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1 L <br />tho FrvigroPr1 , •.Y lCtinzTMICTION �.- <br />no,' PERMIT <br />CITY HALL 259-BIBS <br />El ER IT, WA 98 Dl CO BINATION • BUILDING • MECHANICAL • PLUMBING <br />b.�. k.a I <br />everett <br />,e� <br />UWNkH MAIL ADORESS ZIP PHONE <br />Fidelity Mutual Savings Bank P.O. Box 5337 98206 259-9127 <br />RB <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 />U"l � <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />CD <br />-- .I <br />P 4MIT <br />•LXJ COMBINATION <br />®BUILDING ®PLUMBING ®MECHANICAL <br />CLASS OF WORK <br />13NEW []ADDITION ❑ALTERATION ❑REPAIR <br />J-' <br />VALUATION OF WORK <br />$ 580,000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Consruct Bank Building <br />PROPOSED USE <br />Commercial <br />MECHANICAL <br />TYPE OF ENERGY <br />❑CAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) Ldl thru ACK 682OF Everett <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS -MP. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <br />Z 19-29-5 <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />5 QO <br />I <br />JOB ADDRESS <br />2902 Colby Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-O.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I <br />7 <br />VENTILATION FAN <br />14 j.00. <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />$ <br />1 <br />CLOTHES WASHER <br />' <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE & CHIMNEY <br />1 <br />DRINKING FOUNTAINS <br />2 1 00 <br />GAS, SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />KITCHEN SINKS & DISP. <br />-�-on <br />I <br />SUBTOTAL $ <br />I <br />BAR SINKS <br />I <br />PERMIT $ <br />Fj <br />ROOF DRAINS -RAIN LEADERS <br />19 I n <br />-�-T- <br />TOTAL FEE S1 <br />19 I 00 <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />TION AUTNORI2ED 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 />PUCATION AND KNOW THE SAME TBE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINA NOES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />GI NOT, THE GRANTING LA A PERMIT DOES NOT PRESUME TO <br />GIVE OTHER TAT TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />�- <br />X. <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />1 <br />URINALS-1- <br />WATER CLOSETS <br />I r,1 O <br />WATER HEATERS -ELECTRIC <br />2 I <br />6 <br />WASH BASINS <br />i00 <br />LAUNDRY TRAYS <br />1 <br />_ <br />1 <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIGNATURE OF CONTRACT <br />ROR AUTH. AGENT 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 />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />III-1Er. <br />OCCUPANCY GROUP NO. <br />B-2 UNITS <br />OF DWELLING <br />---- <br />I <br />BUILDING <br />$ 580'000.00 <br />967 1 00 <br />SIZE OF BLDG. <br />63'x7O' <br />NO. OF STORIES <br />2 <br />MAX. OCC. LOAD <br />160 <br />PLUMBING <br />58 100 <br />1 <br />FIRE ZONE <br />1 <br />BASEMENT FIRESPRINKLERS <br />yes R <br />❑YESEO .=0 <br />MECHANICAL <br />19 100 <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />i <br />PENALTY <br />SEC. 3034.1 <br />T <br />TOTAL <br />1044 100 <br />..� <br />PERMIT VALIDATION ^' <br />WHEN PROPERLY VALIDATED ON THIS SPACE TIII I, ti') ri PERKIIT <br />YOUR RECEIP <br />THANK YOU ---I <br />-� <br />a -3IRY79 <br />z �,. <br />M <br />DCnl10 'L( 1 u11Y.rN5 <br />d m <br />CIIrCKfO BY: APPBOV[0 <br />H M <br />roB IZUAWL BY. <br />rr) ADDRESS FILE <br />1 <br />