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the EL,eCrgYCCF y: 'CINSTRUCTIOIy,I,., :.,�s .. <br />everett PERMIT PERMIT NO.10312 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION Cy)BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDPE55 Ulv TIP PHONE <br />Bryce Koontz 11432 41St Drive N.E. Marysville 98270 653-9806 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR. MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP ATONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE I <br />❑NEW ❑ADDITION ®ALTERATION ❑REPAIR ❑DEMOLITION []FENCE ❑SIGN ❑GARAGE <br />VALUAI ION OF WORK <br />s 5,000.00 <br />tenant improvement -- main floor <br />PROMISED USE CE BUILDINGWNolo sale co-op <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDI'IANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROM <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGUI ATING <br />CO STRUCTION OR TH PERFORMANCE OF CONSTRUCTION. <br />SIGN UREO COMP �P (1NA11 •G�iZ GSM X�X DATE <br />a3� <br />LEGAL DESCRIPTION DEPROPLR*Y(SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT -BLOCK -OF <br />JOE ADDRESS <br />2804 Gra•Ld <br />PLUMPING <br />MECH <br />NICAL 4/6/82 <br />NO. <br />TYPE OF FIXTURE OR TEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILED <br />d <br />on <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />1 <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS— B.T.U. M EA. <br />_ <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNbIlY iRAY <br />UNIT HEATERS—B.T.U. M <br />I <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />2 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />_ <br />VACUUM BREAVSRS <br />STOVE <br />_ <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />_ <br />SINK (SERVICE — BAR, FTC.) <br />SUBTOTAL <br />1 6 <br />00 <br />SUBTOTAL f <br />G <br />00 <br />_ <br />PERMIT <br />sl <br />_ <br />PERMIT f <br />TOTAL FEE <br />$1 <br />6 <br />00 <br />TOTAL <br />FEE f <br />6 <br />00 <br />_ <br />SIDE YARD SETBACK <br />N/A <br />STREET S-TBACK <br />N/A <br />REAR YARD SETBACK <br />N/A <br />PLAN CHECK NUMBER <br />82/10312 <br />PLAN CHECK <br />1E52.83 <br />FEE <br />RECEIPT NO <br />5 7 0 4 8 <br />USE ZONE <br />C-2 <br />LOT AREA <br />VACANT SITE <br />❑YES Iff <br />FEES <br />VALUATION <br />FEE <br />• <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />B-2 <br />NO. OF DWELLING UNITS <br />BUILDING <br />$5 00 0 . 0 0 <br />5 0 <br />5 0 <br />SIZE OF BLDG. <br />Remodel <br />NO, OF STORIES <br />1 <br />MAX. DOC. LOAD <br />PLUMBING <br />6 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />S FIND <br />MECHANICAL <br />G <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PFNALTY <br />LIES C <br />S. 303 (a) <br />2 BUILDING PLANS tr <br />TOTAL <br />_ <br />G 2 <br />50 <br />_ _ <br />3. FIRE HYDRANT C <br />4. FIRE PROTECEION SYSTEM <br />-,:5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS Yn11R FERMIT <br />15 8 3 $ 0 5 0. 5 0— c; <br />O 06.00 3 <br />M <br />YOUR RECEIPT -I <br />R R F C E I PT <br />'.hIL" t• TI"?,�n1� YOu <br />IOU <br />�. DRAINAGE O <br />I <br />7. EN;IRDtF,q AL IMPAFFPtTATEMENT <br />�. HEALTH DIMRCT <br />N iNPPLICAT M. BY <br />EM =0 <br />� <br />LANS CHECKED BY <br />I NWM <br />APPR, FOR ISSUAW.bY I <br />LC ''-' <br />4' 2 2 APR 8 2 <br />. nn A•-w.. w.n .01) <br />