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- CONSTRUCTION <br />PERMIT APPLICATION <br />COMBINATION 9 BUILDING • MECHANICAL • PLUMBING <br />32Y�-77 <br />9/ <br />DWNER MAIL AOOHESS <br />ZIY PHONE <br />WM. P. BRUST 3030 Hoyt / Everett, <br />Wa. 98201 252-8822 <br />WncWiTECT UR OESIU NER MAIL ADDRESS <br />2"V6868 LICENSE NO <br />BOTESCH, NASH & ASSOC. 4201 Rucker,Rm.308/Everett,Wa,98203 208-00-0000503 <br />GENERAL CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />WM. P. BRUST 3030 Hoyt Ave./Everett,Wa. 259-6622 223-01-25721 <br />MECHANICAL CONTRACTOR MAIL ADDRESS <br />PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAILADDRESS <br />PHONE LICENSE NO. <br />PERMIT <br />CLASS OF WORK <br />' <br />aCOMBINATION <br />7UOUILOING ® PLUMBING )QMECHANICAL <br />NEW <br />❑ADDITION ❑ALTEIIA fINN ❑HU'A 1{I <br />VALUATION OF WORK <br />-- -�- - --- <br />$ 98, 000.00 <br />❑DEMOLISH <br />❑FENCE ❑SIGN ❑'(WIMMIN . POOL <br />DESCRI E WORK <br />Family Dental Center <br />PROPOSED USE <br />OTHER PERMITS OR APPROVALS <br />J:j REZONE :j SPECIAL USE <br />LEGAL UL%RIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />VARIANCE %--I SHORLINE <br />LOT BLOCK_OF <br />Lts�-11 inc.,Blk.9 Clmax 1•and Co.lst <br />SEPA CHECK LIST REQUIRED <br />Add. to Everett Lts.12-16 inc.Blk.9, <br />LC YES <br />_I NO <br />Flat of South Parx Addition to Everett, <br />together with portions vacated Wetmore. <br />JOB ADDRESS <br />MECHANICAL <br />1701 - 41st St. / Everett, Wa. <br />PLUMBING <br />TYPE <br />OF ENERGY <br />❑GnS ❑ELEC. <br />_ _ TV PE OF EQUIPMENT_� _ FEE <br />NO. <br />- <br />AIRCONO. UNITS-H. Y. EA. <br />REF RIGS RATIONUNI FS �HP EAR <br />BOIL ES H.P.EA.-----_----^— 1 <br />- - -�- <br />F ORCED AIR SYSTEMS B.T.U.FI. UME A. _J <br />--- ---- -- - T� <br />SPACE & WALL HEATERS- P.T.U. <br />UNI F "SEATERS N.T.V. <br />EVAPORATIVE COOLERS___ — <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />IiA1H TUBS <br />S <br />CLOTHES WASHER <br />I <br />DISH WASHERS <br />I <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />I <br />10 <br />KITCHEN SINKS & DISP. <br />LIAR SINKS <br />I <br />HOOF DRAINS RAIN LEADERS <br />I <br />CLOTHES DRYERS <br />I <br />$ROWER BATHS <br />_ <br />VENT7 LAT;ON FAN <br />SERVICE SINKS <br />RANGE HOOD <br />_ SUMPS - SEWAGE PUMP <br />__ <br />AIR K. NDLING UN'T C.T.M. I �— <br />URINALS <br />CLOSETS �� <br />_WATER <br />WATER HEATERS -ELECTRIC , <br />-__ _WATER _HEATE R_. -r <br />WASH BASINS <br />FAC. BUILT FIREPLACE @ CHIMNEY 1 <br />LAUNDRY TRAYS •-_-_ <br />-tank <br />GAS SYSTEM NO OP OUTL(. ISdoye-Lop-mg <br />•DUn To, <br />IAL <br />5 <br />TOTAL. FEE S 3 <br />SUBTOTAL <br />$ <br />_ <br />- - C --- R UO <br />TIIIS PERMIT NUI L VOID II OR <br />PERMIT <br />MMLWI� <br />Ays. <br />WITHIN 120 CAPS, OR 1F <br />AUTHORIZED IS THIN <br />TION AUTIIORIZ ED IS NOT <br />TOTAL FEE <br />CONSTRUCTION OR WOI1K I;1 SUS1`E NOEO O11 AOAFJOO NED FCH A <br />S SUSPENDED <br />WATER SERVICE SIZE 2" SLOG. SUPPLY SIZE <br />PERIOD OF 120 DAYS AT ANY LIME At: TER WORK I.; CP S)•1E NCE U. <br />1 HEREBY CERTIFY THAT I HAVE READ AND E`(A. INF.D THIS AP. <br />A K HEAR YARD SE TRACK <br />/ <br />�` <br />PLICATION AND KNOW THE SAME TO HE TRUE AND CO ;RE[f. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPEI <br />�� <br />2VJ/ <br />OF WORK. WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN' <br />USE L N LOT AREA VACANT SIT! T— <br />OR NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TOI <br />��y� <br />OYES ONO <br />GIVE AUFY.O ITY TO VIOLAFE OR CANCLL THE PROVISIONS OF <br />I <br />AN Y-OTIIER S ATE On LOCAL 1 AW HEGULATIN(i CONST fiUCfIONI <br />TYPE OF CONST. OCCUPANCY GROUP NO. OF DWELLING <br />V-N F-2 UNITS ------ <br />OR THE PERF RMANE -CNSTRUCTION. <br />SIZE OF SLOG. NO. OF STORIES MAX. OCC. LOAD J_x__ <br />!C/177 <br />M IL ZONt IIA1'h MINT VINL ti I•FI I NKL LI(S <br />tlP OICONT RII O OR AUT H. AGE T DATE <br />3 Yes REOUIHEO <br />❑YE^ ONO <br />LANCHECK NUMBER PLAN CHICK FLL <br />SPECIAL CONDITIONS' <br />FEE / FIECEIPT NO. <br />77/33 I /O J <br />FEES VALUATION FEE <br />—"--"—' <br />BUILDING $98,000.00 <br />SEPA REVIEW COMPLETE; []YES 0 NO <br />PL11""n'"(' <br />i <br />Contact Plannlnq dept. <br />MECHANICAL 3/ <br />I <br />OTHER I <br />A ILIC UJNACUFiLUVV; vV.N: CNICKLUIIY M.R0VIO O.IGUANCIIO <br />PENALTY SEC. 70710 <br />1 <br />TOTAL <br />