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0WzVff <br />T C-INSTRUCTION <br />CITY OF everett PERMIT PERMITNQ-17 067 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING IAA] MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Harmon & Assoc. 1203 Everett Mall Way SE 98204 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CSY ZIP PHONE <br />GENERAL CONTRACTOR M.IL AOORESS <br />PHONE LICENSE <br />MECHANICAL CCNTRACTOA MAIL ADDRESS CITY 21P PHONE LICENSE, <br />Natural Gas Equip 1625 E Marine View Dr Everett, WA 98201 256-2441 NATURGE320N6 <br />PLUMBING CONTRACTOR MAIL ADDRESS C17Y ZIP PHONE LICENSE <br />CLAJJ UY WUHK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION L7 BUILDING RELOCATION <br />E <br />DESCRIBE WORK <br />Install 2 gas/electric FNAC equipment & related gas piping <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED US: OF BUILDING <br />Retail <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 � IF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE P,"OVIS;ONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR. A UTHORIZED AGENT, OR OWNER DATE <br />C ftwl 8/25/86 <br />LEGAL DESCRIPTION OF PRUPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ GLOCK _ OF <br />- — <br />Window nreAsing <br />JOB ADDRESS <br />PLUMBING <br />MEC ANICA <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 & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES WA',HER <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 & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />5 ton gas/electric <br />13 <br />00 <br />SUB TOTAL <br />$ <br />SUB TOTAL S <br />13 <br />00 <br />PERMIT <br />$ <br />PERMIT <br />15 <br />00 <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />28 <br />00 <br />FRONT SETBACK <br />REARSETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA <br />VACANTSITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONST_ <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BI Cd. <br />N0. OF STORIES <br />MAX. OCC. LOAD <br />MECHANICAL <br />28 <br />0 <br />FIRE SPRINKLERS REOUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />S/a` 4(D) 3� <br />PM O M#1 J <br />ff <br />STATE BUILDING SURCHARGE <br />`f00017067 <br />S1"ATE ENERGY SURCHARGE <br />NfCH $ <br />Ao. <br />8.00 <br />Pin <br />APPLICATION ACC BY <br />M. M. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />28 <br />0 <br />YIT V Al If�AT1,1N <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />L�— <br />CD <br />0 <br />r� <br />t <br />Ail ;Ri;S FIi.E <br />