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the Elrrereen <br />TV OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />%,ONSTRUOTION <br />PERMIT PERMIT NO. 14174 <br />® COMBINATION ® BUILDING R] MECHANICAL R1 PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Bill Nettle 7217 Yew Street Everett 98203 353-6875 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENFRAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />❑ NEW ❑ ADDITION Rk ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FEN(:E ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />$ 10,000.00 <br />DESCRIBE WORK <br />tenant improvement <br />PROPOSED USE OF BUILDING <br />clinic <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 />LOCAL LAW RE3ULATING CONSTRUCTION OR THE <br />PERFORMANCE Of: CONSTRUCTION. <br />SIGNATURE OF C AC AUTHORIZED AGENT .�.DAA-TTEE� <br />X <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />28 13 Pinehurst <br />LOT_BLOCK_OF <br />JOB ADDRESS <br />2401 Lexington Avenue <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />�- <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />/ <br />T <br />LAVATORY (WASH BASIN) <br />2 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK& DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.IJ M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />1 <br />VGNTILATION FAN <br />3 <br />00 <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 6 CHIMNEY <br />SINK'SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />6 <br />00 <br />SUB TOTAL f <br />3 <br />00 <br />PERMIT <br />f <br />PERMIT f <br />TOTAL FEE <br />S1 <br />6 <br />00 <br />I TOTAL FEE f <br />3 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />84/14174 <br />PLAN <br />FEE52. 33 <br />CHECK FEE <br />RECEIPT NO. <br />72598 <br />USE ZONE <br />R-3 <br />LOT AREA <br />VACANT SITE <br />.,YES XIYO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />B-2 <br />NO. OF DWELLING UNITS <br />0 <br />BUILDING <br />f 10,000. <br />80 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />9 <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />1 BASEMENT <br />FIRE SPRINKLERS <br />REOUIREO <br />YES CNO <br />MECHANICAL <br />3 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (B) <br />2. BUILDING PLANS <br />TOTAL <br />89 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S.GRADING <br />PERMIT VALIDATION { -'"- .J <br />YOuq PERMIL- <br />WHEN PROPERLY VALIDATED jIN THIS SPACE) THIS IS � <br />' <br />r <br />r <br />I .� <br />,; I r. <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />EE <br />PLANS T;HECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE <br />