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c CITY OF C"`NSTRUCTION everett PERMIT PERMIT NO. 20882 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ® MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />American Properties 6917 Evergreen Way Everett, WA 98203 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY 1n' PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE. <br />Carl Larson <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE• <br />Evergreen State Sheet Metal <br />R.O Box 1428 <br />FyAre t WA OR20f <br />21; —1114 F mRrcc121y <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE <br />GUS:Ur WUHK <br />Cl NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />HSCRIBE WORK <br />P.. V.A.C. <br />❑ ELECTRICITY ❑ GAS <br />0 WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Office space <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. 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 10 GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE FIFORMANCE OF CONSTRUCTION. <br />SIGNA E F C(JN'fjIACTOR. AUTHRAI AGENT, OR OWNER DATE <br />X (\p �l �t r. c 9/20/88 <br />LEOAI DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />6917 Evergreen Way <br />PLUMBING <br />MEC ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />WATER CLOSET (TOILET) <br />A/C — AMNDLG UNITS -- H P. <br />_FEE <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.U.M.P_ <br />SHOWER <br />GAS FIRED ABC. UNITS —B.T.0 <br />KITCHEN SINK & DISP. <br />1 <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />11 <br />OO <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAV <br />I UNIT HEATERS—B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLER^ <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />I <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />X <br />GAS PIPING <br />EXHAUSTFAN <br />SU3 TOTAL <br />S <br />SUBTOTAL 3 <br />17 <br />50 <br />PERMIT <br />S <br />PERMIT 9 <br />15 <br />ISO <br />TOTAL FEE <br />S <br />TOTAL FEE 0 <br />22 <br />FRONT SETBACK <br />FEAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />09/22/88 1:3 <br />tl <br />RECEIPT NO. <br />3PM 000AN2652 U <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />ONO OYES ❑N <br />FEES <br />IMIURN <br />FEE <br />BUILDING <br />#SECH $2 <br />.50 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO.OFDVAELLFZ`UNITS <br />PLUMBING <br />' <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />22 <br />50 <br />FIRE SPRINKLERS REQUIRED YES NO <br />INVESTIGATION FEE <br />See. 3D4(e) <br />STATE BUILDING SURCHARGE <br />, <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M. M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE <br />Be <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />22 <br />1 50 <br />PERMITVALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />I <br />ADDRESS FILE <br />