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�h�. £rcrJ!rePn ;- �O N�T R U CT I� �" <br /> ��T��� <br /> ever�ett PERMIT f'ERMIT N0. Z656O <br /> CITY HALL 259�8745 <br /> EVERE7T.VJA 98201 � COMBIN�.TION y� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEF MAILADURESS GITY ZIP PMONE <br /> PRONTIER BANK 10121 �vergreen Way Suite 29 &30 Everett WA ,i39-1571 <br /> ARLMITECT Ofl OESIGNER MAIL A�DRE55 CITY LP PMONE <br /> GENERAL CONTRAGiOR MAIL AO�RE55 CITV ZIP PMONE LIGENSE/ <br /> TUBE ART SIGN PO BOX 9012 EVERETT WA 96206 252-0066 TUBEAS11618M <br /> MECMANICNL CONTRACTOR MAIL ADORESS CRY ZIP PHONE UCENSE N <br /> FLUMBING CONTRAQOR MAIL ADDRESS GITV 21P PMON6 LIGENSE N <br /> CLA55 OF WORK <br /> C� NEW ❑ ADDITION ❑ ALTERATION ❑REPAIR ❑ �EMOLI710N ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br /> VALUATION OF WOFK <br /> S 400�.a� <br /> DESCRIBE V10RK <br /> Install 2 2'x15' facia signs and 1 3'x6' double face monument sign <br /> PROPoSED USE OF BUILDING <br /> Bank I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> LEGAlDESCFIPTIONOFPNOPERTY�SMOWBELOWORATTACMFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> COARECT. ALL PP�JVISIONS OF LAWS AND ORDINANCES <br /> �or_e�oc„_oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETIiER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> OR CANCEL THE PROVISIONS nF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRESS SIGNATURF.BF CONTpACTOfl HORIZE�AGENT DATE <br /> 10121 Evergreen Way Suite 29 & 30 � '" C •�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATERCLOSETITOILEn AIR COND.UNI75 – H.P.EA. <br /> BATH7U8 REFRIGEHATION UNITS – H.P. EA. <br /> LAVATORV�WASH BASIN) BOILERS– H.P. EA. <br /> SY.OWER GAS FIRED A.C. UNITS – TONNAGE EA. <br /> KI7CNEN�INK 8 DISP. FORCED AIR SYSTEMS– B.T.U. M EA. <br /> DISHWASHER WALL HEATERS– B.7.U. M <br /> LAUNDRY 7FAY UNIT HEATERS– B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTIl.ATION FAN <br /> �RINKING FOUNTAIN RANGE HOOD <br /> FLOOR �RAIN AIR HANDLING UNIT– C.F.M. <br /> VACUUM BREAKERS STOVE–WOOD <br /> ROOF DRAINS– RAINLEA�ERS METAL FIREPLACE 8 CHIMNEV <br /> SINK(SERVICE– BAR,ETC.) FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUBTOTAL 5 <br /> PERMIT S PERMIT S <br /> TOTAL FEE 5 TOTAL FEE S <br /> SIDE YAFJ SETOACK STFEET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK PEE <br /> FEE RECEIP7 NO. <br /> USE ZONE LOT A(1LA VACANT SITE <br /> .:YES :::NO FEES VALUAiION FEE <br /> TYPE OF CON57. OCCUPANCY GROUP NO.OF DWELLING UNI75 <br /> BUILDING s4,000. 15 00 <br /> SIZE OF BLDG. NO.OF S70RIES MAX.OCC. LOAD — <br /> PLUMBING IZ�I/B6 '�% Phf OOC�AN0248 �K�K�KKG <br /> fIREZONE BASEMENT FIRESPRINKLERS <br /> REOUIRED MECHANICAL <br /> .-::YES !.NO <br /> APPROVALS BY DATE OTHER Q.EC $S .� <br /> 1.ENVIRONMENTAL CHECK LIST PENALTY <br /> 2.BUILDING PLANS <br /> 3.FIREHYDRANI TOTAL Q.EC $I .� 15 � (1(1 <br /> 4.FIFE PROTECTION SVS7EM PF.RMIT VALIDATION <br /> 5.GRADING WHEN PROPERLY VALIDA7ED(IN�49(.j THIS IS YOl1R PERMIT �j, <br /> 6.DRAINAGE �C SZO.00 «� <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> BLDG 53.00 � <br /> B.HEALTHDISTRICT �+�` SSY.GO Cr <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR. FOR ISSUANCE BY �_f <br /> ADDP.ESS FII.E <br />