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(�hr L'�•erFreen � � O IV ST R U CT I O I� <br />ev�rett � <br />PERMIT PERMIT NO. 1646� <br />CITV HAL� 259� 745 , <br />v� �E{},y`'r��Za! ;� �OMBINATION ❑ BUILDING ❑ IVIECHANICAL ❑ PLUMBING <br />1WNEfl MAIL AOORESS GTY ZIP <br />H Tackitt & Huber Partnership 9506 19th Ave SE Everett 98204 home <br />� �,,,,����n�� m,.,�,.,.,.,.��, ...., _,. ....,.._ <br />Same <br />GENERALCONTRRGTOR MAILADDRE55 CITV ZIP PHONE UCENSEI <br />Same <br />MEGHANICAL CONTRAGTOR MAIL AODRESS CITY ZIP PNONE LICENSE � <br />PLUMBING GONTRALTOR MAIL AODRESS CITY ZIP PHONG LICENSE � <br />Lee Anderson 334-6931 <br />CLA55 OF WOHK <br />O NEW � ADDITION IS ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVHFIREPLACE INSERT <br />525,000 tOtdl COSt <br />.EGAL DESCRIPTION OF PROPERTY �SHOW 9ELOW OR ATTACH fOUR COPIES� <br />9-10-11 <br />ior_eiocK 627 oF (see attached) Plat of <br />Everett as per plat recorded in Vol 3 of plats <br />:'S <br />Rockefeller <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />Q WATERCLOSET�TOILEn <br />2 <br />2 <br />BATHTUB <br />LAVATORY�WASH 6ASIN1 <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHEFI <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />11FINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SEFVICE — BAR, ETC.) <br />SUB TOTAL S <br />PEHMIT S <br />TO7AL FEE S <br />0 0 <br />USE ZONE LOT AtiEA <br />B-3 6,000 sf <br />TYPEOFCONST. OCCUPANCYGROI <br />III-N Sprinkl red B-2 <br />SIZE OF BLDG. NO. OF STORIES <br />6,000 sf x 2 2 <br />FIRE 20NE BASEMENT <br />APPROVALS <br />1.ENVIRONMENTAI CMECK LIST <br />2. DUILDING PLAN$ ^� <br />3.FIREHYDHNNT ,� <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />G.ORAINAGE <br />-'T.ENVIRONMENTALIMPACTSTATEMENT <br />'� 9. HEALTH DISTRIC7 � ^' <br />� � M.M. � I.- <br />FEE <br />YES X NO <br />). OF DWEL <br />0 <br />A%. OCC. LC <br />10$ <br />RE SPRINKL <br />:OUIRED <br />YES NO <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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONpppSTRUCTION. <br />�GNATURE OF C�RAC�q q�GENT DA7E <br />n iiv <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />AIR CON�. UNITS - H.P. EA. <br />REFRIGERATION UNI75 - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEA7ERS - B.T.U. M <br />EVAPORA7IVE COOLEPS <br />1 CLOTMES DRYERS <br />Q VENTILATION FAN 1 <br />RANGEHOOD <br />AIR MANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAI FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />34 00 sue rorn� t 16 <br />�ERMIT f <br />34 00 TO7AL FEE 5 16 <br />iBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />86/16469 FEE 110.82 RECEIP7 NO. <br />79148 <br />FEES VALUA710N FEE <br />iCHECKED BY APPR.FORISSU <br />JEF L.C. <br />BUILDING $ 25,000 170 SO <br />PLUtABING 34 00 <br />MECHANIGAL 16 SO <br />OTHFR <br />PENALTY U.B.C. <br />SEC. 303 la) <br />TOTAL ZZ]. OO <br />PERMIT VALIDATION <br />WHEN PHOPERLY VALIDA7E� �1N THIS/SP � E) TMIS IrS �OI�R,pE�3A�T `� '�+ <br />,I � � �7 � �_1 <br />Sprinklers up & down (above and below tip <br />ceilingl � <br />� <br />i <br />ADDRESS FILE <br />- _�.i � ;� <br />