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the JDAITgreen <br />CITY OF <br />everett <br />259-8745 <br />C"INSTRUCTION <br />PERMIT <br />PERMIT NO. <br />21482 <br />❑ DEMOLITION <br />❑ COMBINATION Q BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />City of Everett 3200 Cedar St. Everett <br />98201 259-884B <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE• <br />Owner <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ( ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />4OF WORK <br />12,000.00 <br />Remodel existing office space <br />HEAT SOURCE OTHER <br />ILi r.As F-I WOODSTOVE El <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />Office <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 _ DF <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 CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />sIGNATUn��G.{{CONTRAc 01 A IIIIOPI.ED AGENT. On OWNER DATE <br />�4� <br />JOB ADDRESS <br />X—�' ""� <br />3024 Wwn Wetmore 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 — A;HNDLG UNITS — H P <br />REFRIGERATION UNITS -H P. EA <br />BATHTUB <br />LAVATORY ( WASH BASIN) <br />BOILERS - B T.0 /H P. <br />GAS FIRED A C. UNITS - B T.U. <br />SHOWER <br />FORCED AIR SYSTEMS - B.T.U. M FA <br />KITCHEN SINK A DISP <br />HEATER5-BT.U. FA <br />DISHWASHERr'NALL <br />UNIT HEATERS - B.T.0 M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHESDRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR ]RAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEAD ERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAR PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />f <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />44 89/21482 <br />81.90 Funds <br />transfer <br />uSEZONE <br />LOT AREA <br />VACANTgrtE <br />FEES <br />VALUATION <br />B-3 <br />❑YEs fi3Ha <br />BUILDING <br />pi/?.;/ 4:3 <br />..r 0.00 <br />1G <br />pFEEg <br />FM D q41 4 <br />( i4 0 <br />1:1-1 <br />00 <br />TYPE OF CONST�y <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />600021482 <br />-14 <br />B-2 <br />O <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX OCC LOAD <br />BLDG <br />2210 <br />1 <br />23 <br />MECHANICAL <br />VESTIGATION FEE <br />Sec�304(e) <br />FIRE SPRINKLERS REQUIRED ❑ YES MCNO <br />ATE BUILDING SURCHARGE <br />ATEENERGV SURCHARGE <br />!DDRIVEWAY <br />APPLICATION ACC BY <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE BY <br />PERMIT <br />TOTAL <br />1 <br />126 <br />00 <br />S.H. <br />B.E. <br />B.E. <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR rt""I I <br />co <br />d- <br />N <br />ADDRESS FII. L <br />