOD <br />1 1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />I <br />CLOTHES WASHER <br />2I 00 <br />WATER HEATER <br />DISH WASHERS, <br />I <br />FAC. BUILT FIREPLACE &CHIMNEY <br />- <br />I <br />DRINKING FOUNTAINS <br />100 <br />FLOOR DRAINS <br />I <br />_ <br />GAB. SYSTEM: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />4 1 00 <br />1 SUBTOTAL $ <br />6 1 no <br />BAR SINKS <br />1 <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />1 <br />TOTAL FEE $ <br />1 nn <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, 'I HE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUT14ORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONNSI RUCTION. <br />vN�' �.S�r/1Q:tZ9.r/u�7 <br />X /5�LH..CI.cC <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />- <br />1 <br />WATER HEATERS - ELECTRIC <br />1 <br />4 <br />WASH BASINS <br />A1nn <br />LAUNDRY TRAYS <br />1 <br />1 <br />1 <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE 512E SLOG. SUPPLY <br />SIZE _ <br />SIGNA flE CoNTRACTURORAUTH. AGENT A <br />SIDE YARD SETBACK <br />N/A <br />STREETSETBACK REAL <br />N/A <br />YARD SETBACK <br />N/A <br />PLAN CHECK NUMBER <br />78/774 <br />PLAN CHECK FEE <br />FEE 200.00 RECEIPT NO. <br />35913 <br />USE ZONE <br />C-1 <br />LOT AREA VACANT <br />BXXXXX$R$X <br />SITE <br />YES � ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />_ V�-N Bldg. <br />B'L SIZE OFDT.. <br />OCCUPANCY GROUP NO. <br />B-4 & R-3 UNITS <br />NO. OF STORIES MAX. <br />BID, E, & F-I <br />JA & -2 I <br />OF DWELLING <br />1 <br />OCC. LOAD <br />1 <br />BUILOING <br />$ 650,000.00 <br />1051 : QO <br />PLUMBING <br />32 100 <br />FIRE ZONE <br />2 <br />BASEMENT FIRESPRINKLERS <br />none R <br />❑V SEO []NO <br />MECHANICAL <br />16 100 <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />$1dg.A-40 r <br />PENALTY <br />',iEC. 3071a) <br />1 <br />8-30 N <br />1099 100 <br />C-60 <br />I D-1l r 4_ PERMIT VALIDATION <br />AVZ-as6 ;a = WIENPRPERLYALIIIA ED (IZJIQPAC41ii$&"S'P"MI <br />j , <br />AOUR RECEIPT <br />Am rt-iAi�IK YOII, � OU12 RECFtPT n <br />INACCEPTEOB= 7SOIECR BY. A"POW0FOR ISSUANCEBY? - 1 -A .Yb T THANK YOU <br />