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the Evergreen <br />everett MNSCITY OF TR ; CTION -, <br />259-8745 P MIT PERMIT NO. J20 f <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L MECHANICAL •fl PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY PHONE <br />L.eibold Partners 215 SW Everett Mall Way Everett, WAZP98204 347-4545 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADpRE55 CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />Owner <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE h <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />DESCRIBE WORK <br />Install furnace <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Retail vehicle sales and service shop. <br />COPIES) <br />LOT _ BLOCK <br />I HEREBY CERTIFY THAT I HA 'READ AND EXAMINED THIS <br />APPLICATION AND KNOW T- 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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />JI H Q L LA GULATING CONSTRUCTION <br />E P FOR A rC STUCTION. <br />IGNATU OF CO CTH )ZED ENi. OR OWNER GATE <br />OR <br />JOBADDRESS <br />215 SW Everett Mall Way <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 />A/C — A/HNDLG UNITS — H.P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS —B.T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — B.T.U. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />q <br />Fin <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC.) <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />S <br />SUB TOTAL <br />9 <br />00 <br />PERMIT <br />S <br />PERMIT <br />15 <br />QO <br />FRONT SETBACK <br />TOTAL FEE <br />REAR SETBACK <br />S <br />SIDE SETBACK <br />TOTAL <br />PLAN CHECK NUMBER <br />FEE <br />FEE <br />2 4 <br />RECEIPT NO. <br />0 0 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES CI NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST, <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />PLUMBING <br />SIZE OF BLD'i. <br />NO. OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />'`-�� 24 <br />00 <br />FIRE SPRINKLERS REQUIRED 0 YES ElNO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />,AIL <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S.H. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />24 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />t_ <br />1= <br />N <br />Q7 <br />AIJDHESSFILE <br />