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The £Yergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />CONSTRUCTION <br />PERMIT <br />PERMIT NO. 15520 <br />EVERETT, WA 98201 E] <br />COMBINATION q BUILDING <br />x. MECHANICAL <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />GITY <br />ZIP PHONE <br />City of Everett <br />3002 Wetmore <br />Everett <br />98201 259-8701 <br />ARCHITECT OR CESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE It <br />City of Everett <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 4 <br />❑ NEW ❑ ADDITION XISI ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVEIFIREPLACE INSERT <br />8,600.00 <br />Partitions/Heat Pump on roof <br />PROPOSED USE OF BUILDING <br />commercial <br />- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL'CATION 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 CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DA'E <br />X SJ17 Joe Kozlovski 10/7/85 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT —BLOCK —OF <br />JOB ADDRESS <br />*000 Wetmore _ <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 />AIR COND. UNITS — H.P. EA. <br />IS <br />00 <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK 6 DISP. <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 />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <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 S CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />i <br />SUBTOTAL f <br />6 <br />OO <br />PERMIT <br />S <br />PERMIT f <br />TOTAL FEE <br />III <br />TOTAL FEE f <br />6 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />85/15520 <br />PLAN <br />FEE48. 43 <br />CHECK FEE <br />RECEIPT NO. <br />S. J. 17 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />L, YES ;NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />$8,600. <br />74 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC, LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES LNO <br />MECHANICAL <br />6 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B SEC. 303 (a)C. <br />2. BUILDING PLANS ap <br />TOTAL <br />BO <br />SO <br />3. FIRE HYDRANT oo <br />4. FIRE PROTECTION SYSTM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TMS�SE) THII Ip Ypyyi pEM11T <br />U U U V U <br />11J <br />YO I I R RECEIPT <br />f � <br />�i <br />T�,31K 1oU <br />.GRADING <br />DRAINAGE <br />_7 ENVIRONMENTAL IMPA TATEMENT <br />L4 HEALTH,DISTAItT o <br />APPLICATION q4t. BY <br />.JT l) <br />EB <br />C J <br />_fLANS CHECKED BY <br />JEB <br />APPR. FOR ISSUANCE BY <br />LC <br />- 9 OCT 85 <br />ADDRESS FILE <br />