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CONSTRUCTIC N <br />everett PERMIT PERMIT NO. 14062 <br />CITY HALL 259-8745 <br />EVERETT.WA98201 it COMBINATION jj BUILDING MECHANICAL PLUMBING <br />OWNER "AIL AODP_., CJ, tI PHONE <br />R. M. Properties 8015 Broadway Everett 96204 355-2247 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />G T Y <br />ZIP <br />PHONE <br />LICENSE 11 <br />Romel Co. Inc. <br />8015 Broadway <br />Everett <br />98204 <br />ROMELI <br />224L7 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICEi1SE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />---- V ❑ NEW ❑ ADDITION KkALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIG14 ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />f 21,000.00 <br />,n4 4 HA rt-%mf YPnAir <br />PROPOSED USE OF BUILDING <br />Office/Storage <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT..,LL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING 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 />SIGNATU OF CONTRACTOR AUT 7 AGENT DATE <br />/.� 10/18/84 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_BLOCK_OF <br />J00 ADDf ESS <br />B015 Broadway <br />PLUMBING <br />MECHANICAL <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 />7 <br />SO <br />BATHTUB <br />REFRIGERATION UNITS — N.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — M.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK f DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />ROOF DRAINS — F.AINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />1 <br />SINK )SERVICE —BAR, ETC.) <br />2 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />f <br />2 <br />00 <br />SUB TOTAL f <br />7 <br />50 <br />PERMIT <br />$ <br />PERMIT f <br />TOTAL FEE <br />f <br />2 <br />00 <br />TOTAL FEE S <br />7 <br />50 <br />SIDE YARD SETBACK <br />N/A <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLA11 CHECK NUMBER <br />84/140G2 <br />PLAN <br />FEE <br />83.53 <br />CHECK FEE <br />REC IPT NO. <br />72 ll <br />USE 2011E <br />C-1 <br />LOT AREA <br />N/A <br />VACANT SITE <br />[:YES ;4[g(1 <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-1 Hr. <br />OCCUPANCY GROUP <br />— B-2 <br />NO. OF DWELLING UNITS <br />0 <br />BUILDING <br />f 21,000. <br />146 <br />O <br />_;,SIZE OF BERG. <br />}104 Sq. Ft. <br />NO. OF STORIES <br />1 <br />MA%. OCC. LOAD <br />— <br />PLUMBING <br />2 <br />00 <br />FIRE ZONE <br />_ - - <br />"BEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />F )YES - NO <br />MECHANICAL <br />7 <br />50 <br />OTHER <br />APPRdVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.G. <br />SEC.U.B.C. <br />(a) <br />146 <br />50 <br />_ <br />2. BUILDING PLATS <br />TOTAL <br />kAR <br />SIR <br />3. FIRE HYDRANT <br />_ <br />4. FIRE PROTECTIO14 SYSTEM <br />5. GRADING - <br />PERMIT VALIDATION 302 50 <br />WHEN PHOPERLY VALIDATED (IN THIS SPACE) THIS IB YOUR PERMIT (�J <br />e"'I <br />i2 a li'T - <br />., I-AI'lN ,.�. <br />4. :. :. <br />6. DRAINAGE f.�. <br />7. ENVIRONMENT AL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />STG <br />PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />�TEF <br />T — ADDRESS FILE <br />