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the Evergreen 1 <br />no,k mvml <br />CITY HALL 259.8745 <br />EVERERT, WA 98 01 <br />a6 In <br />tUNJ i nUCTION <br />r <br />PERMIT <br />COMMBINATION • BUILDING • MECHANICAL • PLUMBING <br />YOi9 <br />everett <br />,.e <br />OWNE MAIL ADDRESS Lu• PHONE <br />Fidelity Mutual Savings Bank P.O. Box 5337 98206 259-9127 <br />m <br />:0 <br />_ <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />EJ I m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />w <br />-- 1 <br />P iMIT <br />LJ COMBINATION <br />BUILDING ®PLUMBING ®MECHANICAL <br />CLASS OF WORK <br />T� <br />Id NEW ❑ADDITION El ALTERATION ❑REPAIfl <br />-I=• <br />VALUATION OF WORK <br />$ 580,000.00 <br />❑DEMOLIS14 ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Consruct Bank Building <br />PROPOSED USE <br />Commercial <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPI ION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />L041 thru BMCK 6820F Everett <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ 1 <br />REFRIGERATION UNITS--H.P. EA. <br />BOILEnS-H.P. EA. <br />I <br />2 19-29-5 <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />S 00 <br />I <br />JOB ADDRESS <br />2902 Colby Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />_ <br />UNIT HEATERS-B.T.U. <br />I <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />7 <br />VENTILATIONFAN <br />14 00 <br />RANGE HGOD <br />1 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />1 <br />CLOT H ES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE &CHIMNEY <br />) <br />DRINKING FOUNTAINS <br />I <br />2 00 <br />- <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR <br />DRAINS <br />1 <br />KITCHEN <br />SINKS 81 DISP. <br />I <br />SUB TOTAL S <br />1DO <br />BAR SINKS <br />I <br />PERMIT $ <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />19 I 00 <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 NAVE 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 />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANV O7NER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION, <br />X. <br />21 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />nn <br />WATER CLOSETS <br />IQn <br />WATER HEATERS - ELECTRIC <br />In <br />6 <br />WASH BASINS <br />12I00 <br />LAUNDRY TRAYS <br />I <br />SUBTOTAL <br />PERMIT <br />$ <br />TOTAL FEECiR <br />_ <br />WATER <br />SEA V ICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OFCONTRACt nORAUTH.:GENT DATE <br />SIDE YARD SETBACK <br />N/A <br />STREET SETBACK <br />N/A <br />REAR YARD SETBACK <br />N/A <br />PLAN CHECK NUMBER <br />79/206 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />628.55 37549 <br />USE ZONE <br />B-3 <br />LOT AREA <br />13200 SQ. FT. <br />VACANTSITE <br />MYES [:]NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />III-1Hr. <br />OCCUPANCY GROUP UNO. <br />8-2 <br />OF NITS DWELLING <br />---- <br />BUILDING <br />$ 580.000.00 <br />967 100 <br />SIZE OF BLDG. <br />63'x70' <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />160 <br />PLUMBING <br />58 100 <br />FIRE ZONE <br />1 <br />BASEMENT FIRESPRINKLERS <br />yes fl <br />❑YESED MxO <br />MECHANICAL <br />19 100 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 303(a) <br />I <br />T <br />TOTAL <br />1044 :00 <br />pa <br />a <br />.� <br />PERMIT VALIDATION biuq�• <br />WHEN PROPERLY VALIDATED ON 1111S SPACE Tit I Y R PEflM1T <br />YOUR RECEIP' <br />THANK YOU �I <br />Z �C2„ <br />m <br />IICATIO CI f IIY <br />m <br />NSLATCNFONY AITROV[OIORI%. <br />UAWFRY <br />E <br />