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ehe�uergreen <br />an oF <br />everett <br />259-8745 <br />�7NSTRUCTION ' � 1�c <br />PERMIT PERMiT N(�:- � t',`�� <br />❑ DEMOLITION C COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfl __ MAILA[lORE55 CITY ZIP PMONE <br />City of Everett 3UO2 Watmore Everett, WA 98201 <br />PRCHITELTOROESIGNEH MAILApGRESS CITV ZIP PMONE <br />The Dykeman Architects 16U2 flewitt #400 Everett, WA 98201 259-3161 <br />GENERRLCONTRACTOR MAILRDORESS QTY 21P PHONE UCENSEI <br />Stan Palmer Const. Inc. P.O. Box 2057 Silverdale, WA fl8Y8 98383 692-6526 STANPC202NF <br />MECHNNICAL CONiHAGTOR MIJL A�DRE55 CITY ZIP PMONE UGENSE • <br />'PLUMBING <br />ADDRESS <br />CLA55OF WORK <br />C%NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION <br />VALUFTION OF WORK <br />s469,650 <br />DESCRIBE WOFN <br />Branch Library building <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ BLOCK _ OF <br />Lot 1-4, 11-13, Block 3, Inteicity Add Div #1, <br />and westerly �i of Adj Intercity Ave <br />9512 Eve <br />PLUMBING <br />NO. I 'iYPE OF FIxTURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEf± <br />IAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEA�E <br />SINK (SERVICE - BAR. ETC.) <br />TYPE OF GON9 <br />4-N <br />SRE OF t3L�G. <br />8606 SF <br />ZIP PHONE LICENSE � <br />❑ BU�LDING RELOCATION <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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR. AUTHON2jG AGENT. OR OWNER OAiE <br />MECFlANICAL <br />ITEM FEE NO. TYPE OF EOUIPMENT <br />A/C - A/HNDLG UNITS - H.P. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.U./H.P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALLHEATERS-B.T.U. M <br />UNITHEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />PANGEHOOD <br />WATEH HEATER � <br />WOODSTOVE _ <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPWG <br />EXIIAUST FAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PERR SETBACK <br />LOT AREA <br />OCLUPANCY GRO� <br />B�2 <br />NO. OF STOFIES <br />1 <br />VFCANT SITE <br />]YES 8IN0 <br />No. oc owe�u <br />� <br />MAX. OCG l00 <br />210 <br />APPLICATION ALC. B'l PLANS CMECRED BY APPR. FOR ISSUANCE BV <br />He <br />SEPARATE PERMITS REQUIRED FOR PLU[•IDING, <br />hfECHANICAL AND ELECTRICAL <br />N CHECK NUMBER <br />88/21351 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDIN3 SU <br />SU8T07AL <br />PENMIT <br />TOTAL FEE <br />FEE <br />1957.48 <br />VALUATION <br />5 469,850 <br />., <br />Sec.764(e� <br />STATE ENERGY SURCHAFGE � C{iSH <br />DRIVEWAY PERMIT <br />FEE <br />Funds Transfer <br />FEE <br />11 <br />70TAL I I 1,234 I44 <br />PEflMIT VALIDATION <br />WHEN PROPEP.LV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />r� <br />l.I� <br />CY? <br />r <br />C'!1 <br />A�DFESu FILE <br />