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the Evergreen CONSTRUCTION <br />CITY OF PERMIT <br />everett <br />CITY <br />B745 <br />EVERETT, WA 98201 COMBINATION. BUILDING • MECHANICAL • PLUMBING <br />i <br />OWNER MAIL ADDRESS ZIP PHONE <br />Wm. P. Brust 3030 Hoyt 98201 252-8822 <br />M <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />Botesch, Nash & Assoc. <br />- <br />z <br />C <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />M <br />7J <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />DO <br />� r <br />y <br />PERMIT CLASS <br />[XNDMBINATION <br />[]BUILDING ❑PLUMBING ❑MECHANICAL <br />OF WORK <br />XXJEW []ADDITION ❑ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 98,000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />DESCRIBE WORK <br />Family Dental Center <br />PROPOSED USE <br />Dental Center <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPE RTV ISHOW BELOW OR ATTACH <br />FOU COP I SIFEE LOT l� BLOCK 9 OF Climax Land Co. lst <br />NO. <br />FEQUEIPPMENT <br />AIR CONO. UNITS-H.P. A. <br />S <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P, EA. <br />1 <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADOR�s S <br />170J 4lst Street <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />1 <br />EVAPORATIVE COOLERS <br />PLUMBING <br />4 <br />CLOTHES DRYERS _. <br />VENTILATION. AN <br />1 <br />B Q <br />1 <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT - C.F.M. <br />I <br />BATH TUBS <br />'.'LOTHES WASHER <br />S <br />I <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FA C. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />GAS. SV STEM: NO OP OUTLETS <br />FLOOR DRAINS <br />1 <br />SUBTOTAL S <br />I <br />KITCHEN SINKS & DISP. <br />1 <br />PERMIT S <br />BAR SINKS <br />I <br />TOTAL FEE S 31 10 <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONST RUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />PERIOD OFCONSTRUCT720 DAVS AT ANVION OR WORK IS STIME AFTER WORK SDCOMME COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />O FORMANCE OF CONSTRUCTION. <br />9/7/77 <br />ROOF DRAINS - RAIN LEADERS <br />SHOWER BATHS <br />1 <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />WATER HEATERS -- ELECTRIC <br />1 <br />1 <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT <br />S <br />OTAL FEE <br />WATER SERVICE SIZE__ BLDG. SUPPLY SIZE <br />SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK <br />N/A N/A N/A <br />SIGNATURI. FCUNI RACTORORAU LAGENT U.I. <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />IFEE RECEIPT NO. <br />77/331 183.95 24495 <br />USE ZONE <br />B-2 <br />LOT AREA <br />VACANT SITE <br />$}C ES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-N <br />OCCUPANC FG R,ZOUP <br />N. OS DWFLLING <br />UIT <br />I <br />BUILDING <br />$98,000. 00 <br />2831 00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />PLUMBING <br />00 <br />F IRE ZONE <br />BASEMENT�FIR�ESPRINKLERS3 yeSNO <br />MECHANICAL <br />OTHER <br />311 00 <br />I <br />I <br />SPECIAL CONDITIONS: <br />PENALTY <br />SEC. 3071P1 <br />I <br />TOTAL 3551.00 <br />PERMIT VALIDATION ����� <br />WHEN PROPERLY VALIDATED II fJ 1M7S PACE R 1T <br />YO U-R RE'C2EIPC <br />TfiAVK YOU', <br />' tip 77 <br />9 i - 7 �Y.1' ! d <br />APPLICATIONACCEPikU11Y' <br />YLANSl:I1ECKlU UY. <br />MPUOVCUfOP14VANll HY <br />K.C.eb <br />AUUHrJ` rtLC <br />