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� <br />� '+ <br />nc� Ererxmer� <br />��r� oF <br />everett <br />CITV HAIL 259�B745 <br />� �,O�JSTRUCTIO�' <br />P E R IVI I°�' <br />WERMIT NO. 1�57�. <br />EVERETT,WA98201 ❑ COMBINATION �x�t BUILDING ❑ MECHANICAL � PLUMBING <br />OWNER MAILA�ORESS GITY 2�F PNONE <br />City of Everett 3002 Wetmore Everett 98201 259-8701 <br />ANCNITECT OR DESIGNEF MNIL ADDRESS pTY ZIP PHONE <br />GE1lEflAL WNTFAGTOfl MAIL AO�RE55 CITY 1'P PHONE LILENSE M <br />West Mark Industries Spana•aay 847-6433 <br />MEGMANICAL CONTRACTOR MAIL AODRE55 CITY 21f PMO'1E LIGENSE X <br />PLtIMpING CONTRAGTOR M�IL AODRE55 CITY Z�P �MONE �ICENSE N <br />:V SS OF WORR <br />}(j� NFW ❑�:iDITION ❑ ALTEFIATION ❑ REPAIR ❑ DEMOLi710N ❑ FENC[ ❑ SIGN ❑ WOOD S70VE/FIREPLACE iNSERT <br />VA W ATION OF Yl: RK <br />S 35�000.(10 <br />OESCFIBE WORK <br />installation of tiree mobile mo3ules for a brar.ch <br />PPJPOSED JSE Of- BWLOING <br />Branch Librzry <br />LEGAL DESCRIPTION OP PPOPfRTY ISMOYJ BELOW OR ATTA%M FOUF GOPIES� <br />LOT_BLOCK_.. ___ <br />100 ADDRE55 <br />95?.0 Everqreen Way <br />PLUMBING <br />N0. TYPE OF FIXTU <br />WATEFiC! OSET�TOILE7") <br />BATHTUB <br />LAVA70RV�WASH DASIN) <br />SHOWER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BPEAKERS <br />ROOF DRAINS — RAINLEADEfiS <br />S W K �SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEfiM17 <br />TO7AL FEE <br />USEZONE <br />APPPOVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2 6UILDINGPLANS <br />J. FI�iE HYDRANT <br />4. FIRE PROTECTION SYSTEM1I <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTH DISTRICT <br />APPLICATION FCC. BY PLANS CHE <br />f <br />S <br />E <br />I HEREBY CEqTIFY THAT I FIAVE READ AND EXAMINED THIS <br />APPLICATION FND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITI' <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATc <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFARMANCE OF CONSTRUCTION. <br />OF <br />FEE tJ6. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />801LERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE GOOLERS <br />CLO7HE5 DRYERS <br />VENTILATION FAN _ <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FiFiEPLACE 8 CHIMNEY <br />FIREPLACE INPERT <br />HEA7 PUMP <br />YES "- NO <br />h1A%. <br />NO <br />DATE <br />FOR ISSUANCE BY <br />CHECK NUM <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />DATE <br />" �^l� -i'S <br />SUB TOTAL 5 <br />PEHMIT 5 <br />TOTAL FEE 5 <br />PLAN C <br />F"cE <br />VALUA710N <br />535,000. <br />U.B.C. <br />SEC. 303 (B) <br />FEE <br />RECEIPT NO. <br />FEE <br />215150 <br />70TAL I I 215I50 <br />PEflMIT VALIDATION <br />WHEN PFOPERLY VALIDATED (W THIS SPAGE) THI$-ISYOUFl PERMIT �{ <br />. ' �.� �: ', _' _" � <br />� <br />'�. <br />i j -I . J <br />� <br />ADDRESS PILE <br />� <br />a; <br />• <br />, � . � . �.".. , �+r.. ...� t, s,� ;!w� , . " . ; . . , . . ".' y., � . . I r , . �� . � . .. ' . , L .. . . ✓1 � . <br />• r. � <br />