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r <br />1 <br />I <br />Y <br />L <br />the <br />``TOF CITY <br />OF ;ONSTRUCTIOV <br />CITY <br />everett PERMIT PERMIT NO. 11958 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION FY BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Eagle Canopies Inc 31 SE Everett Mall Way Everett <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE/ <br />Same <br />MEC14ANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE II <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />❑ NEW El ADDITION ❑ ALTERATION ❑REPAIR ❑DEMOLITION KDT-ENCE ❑SIGN 0 WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />s 500.00 <br />T-c!.1l 01 fan ra-Ohrin TA nk <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />commercial <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELEORATTACHE)ACORRECT. <br />InterGOVERNING <br />THIS TYPE OF WORK WILL BE COMPLIED WITH <br />Loi3-4 BLOCK130F <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO 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 CONTRACTOR OR AUTHORIZED AGENT DATE. <br />5/6/8 <br />JOB ADDRESS <br />31 S. E. Everett Mall Way <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />OF EQUIPMENT <br />FEEWATER <br />CLOSET (TOILET) <br />UNITS - H.P. EA.BATHTUB <br />VNO.YPE <br />ATION UNITS - H.P. EA.LAVATORY <br />(WASH BASIN) <br />H.P. EA. <br />_ _SHOWER <br />A.C. UNITS - TONNAGE EA.KITCHEN <br />SINK 8 DISP. <br />IR 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 />_ <br />HEAT PUMP <br />SUB TOTAL <br />i <br />SUB TOTALECCHECK <br />PERMIT <br />$ <br />PERMITTOTAL <br />FEE <br />fTOTAL <br />FEESIDE <br />YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />FEEPT <br />NO.USE20NE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUAEE <br />GYES LINO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 500. <br />10 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />REQIRED <br />YES NO <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 lal <br />2. BUILDiNG FLANS <br />TOTAL <br />10 <br />100 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THE) THIjItYfL6.RU(r, T (yj <br />5. GRADING <br />6 7 b U ,U <br />�-- <br />YOUR RECEIPT .--, <br />THANK YOU <br />6. DRAINAGE <br />7 ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />jAPPR.FOR <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />ISSUANCE BY <br />- 6 Gay 8 3 <br />3 <br />ADDRESS FILE <br />