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r• <br />Ff <br />,he PVCTY green <br />;- CCINSTRUCTIgP' <br />evcxett PERMIT PERMIT NO. 11910 <br />CIT'I' HALL 259.8745 -.L <br />EV'-RETT, WA 98201 ElCOMBINATION <br />COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNF; MAIL ADDHESS CITY ZIP PHONE <br />Consumer Opinion Serv7.ces 1402 S.E. Everett Mall Way <br />ARCHITECT OR DESIGNER CITY ZIP PHONE <br />CAERCOCONTRAC,—d MAIL ADDRESS CITY ZIP PHONE LICENSEN <br />Same <br />MECHANICAL CONTRACLJp MAIL ADDRESS CITY ZIP PHONE LICENSE M 61 <br />, <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE a <br />V <br />L. <br />L <br />-- V V ❑ NEW ❑ ADDITION XX ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN Cl WOOD STOVEIFIREPLACE INSERT <br />$ 7,500.00 <br />PROPC 3ED 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 />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 PRESUM E TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRAC R OR AUTHORIZED AGENT DATE <br />X L' <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_BLGCK_CF <br />JOB ADDRESS <br />1402 S.E. Everett Mall Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTunE OF. ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOiLETI <br />AIR COND. UNITS-- H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. hl <br />LAUNU9YTRAY <br />UNIT HEATERS —B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE — WOOD <br />_ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMM <br />SINK (SERVICE — PAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />3 <br />SUBPERMIT <br />$ <br />PERTOTAL <br />FEE <br />$ <br />TOT <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />_ <br />PLAN CHECK NUMBER <br />83/11910 <br />PLAN <br />FEE 44.53 <br />CHECK FEE <br />11�I�iPr NO. <br />USE ZONE <br />L01 AREA <br />VACANT S1TE <br />EYES CNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V- 1 Hr.,V-N <br />OCCUFANCv GROUP <br />0-2 <br />NO. OF DWELLING UNITS <br />BUILDING <br />$7500. <br />68 <br />50 <br />SIZE OF BLDG. <br />%iteration <br />NO. OF STORIES <br />1 1 <br />MAX. OTC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />'IRESPRIIKLERS <br />REOUIRED <br />:YES XNO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />_ <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />68 <br />150 <br />4. FIRE?ROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS 4E) THIS IjYuQUjETd f <br />hh <br />t--' <br />YOUR RECEIPT - <br />THANK YOU <br />B.DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />7PLANSECKED BY <br />WM <br />APPR. FOR ISSUANCE BY <br />27AM83 <br />ADDRESS FILE <br />