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� rhe f��rrgreen ^ <br />e��re�tt �� �ON�TRUCTIOI�� <br />CITV MALL 259�B7a5 P E R M IT PERMIT NO. 16 3 2 8 <br />�,- FVEa�`rr;�w4s9zdi � � �OMBINATION ❑ BUILD�NG ❑ MECHANICAL ❑ PLUMBING <br />OWNER MR:L AOORE55 �ITY IIP PI�ONE <br />WM RIGG 15207 - 116th PL NE Bothell WA 98011 488-0577 <br />AR�MITELT OR DESiGNER MAII 4DORE55 �lil' ZIP PMONE <br />GENER�L CONTNACTOR MAIL ADDRESS GiY ZIP PMONE LICENSE � <br />TNR Constructio� Same <br />MECHANILRI CONTNAGTOR MAIL ADDRE55 CITY ZIP PMONE LICENSE • <br />PlUM81NG CONTR�CTOR MRIL ADDRE55 GRY 11P PHONE 4CENSE II <br />Q(NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WO00 STOVFJFiREPLACE INSERT <br />VALUATION OF Y:ORN <br />f 2�%�0�0. <br />OESCFIBE WORK <br />10-unit apartment bldg <br />;j <br />LOT _ BLOCR _Of <br />Por N1/2NE1/4 17-29-5 <br />LL <br />P�ureiHn <br />n <br />1� <br />TYPE OF FIXTI <br />WATEP, CLOSET (701LET) <br />LAVATOHV�WASHBASIN) <br />SMOWEF <br />KITCHEN SINK 6 DISP. <br />DiSHWASHER <br />LAUUDRYTRAV <br />CLOTHkS WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />COPIE51 <br />Everett "T" <br />ITEM <br />SUB TOTAL ; <br />PERMIT { <br />TOTAL FEE S ' <br />IEET SETBACK REAR YAFD : <br />2�� 20� <br />� AREA VACANT SITE <br />:�ES NO <br />;UPANCY GROUP NO. OF DWEL <br />k-1 10 <br />FIRE ZONE BASE� <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2.BUILDINGPLANS �'' <br />J. FIHE FIYDRANT <br />d. FIRE PROTECTION SYSTEM' <br />5. GRADING <br />-Ti. DPAINAGE <br />� 7. ENVIRONMENTAL <br />.8: HEALTM DISTRICT <br />APPLICATION ACC. <br />` ` <br />�C <br />BY <br />IMPACT STATEMENT <br />6V ���qNS CHECKED BV APP� <br />��.ief lc <br />� <br />I HEREBY CERTIFY THAT I I1AVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS ANO ORDINANCES <br />GOVERNINC 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 CAP:CEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL l�W REGU�4ALG CONSTRUCTION OR THE <br />�GENT OAiE <br />FEE NO. TYPE OF EOUIPMENT <br />OO AIR COND. UNITS — H.P. EA. <br />� REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. =_A. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — e.T.U. M EA. <br />� WALL HEATEP.S — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />j 0 CLOTMES DFYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />MET.4L FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />SUB TOTAL S <br />PEHMIT i <br />TOTAL FEE t <br />�6/16328 FEE pd <br />FEES YALUATION <br />BUILDING <br />);�D <br />PLUMBING <br />.ERS M[CHANICAL <br />DATE OTNER <br />PENALTY <br />lal <br />RECEIPT NO. <br />FEE <br />T°T"� I � 945 �50 <br />PERMIT VALIDATION <br />WNEN PROPERLV VALIDATED �M THIS SPACE� THIS,IS VOUR PERMIT _ gp <br />��",' ; ; 00.`�0 — cN <br />M <br />. �. . . . . � �. . <br />ADDRESS FILE <br />