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CITY OF CINSTRUCTION - 67 I <br />1 C <br />everett PERMIT PERMIT NQ: _ <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING kkSIGN <br />OWNER MAIL ADDRESS CITY ZIP PHOIJE <br />U.S. Muffler 1205 S.E. Everett Mall Way Everett 96204-2649 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />"Heath N.W. Inc. 11805 N.E. 116th Kirkland 98034 623-3100 <br />MAIL ADDRESS <br />ZIP PHONE LICENSE A <br />HEATHN*330RJ <br />MECI'AMCAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY zip PHONE LICENSE- <br />CLASS OF WORK <br />Cjj NEW ❑ ADDITIOIi ❑ ALTER?,TION ❑ REPAIR ❑ DEMOLITION C BUILDING RELOCATION <br />VALUATION OF WORK <br />$2,000.0j _ <br />DESCRIBE WORK <br />Install and maintain sign <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS C WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Retail auto repair brakes etc. <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, AUTHORIZED AG NT OR 0 R DATE <br />O <br />ZL1205 <br />LEGAL DESCRIPT ION OF PROPERTY ISHCW BELOW OR ATTACH FOUR COPIES) <br />LOT _ PLOCK _ OF <br />.�^ <br />JOB ADDRESS <br />S.E. L'verett Mall WayX <br />PLUMBING <br />MECHANI AL <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/HNOLG UNITS -H.P. <br />BATHTUB <br />REFR!GERATION 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 & DISR <br />FORCED AIR SYSTEMS - B T.U. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTA114 <br />VENTILATION FAN <br />FLOCR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK ISERVICE - BAR, ETC I <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE IN— T <br />HEAT PUMP <br />GAS PIPING <br />F.XHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />S <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USEZONE <br />LOT AREA VACANT <br />SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$2000. DO <br />9 <br />OO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCC LOAD <br />MECHANICAL <br />7 D/BG 1'I5PM <br />00OHkp72' <br />� <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />NOOD1P15 <br />__ <br />STATE BUILDING SURCHARGE <br />$9'00 <br />STATE ENERGY SURCHARGE <br />CWC}( g <br />4 00 <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />Elec. - N.V. <br />L.N.C. <br />6 19 86 <br />DRIVEWAY PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />L17 <br />c— <br />L` <br />T- <br />ADDRESS F-E <br />