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UwEtvrrwm <br />CINSTRUCTION A <br />everett PERMIT PERMIT NO. 21 A 6 4 <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION ❑ BUILDING <br />ljl MECHANICAL ❑ PLUMBING <br />❑ SIGN <br />MAIL ADDRESS <br />CITY )IP <br />11IIONE <br />OWNER <br />All -Fab Inc. <br />Bldg. C-19 Paine Field <br />Everett 743-2700 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />C'TY ,II• <br />PHONE <br />MAIL ADDIIESS <br />CITY ZIP <br />PHONE <br />LICENSE- <br />GENERAL CONTRACTOR <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY LP <br />PHONE <br />LICENSE• <br />Lang Mech. <br />912 industry Dr. Tukwilla <br />98168 575-6707 LANGSMI157B5 <br />- <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />LICENSE <br />PLUMBING CONTRACTOR <br />❑ NEW V ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />11, <br />WORK <br />❑ DEMOLITION <br />Gas piping <br />HEAT SOURCE 11 WnnnSTnvF ❑ OTHER <br />❑ BUILDING RELOCATION <br />U ELEU I HICATT- <br />PROPOSED USE OrBUu.DING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Manufacturing <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LEGAL <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />BLOCK or <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />LOT _ _ <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANS THE PROVISIONS OF ANY OTHER <br />STAT OR LOCAL W REGULATING CONSTRUCTION OR <br />THE RFORMANCEfOF CONSTRUCTION. <br />`-IaNA EOFC NTRAC] I AUiI;ORIZED AGENT, OR OWNER n�AT�•9 <br />X <br />JOBADDnESS <br />Hardeson Rd. <br />MECH. NICAL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />AIC - A/HNDLG UNITS - H P <br />FEE <br />NO. <br />REFRIGERATION UNITS - H.P EA. <br />BATHTUB <br />BOILERS U <br />LAVATORY (WASH BASIN) <br />SHOWER <br />. <br />GAS FIREDD A C C. UNITS -B.T.U. <br />FORCED AIR SYSTEMS - B T.U. M EA <br />KITCHEN SINK A DISI' <br />WALL HEATERS-B.T.U. M <br />DISHWASHER <br />LAUNDRY TRAY <br />UNIT HEATERS - B T U. M <br />EVAPORATIVE COOLERS <br />_ <br />CLOTHES WASHER <br />CLOTHESDRVERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />EACKFLCW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR, ETC) <br />FIREPLACE INSERT <br />HEAT PUMP <br />1 <br />GAS PIPING <br />3 <br />00 <br />E%HAUSTFAN <br />SUB TOTAL <br />f 3 <br />OO <br />SUB TOTAL <br />f <br />PERMIT 15 0 <br />PERMIT f <br />TOTAL FEE 18 O <br />TOTAL FEE $ <br />SIDE SETBACK <br />PLANCHECK NUMBER uia� r.i OWU01INW4080 <br />FRONT SETBACK REAR SETBACK <br />USEZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />FEE <br />❑VES []NO <br />LIU <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF OWELLp. (UNITS <br />BUILDING <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MA% OCC LOAD <br />MECHANICAL <br />1B <br />00 <br />INVESTIGATION FEE <br />S', 30-*0') <br />STATE BUILDING SURCHARGE <br />FIRE SPRINKLERS REOUIRED 0 YES NO <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />18 <br />00 <br />S.H. <br />TOTAL <br />PERMIT VALIDATION <br />______ <br />SYA <br />WHEN PROPERLY VALIDATED RTH <br />IS HIS GtI 1nIOIO ...... . <br />NZI- <br />C.0 <br />qcd' <br />t� <br />N <br />AiIMASO FiLI. <br />