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r <br />. � <br />r <br />'"```�T�`Gn ; ^ONSTRUCTION <br />everett PERMIT PERhHIT NO. 1�OG4 <br />CITV MALL 259�87d5 <br />EVERETT,WA9B201 � COMBINATION � BUIL�ING � MECHANICAL I� PLUMBING <br />OIVNER MAIL AODRE55 GITY ZIP PMGNE <br />Michael A. Awtrey 20831 Frxnk Waters Road Stanwood 98292 259-5977 <br />ARCNITEGT OR OESiGNER MAIL A�DRE55 GiTY 21V �HONE <br />GENERAL CONTflRGTOR MAIL ADDHE55 UTY ZIP VMONE LICENSE / <br />Blue Sky Const. 20831 Frank Waters Raad Stanwood 98292 BLUESC�78DN <br />NECHANILAL GONTHAGTOR MAII AD�NE55 QTY ZIP PNONE LICENSE N <br />PLUMBING CONTRACTOR MAIL ADDRE55 GITY ZIP PMONE LIGEHSE � <br />�XIEW ❑ ADDITION ❑ ALiEnAiION ❑ PEPAIR O DEMOLITION O FENCE ❑ SIGN O WOOD STOVFJFIREPLFCE INSEH7 <br />85,840.00 <br />wT 4 BLOCK_OF SP 1 <br />JOB AD�RE55 <br />6930 Colby Avenue <br />PLUMBING <br />N0. TYPE OF FI;tTURE OR <br />1 WATFRCLOSET�TOILET) <br />1 BAiHTUB <br />1 LAVAlORY�WASH BASIN) <br />, SHOWEfl <br />]. KITCMENSINKBDISP. <br />]. �ISNWASHER <br />LAUNDRYTRAY <br />1 CLO7HESWASHER <br />1 WATER NEATEP <br />URINAL <br />DflINKING rOUNTAIN <br />FLOOR �R.41N <br />VACUUM BFFAKERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />VARD SETBACK STRECT SE77A <br />6' 20' <br />:ONE LOT AREA <br />R-1 <br />V-N R-3 <br />SIZE OF OLDG. NO. OF SiOR1E5 <br />768 Sq. Ft. 1 <br />f;aEZONE BASEMENT <br />Norie <br />APPROVAlS <br />i. ENVIRONMENTAL CMEC, L15T <br />2.BUILDINGPLANS v _ <br />� 3.FIREHYDR�NT a <br />4. FIRE PRDTEGUON SYS <br />� 5. GRADIN � <br />�6.DRAIN E � ~ <br />7.ENVIROpM ALIMP STATEMENT <br />B.MEAUNOI$}{i1CT ,�. <br />�,.., � . , <br />m <br />C -n <br />C+� <br />A 7 28 5 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL 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 STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR TI1E <br />PERFORMANGE O�F/ �C�ON'(�ST��RUCTION. <br />SiGNATIIRE�CONTR/YalONHAM14��RIjBQAGENT , _ �ATE_ <br />MECMANICAL <br />FEE NO. TYPE OF EOUIPNENT <br />AIP COND. UNITS — HP. EA. <br />Z OO REFRIuERATION UNITe — HP. EA. <br />2 OO BOILERS — N.P. EA. <br />GAS FIRED A.C. ULITS — TONNAG[ EA. <br />Z OO FORCED AIR SYSTEMS — B.T.U. M fA <br />Z OO �'�'A�� HEATERS — 9.T.U. M <br />UNIT HEATERS — B.T.U. M <br />Z EVAPORAiIVE COOLERS <br />2 OO 1 CLOTMES ORYERS <br />]. VENTILATION FAhI <br />1 RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WaOU <br />METAL FIPEPLACE 8 CHIMNEY <br />FIREPLACE INSEflT <br />MEAT PUMP _ <br />t <br />S <br />t ] Q <br />R:AR YARD SETI <br />20' - <br />VACANT SITE <br />gXES l NO <br />NO. OF DWELLIP <br />1 <br />Mnx. oca �onc <br />4 <br />FIRE SPR:t+nLEF <br />REOUIRED <br />YES X740 <br />BY UA <br />:HECKED BY APPR. FOH ISSUANCE BY <br />HWM LC <br />FEE <br />SUB T�TAI f ].2 <br />PERMIT f _ <br />TOTAL FEE S 12 <br />PLAN CHECK NUMDER PLAN CMECK FEE <br />FEE RECEIPT NO. <br />83/12024 113.75 62827 <br />FEES VALUATION F[E <br />BUILOING 525,840. 175 00 <br />PLUMBIN6 IQ OO <br />IdECHANICAL ZZ OO <br />OT'1ER _ <br />U.B.C. <br />PENAL7V SEC.3071a) <br />TOTAL 2 O 1 O O <br />PEPMIT VALIDATION V <br />WHEN PROPEPLY VALIDATEm N TYI ��{�C�) TNIS�S�Y�[i: �7jj1T� �} <br />^ 1 Q a 9 7 UU O <br />% z �' 0 1'OUR RECEIPT� <br />� � m ,� 'iH�NK YOU <br />� � O <br />�� � -6,� 83 <br />ADDRESS FlLE <br />`l <br />�� <br />