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"'cEi"wvm <br />CITY OF rONSTRUCTION <br />everett PERMIT PERMIT NO. 17868 <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION M BUILDING <br />❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER <br />UAIL ADDRESS <br />CITY <br />ZIP PHONE <br />John Y. Sato <br />& Associates, 1200 112th NE, <br />Bellevue, WA <br />98004 454-4494 <br />ARCHITECT OR D--SIGNER <br />MAIL ADORCS <br />CITY <br />ZIP PHONE <br />Same <br />GENERAL CONTRACTOR <br />MAR ADDRESS <br />CITY <br />ZIP PHONE LICENSE• <br />Satin Corp. <br />1200 112th NE. WC-185 Bellevue, WA 98004 <br />454-4494 SATOC**297P6 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />.LASS OF WOR( <br />❑ NEW ❑ ADDITION K1 ALTERATION ❑ REPAIR (] DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />s 6000.00 <br />DESCRIBE WORK <br />Reroof <br />,)FAT SOURCE <br />Cl ELECTRICITY ❑ GAS ❑ WOODSTOVE 1-1 OTHER <br />PROPOSED USE OF BUILDING <br />Storage <br />1 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 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING COPSTRUCTION OR <br />THE - F INCE C@NST CTION. <br />St J CON P. O A TN9RRIIZEO NT. OR OWNER E <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />-. <br />_ <br />JOB,•DDRESS <br />1871 Ross Ave. <br />PLUMBING <br />MECHANICAL , <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A,C - AMNDLG UNITS - H P. _ <br />BATHTUB <br />REFRIGERATION UNITS - H P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS -- B.T.0 M.P. <br />SHOWER <br />GAS FIRED ABC. UNITS - B T U <br />KITCHEN SINK A DISP <br />T <br />FORCED AIR SYSTEMS - B.T.U. M EA <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WAI ER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC.) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT 5 <br />TOTALFEE <br />$ <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FI-E <br />RECEIPT NO. <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$6000.00 <br />81 <br />DD <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />0-1/04/87 2=3 <br />Ph 00DR1147M <br />:-1 i <br />SIZE OF SLOG. <br />NO OF STORIES <br />MAX OCC. LOAD <br />MECHANICAL <br />- <br />FIRE SPRINKLERS REQUIRED ❑ YES ONO <br />INVESTIGATION FEE <br />♦I <br />1 �D. BO<(B) $B <br />.00 <br />STATE BUILDING SURCHARGE <br />E: SRCH q <br />.50 1 <br />- <br />50 <br />STATE ENERGY SURCHARGE <br />L \ <br />.J <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />82 <br />50 <br />OFRUIT VAI N,ITIF,N <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRLSS PILE <br />