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f `"reTec YOF F CONSTRUCTIO'' <br />everett PERMIT <br />CITY HALL 2598745 <br />EVERETT, WA 9B201 [XX COMBINATION C BUILDING ❑ MECHANICAL <br />PERMIT NO. 12.915 <br />❑ PLUMBING <br />OWNER <br />MAIL ADDRESS <br />G "r <br />ZIP <br />PHONE <br />DAVID A <br />BRANDVOLD PO BOX 3066 <br />EVERETT_WA 91203 <br />355 6000 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />GrtY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE IT <br />SAME <br />WRACTOR <br />CITY <br />ZIP <br />PHONE LICENSE N <br />MECHANICAL <br />MAIL ADDRESS <br />ZIP <br />PHONE LICENSE N <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ROBINSON <br />PLUMBING <br />CLASS OF WORN <br />❑ NEW <br />O ADDITION XX1 ALTERATION O REPAIR <br />❑DEMOLITION ❑FENCE <br />❑SIGN <br />O WOOD STOVFJFIREPLACE INaEfl <br />NG WALL <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />WAREHOUSE <br />APPLICATION AND KNOW THE SAVE TO BE TRUE AND <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />CORRECT. ALL PROVISIONS OF LAV7S AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />LOT -BLOCK -OF <br />WHETHER SPECIFIED HEREIN OR NOT. "HE GRANTING OF A <br />ATTACHED <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER S'rATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />DATE <br />SIGNATI��R O'�F �CTR; TOR OR AUiN IZEO A 1 /24/84 <br />JOB AODRLOB <br />2720 — 34th St <br />X—LEI= . <br />PLUMBING <br />MECHANICAL <br />NO. i YPE OF EQUIPMENT _FEE <br />I� <br />N0. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />2 <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />, <br />1 <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS - D.T.U. M EA. <br />KITCHEN SINK 8 DISP. <br />WALL HEATERS - 8.T.U. M <br />DISHWASHER <br />UNIT HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />VENTILATION FAN <br />URINAL <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />VACUUM — KERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />j HEAT PUMP <br />SUB TOTAL <br />S <br />00 <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT S <br />TOTAL FEE <br />S <br />00 <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK REAR <br />YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />CHECK FEE <br />RECEIPT N0. <br />84/12915 <br />FEE <br />13.33 <br />USE ZONE <br />LOT AREA VACANT <br />SITE <br />FEES <br />VALUATION <br />FEE <br />YES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />OF DWELLING UNITS <br />BUILDING <br />S 17 52.00 <br />20 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />4 <br />DO <br />PLUMBING <br />FIRE ZONE BASEMENT FIRE <br />SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />YES ❑NO <br />APPROVALS <br />BY DATE <br />OTHER <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />24 <br />50 <br />3.'IRE HYDRANT O- <br />4. FIRE PROTECTION SYSTEM <br />4 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SpACEI TN IS IS%%F71`61510 � <br />5. GRADING <br />o% <br />,.(� <br />�`•^;UR RECEIY�!-j <br />&DRAINAGE <br />71ENVIRONMENTAL IMPACTT STATEMENT <br />HEALTH DISTRICT <br />LPPLICATION ACC. BY CLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />�I f'\N K Y O U <br />DAB <br />tTt o <br />co -{ n <br />c� <br />ADDRESS FILE <br />2 4 drill 9 4 <br />r,T <br />