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OR? Evergreen <br />CITY Of <br />everett <br />CITY HALL 2598745 <br />EVERETT, IVA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION • BUILDING • MprHANICAL a PLUMBING <br />�e <br />everer <br />OWNER MAIL ADDRESS =1P PHONE <br />David A. Brandvold P.O. Box 3066 Everett 2S?243— 33 ''- <br />,Q <br />m <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Same <br />Z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />Cn m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERMIT <br />❑ COMBINATION <br />❑ BUILDING Q PLUMBING E3,v1ECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION 0ALTE4IATION ❑REPAIR <br />VALUATION OF WORK <br />s 383,000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN []SWIMMING POOL <br />DESCRIBE WORK <br />Plumbing/14echanical/ Electrical <br />PROPOSED USE <br />Warehouse <br />MECHANICAL <br />TYPE OF ENERGY❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK _OF -- <br />/� _ <br />�29 /✓-p•I CALM <br />NO. <br />TYPEEQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS-H.P. EA.-- <br />BOILERS-H.P. EA. <br />FORCED AIR SYSTEMS.-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />2720 34th Street <br />SPACE & WALL HEATERS - B.T.U. <br />18 <br />UNIT HEATERS-B.T.U. <br />I <br />_ <br />EVAPORATIVE COOLERS _ <br />PLUMBING <br />CLOTHES DRYERS <br />__ I <br />18 <br />VENTILATION FAN <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />-J I <br />BATH TUBS <br />S <br />I <br />_ <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FAC. BUILT FIREPLACE& CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SV STEM: NO OR OUTLETS <br />FLOOR DRAINS <br />I <br />SUBTOTAL S <br />—_ <br />FFFIII I fff111C�— <br />KITCHEN 51K;K5 & DISP. <br />I <br />BAR SINKS <br />I <br />PERMIT S <br />lil! <br />ROOF DRAINS - RAIN LEADERS <br />I <br />TGTnL FEE S <br />u 'on <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMIIJEJ THIC 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 TC' <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTIHER STATE OR LOCAL LAW 1 G EATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRU 71 N. <br />A) <br />-'/[�'-' <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />— <br />URINALS <br />I <br />g <br />_ <br />WATER CLOSETS <br />1 <br />9 <br />WATER HEATERS - ELECTRIC <br />IR I <br />WASH BASINS <br />IR I 00 <br />LAUNDRY TRAYS <br />- <br />[ <br />I <br />SUB TOTAL <br />54 in <br />PERMIT $ <br />in� <br />TOTAL FEE _ <br />WATER <br />SERVICE SIZE BLOG. SUPPLY <br />SIZE <br />SIGINATUR OFC NT A R A 7H.AGENT DAT <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLANCHEC NUMR <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOl AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CON>T. <br />OCCUPANCY GP.OUP <br />NO. OF DWELLING <br />UNITS <br />�— <br />BUILDING <br />SIZE OF BLDG. <br />FIRE ZO'JE <br />NO. OF STORIES <br />BASEMENT <br />MAX.00C. LOAD <br />FIRESPRINK LERS <br />R EOUI <br />DYES ❑NU <br />PLUMBING <br />57 00 <br />MECHANICAL <br />llIb I 00 <br />SPECIAL CO NDITION.`-: <br />OTHER <br />1 <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />168100 <br />—'----� <br />w.-.• _ PERMIT VALIDATION <br />4 WHEN PROPERLY VALIDATED II PACE 1 13T".-.1 <br />_''~ - YOUR RECEIPTTHANK YOU - <br />QI HJ il0ti lyl'f IRY,. SCIIFCKL[IEY. A"ROVED FOR 16lIAN[C VY <br />L; M eb <br />1 <br />