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the eYCATYOF F' CONSTRUCTIO.. <br />everett PERMIT PERMIT NO. 12763 <br />CITY HALL 259 8745 <br />EVERETT, WA98201 ❑ COMBINATION Ix�iC BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />CITY <br />"P PHONE <br />98201 <br />Components Concepts <br />3229 Pine Street <br />Everett <br />ARCHITECT OR UhbIGNER <br />MAIL ADDRESS <br />—I <br />21P PHONE <br />GENERAL CONTRACTOR Assoc. <br />MAILAODRESS <br />CJY <br />ZIP PHONE <br />568-3175 <br />LICENSE <br />CKXj YpEajj9XX Kirtley Cole AQ49M <br />Inc. P.O. Box 605 <br />Snohomish <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />KI RT LC A272 <br />LICENSE <br />RF <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />LICENSE II <br />L <br />CLASS OF WORK <br />❑ NEW ❑ADDITION :a ALTERATION ❑ REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑ WOOD STOVE/FIREPLACE)NSERT <br />7,500.00 <br />PROPOSED USE OF BUILDING. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Storage <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />LEGAL DESCRIPTION OF PROPERTY )SHOW BELOW OR ATTACH FOUR COPIES) <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT_—BLOCK_OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL HE P OVI51ONS OF ANY OTHER STATE OR <br />LOCA LA E EATING CONSTRUCTION OR THE <br />PERF M O ONSTRUCTION. <br />SIGNATU F ACT 0 AUTHORIZED AGENT p TE <br />JOB ApDRES <br />; A <br />32.29 Pine Street <br />X <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET(TOILET) <br />6 <br />00 <br />AIR COND. UNITS — M.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />2 <br />LAVATORY (WASH BASIN) <br />4 <br />00 <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 />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERF <br />URINAL <br />1 <br />VENTILATION 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 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />S <br />10 <br />OO <br />SUB TOTAL $ <br />3 <br />00 <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />$ <br />10 <br />OO <br />TOTAL FEE S <br />3 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />OYES C]NO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />S 7500. <br />68 150 <br />V-1 Hr. <br />Alter B-2 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />10 <br />00 <br />2 <br />FIRE ZONE BASEMENT <br />P I KLERS <br />FIRE SPRINKLERS <br />MECHANICAL <br />3 <br />00 <br />REQ):YES <br />X700 <br />APPROVALS <br />BY DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2 BUILDING PLANS w <br />TOTAL <br />81 <br />50 <br />3. FIRE HYDRANT m <br />4. FIRE PROTECTION SYSTE <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIS $Pf100E) THI JItYQU� P€fjt/,IT <br />S.GRADING <br />S O 10. O O 7 j 3 b 6 66 7 �f <br />'b; <br />� <br />bRAINAGE e'� <br />� <br />(T (� <br />YOUR R r C E 11Q T� <br />' <br />NVIRONMENTALIMPAOTSTATEMENT <br />B. EALTH DISTRIO <br />ACC: BY ' PLANS CHECKED BY <br />APPR. FOR ISSUANCe BY <br />J R REC E I PT- <br />fA!PPLICATION . <br />THANK YOU <br />�"STG "' ^; + <br />'1idK YQU <br />c <br />ADD42 ktl 1 3 DEC 8 3 <br />S3Fl[iN"v ) <br />