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U;e ElrrereeA <br />R'ONSTRUCTION <br />�v� ett <br />PERMIT <br />PERMIT <br />NO. 12904 <br />CITY HALL 759-8745 <br />EVERETT, WA 98201 ❑ <br />COMBINATION Ck BUILDING lij MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS CITY <br />zip <br />PHONE <br />Roebling Management <br />Co. 1402 S.E. Everett Mall Way Everett <br />98204 <br />745-1786 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY 71r PHONE LICENSE 0 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />O NEW 0 ADDITION }(ALTERATION 13 REPAIR ❑ DEMOLITION ❑ FENCE 0 SIGN 0 WOOD STOVEIFIREPLACE INSERT <br />VALUATICN OF WORK <br />f 10,800.00 <br />Tenant improvement <br />C, <br />t <br />Ct <br />PRC-OSED USE OF BUILDING <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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE 9F CONSTRUCTION. <br />SIGNATURE ,(cp, CTOR OR AUTHORIZED AGENT CATE <br />x 'v �, iR,/QA <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIESI <br />LOTBLOCK_OF <br />— <br />J03 ADDRESS <br />1402 S.E. Everett Mall Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />PE OF EQUIPMENT <br />FEE <br />WATER CLOSET(TOILET) <br />AIR CON UNITS — H.P. EA. <br />BATHTUB <br />REFRIGE ATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />I <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.U.. NITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <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 />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 />1 <br />Revise duct work to heater <br />6 <br />00 <br />SUB TOTAL <br />f <br />SUBTOTAL f <br />6 <br />00 <br />PERMIT <br />$1 <br />PERMIT f <br />in <br />00 <br />TOTAL FEE <br />f <br />I TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />83/12904 <br />PLAN CHECK FEE <br />FEE 56.23 RECI,,PT NO. <br />67061 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />E)YES ENO <br />FEES <br />VALUATION <br />_PEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f 10,800. <br />86 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />OYES LINO <br />MECHANICAL <br />16 <br />00 <br />OTHER <br />APPROVALS <br />DATE <br />1. ENVIRONMENTAL CHEg LIST <br />_ <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />28UILDING PLANS v <br />TOTAL <br />102 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT -:t <br />6 7 6 90- <br />YOUR RECEIPT <br />HNNII!: YOU' <br />-5. GRADING <br />16. DRAINAGE-. <br />:7.ENVIRONMENTAL IMPAQTSTATEMENT <br />8. HEALfI4D ICT T <br />APPLICATIO"CC. BY <br />O m <br />PLANS CHECKED BY <br />DAB <br />APPR. FOR ISSUANCE BY <br />DAB <br />0 <br />ADDRESS FILE I R 'I1 " 0 I, <br />