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ro- <br />the Evergreen <br />CITY 01 <br />everett <br />CITY HALT_ 259 8745 <br />EVERETT. WA 98201 <br />--CONSTRUCTI©°-' <br />PERMIT PERMIT NO. 14955 <br />❑ COMBINATION ❑ BUILDING FX MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Steven Yi 1402 S.E. Everett Mall Way Everett 98204 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />Natural Gas Equipment 1625 East Marine View Drive Everett 98201 258-2441 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />❑ NEW Cl ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE L) SIGN O WOOD STOVEIFIREPLACE INSERT <br />s <br />PROPOSED USE OF BUILDING <br />1 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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR CE OF CONSTRUCTION. <br />AUTH RIZ A SIGNATUR OFC N C GENT DATE <br />—U <br />X z 6 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_BLOCK_OF <br />JOB ADDRESS <br />1402 S.E. Everett Mall Way Space 17 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <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 />_ <br />KITCHEN SINK 8 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 />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />SUBTOTAL $ <br />2 <br />00 <br />PERMIT <br />$ <br />PERMIT $ <br />10 <br />00 <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />12 <br />1 00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NC. OF DWELLING UNITS <br />BUILDING <br />$ <br />- <br />_ <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREJ <br />DYES ONO <br />MECHANICAL <br />12 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />_ <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />- <br />2. BUILDING PLANS <br />TOTAL <br />12 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YpUP PERMIT <br />11 <br />(n <br />�. <br />.i <br />5. GRADING <br />6. DRAINAGE <br />7. EN1fiRONMENTALIMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />N m <br />v <br />m <br />mo <br />CT <br />0 3 <br />m <br />2 =I <br />m <br />O 2 <br />C <br />D —1 <br />r z <br />m <br />On <br />3 <br />-H m <br />rn <br />m h-I <br />N <br />O <br />or <br />C') m <br />c cn <br />3 N <br />m <br />Z C7 <br />-11- <br />• m <br />D <br />P <br />-I <br />2 <br />D <br />z <br />2 <br />Ln <br />N <br />Z <br />O <br />m <br />ADDRESS FILE <br />