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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />oONSTRUCTION- <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ® MECHANICAL <br />PERMIT NO. 16 315 <br />❑ PLUMBING <br />OWNER MAI ADDRESS CITY ZIP PHONE <br />Time Oil Co. 2700 Cow=,ore Way Seattle WA 285-2400 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE E <br />Williams 6 Abbot Const <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHON LICENSE 0 <br />Horizon Heating Inc. 18204 <br />Bothell Hwy SE <br />Bothell 98012 <br />775-3722 HORIZH*21 LA <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE 9 <br />UNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />LUATION OF WO <br />f8000.00 <br />Install 2 solit system air conditionin4 system <br />PROPOSED USE OF BUILDING <br />Store <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 SPECIE D HEREIN OR NOT. THE GRANTING OF A <br />PERM) -PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANC HE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL W RE ULAtING CONSTRUCTION OR THE <br />PERFO A CE COry5TRwUfpT�ON. <br />BIGNgTQRE OF C NTR T.O_R OR IjuTHO A'ENT DATE <br />x l/mil 3/26/86 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_BLOCK_OF <br />JOB ADDRESS <br />4231 Ducker <br />PLUMBING <br />ME HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />2 <br />AIR COND. UNITS - M.P. EA. 4 <br />9.00 <br />BATHTUB <br />REFRIGERATION UNITS - M.P. EA. <br />LAVATORY(WASH BASINI <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.0 M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOP <br />FLOOR DRAIN <br />2 <br />AIR HANDLING UNIT - C.F.M. <br />9 <br />O <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />t <br />SUB TOTAL f <br />18 <br />DO <br />PERMIT <br />f <br />PERMIT t <br />10 <br />DO <br />TOTAL FEE <br />f <br />TOTAL FEE f <br />28 <br />DO <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUTAUER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES .-NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />f <br />S)ZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE 70NE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIREO <br />-.YES NO <br />MECHANICAL <br />28 <br />0 <br />OTHER <br />APPROVALS <br />RY <br />DATE <br />_ _ <br />1. ENVIRONMENTAL CHECK LIST <br />PENALLY <br />U S C. <br />SEC. 303 (a) <br />— <br />2. BUILD114G PLANS <br />TOTAL <br />28 <br />0 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THIJ $PjCF1 THIS VSIrCn Prj1T_I <br />) 1 / If <br />1 (Y <br />R i G I I71 YOU <br />5. GRADING <br />- <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMLNT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADDRESS FILE <br />