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[a <br />tAe Elwenre <br />CITY OF <br />everett �- IONSTRUCTIOW,, <br />CITY HALL 2811411745 PERMIT PERMIT NO. 16481 <br />'2"ETT, WA go"' ❑% COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING <br />MAIL ADDRESS CITY ZIP PHONE <br />United Nay of Everett P.O. Box 2977 Everett 98203 258-4521 <br />AFZHITEM oft H MAIL ADDRESS <br />aENEFIAL CON <br />KETA Construction <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />P.O. Box 444 <br />MAIL ADDRESS <br />CITY <br />Marysville 98270 <br />CITY <br />ZIP <br />659-0815 <br />ZIP <br />PHONE LICENSE I <br />223-01-KMA289DU <br />PH1 .NE LICENSE # <br />PLUMBING CONTMCTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE 0 <br />❑ NEW ❑ ADDITION IN ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />$15,700.00 <br />Renovation of building <br />PROPOSED USE OF BUILDING <br />Office <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />LEGAL DESCRIP110N OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LOT -BLOCK -OF <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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERF RMANCE OF CONSTRUCTION. <br />JOB ADDRESS <br />4526 Federal Ave <br />SIGNA RE OF,AUTHORIZED AGENT DATE <br />X <br />�i(C/ 4 29 /86 <br />PLUMBING <br />MEC ICAL <br />NO. TYPE OF FIXTURE OR ITEM FEE i> <br />TYPE OF EQUIPMENT FEE <br />1 WATER CLOSET(TOILET) 2 0'BOND. <br />UNITS - H.P. EA. <br />BATHTUB <br />IGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />2 <br />0RS <br />- H.P. EA. <br />SHOWER <br />FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK 8 DISK <br />ED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />HEATERS - B.T.U. M <br />PHANDLING <br />CLOTHESWASHER,;ORATIVE <br />COOLERSWATER <br />HEATER <br />HES DRYERSURINAL`ILATION <br />FANDRINKING <br />FOUNTAIN <br />E HOODFLOOR <br />DRAINANDLING <br />UNIT - C.F.M.VACUUM <br />BREAKERS <br />E - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL B <br />4 <br />00 <br />SUB TOTAL f <br />PERMIT S <br />- <br />- <br />PERMIT S <br />TOTAL FEE <br />f 4 00 <br />TOTAL <br />FEE <br />S <br />Y <br />YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />ESIDEAFTSEr,3ACKT7T- <br />NT SITE <br />FEESVALUATION <br />FEE <br />CiNO <br />ONST.UPANCY <br />GROF <br />DWELLING UNITSSIZE <br />BUILDING <br />S 15, 70O <br />116 <br />SO <br />OF BLDG. <br />NO. OF STORIES <br />MAR. OCC. LOAD <br />PLUMBING <br />4 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />L,YES CNO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />Z. BUILDING PLANS co <br />3. FIRE HYDRANT o <br />TOTAL 120 SO <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI _ <br />S�C€) THIS (/RUB pEggl7 J <br />( I I b J li <br />fi. GRADING - <br />78. DRAINAGE <br />�bbb1 <br />In7 [nT Cif <br />,i ' -� 1 h R 1-C I FT T-, <br />J.ENVIRONMENTALIMP STATEMENT <br />18. HEALTH OISTAICT <br />=APPLICATION,ACC. BY .^ PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ri -; <br />_, 1,�h1�' YOU <br />i <br />M. -p <br />L.C. <br />I: I <br />W <br />ADDRESS FILE <br />2 9 ,;;1 3 6 <br />