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theEvervVen <br />CITY OF <br />everett <br />259-8745 <br />r Q')NSTRUCTION <br />PERMIT PERMIT NQ;- �� `�� <br />❑ DEMOLITION ❑ COMBINATION [� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />LDL Inc. 21 SE Everett Mall Way Everett 98204 353-3535 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE( <br />Ken's Refrigeration <br />19007 80th NE <br />Bothell 98011 <br />783-9151 <br />KENSRS*158JK <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ACDRESS CITY ZIP PHONE <br />❑ NEW ❑ ADDITION gI ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 1000,00 <br />Install footing for relocated canopy <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Canopy <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. 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 />STATER LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PE FO AN OF CONSTRUCTION. <br />SIGNATUR OF C TRACTO AUTHORIZED AGENT, OR OWNER DATE <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH; OUR COPIES( <br />LOT - BLOCK _ OF <br />JOB ADDRESS <br />21 SE Everett Mall WayXk32�� <br />PLUMBING <br />MECHANICAL <br />NO. I TYPE OF EQUIPMENT FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATER CLOSET (TOILET) <br />A/C — AHNDLG 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 ABC. 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 />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTEPS <br />WATER HEATER <br />ROOF DRAINS — RAIHLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR. ETC) <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSERT <br />HEAT P JMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />S <br />S1 <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />F <br />�1n0r021415 <br />BLDG Sr <br />RECEIPT NO. <br />M <br />.00 <br />USEZONE <br />LOT AREA <br />VACANT S1TE <br />❑YES ❑NO <br />FEES <br />R' ION $ <br />FEE <br />t YPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />BUILDING <br />(��, $?3.50 <br />"1000.00 <br />25 <br />00 <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX DCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED DYES IDNO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />3 <br />5 <br />50 <br />STATE ENERGY SURCHARGE <br />_ <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />J.W. <br />APPR FOR ISSUANCE BY <br />J.W. <br />DRIVEWAY PERMIT <br />TOTAL <br />28 <br />WHEN PROPERLY VALIDATE') )IN THIS SPACE) THIS IS YOUR PERMIT <br />Lr3 <br />r� <br />r� <br />N <br />3 <br />ADDHFSS FILE <br />