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(he Euergreen <br />Ci7Y OF <br />everett <br />259-8745 <br />`�' `'"ONSTRUCTION <br />PERMIT <br />:�, �- <br />PERMIT NQ:- �O�`�� <br />❑ DEMOLITION ❑ COMBINATION i�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MFiIAODliE55 CITY ZIP FMONE <br />Weaver De�elopment 11525 19th Ave. SE Everett 98204 337-1066 <br />AnCHIiECiOPOESIGNER MAILAOORE55 CITV 21P PMONE <br />Christopher Sa�anan 1093� Pioneer Way Oak Harbor 98277 675-4414 <br />GENERALCONTRACTOR h1AllADOPE55 CITY 2�P PMONE LICENSE• <br />Fisher & Sons P.O. Box 534 Burlington 98233 757-4094 FISHEE2500E <br />MECMRNIC/�CONTRnLTOR AIMLADDRE55 CITY 21P PNONE LILENSE• <br />PLUMDING CONTRACTOR <br />CLRSS OF WOPN <br />[� NEW O ADD!TION <br />VPLUpTION OF WORN <br />S 904,000.00 <br />�ESCRIBE 1VORN <br />❑ ALTERATION ❑ HEPAIH <br />CITY ZIP <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />Construct 7504 sf Frame Building. <br />MEniSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Medical Clinic <br />LOT _ BLOCN _ <br />4005 <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATMTUB <br />LAVATORVIWASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />iAUNDRVTRAV <br />CLOTHESWASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />flOOF DRAINS - RAINLEADERS <br />SINK �SERVICE - BAR. ETC.) <br />USE ZONE <br />TYP[ OF CON£T <br />V-N <br />92E OF pl�G <br />/5�4 <br />FIRE SPRINNI.ERS R <br />APPUCAnONACC �Y <br />S,H. <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />B-2 <br />NO OF STORIES <br />1 + SSMT <br />P��NS CHECNEO OV <br />J.I4. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO Bt TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHEThIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT UOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGUL�TING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNRbRCOFCONTRACiOff�qUTHORIZEOAGENLOROWNER DA1E <br />FEE NO. TYPE OF EOUIPMENT <br />A�C - A/HNOLG UNITS - H P- <br />REFRIGERATION UNITS - HP. EA. <br />OOILERS - B.T.0 /H P. <br />GAS FIRED A C. UNITS - BSL. <br />FORCEO AIR $YS7EMS - B.T U M EA <br />WALL HEATEflS -- �.TL. � ' <br />UNITHEATEFS-OTU. M <br />EVAPORAiIVECOOLERS �0��� <br />CLOTHES �RYERS � <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER . G '� <br />WOO� STOVE <br />METAL FIREPLACE & CHIMN <br />FIFEPLACEINSERT �— <br />HEAT PUMP < < <br />GAS PIPING <br />EXHAUSTFAN � <br />�f <br />SiOE SETpACK <br />VACANT SIiE <br />K1rEs nNo <br />NO OF OWEIIiNG UNiTS <br />0 <br />n�az occ �ono <br />72 <br />�PPII FOR L`SUNNCE OY <br />J.W. <br />PLAN CHECN NU <br />86/20842 <br />FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />SUB R�1411R a � � <br />Pt'Rr.TlNEC��N <br />TOTALFEE <br />FEE <br />1107.27 <br />VALUATION <br />`404,000.00 <br />ree <br />IPT NO <br />13348 <br />1703 <br />INVESTIGATION FEE �.�c.3�4(e) <br />STATE BUILDING SURCHARGE <br />S7ATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL 1' <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED IIN THIS SPACE� THI515 VOUR PEPMIT <br />3 <br />15 <br />