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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259.8745 <br />EVERETT. WA 98201 <br />�w ,CONSTRUCTION 'tom <br />PERMIT <br />COMBINATION • BUILDING • MECP;ANICAL • PLUMBING <br />everett <br />�e <br />OWNER MAIL ADDRESS ZIP PHONE <br />David it. Brardvold P.O. Box 3066 Everett - <br />m <br />7HCHITEC('54 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 />I"1 <br />PERMIT <br />COMBINATION <br />BUILDING ❑ BUILDING [xl PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR <br />-� <br />VALUATION OF WORK <br />S 383,000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Plumbing/[dechanical/ Electrical <br />PROPOSED USE <br />Warehouse <br />MECHANICAL <br />TYPE OF ENERGY <br />❑OAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />0 a 17- R9 /Y- �4'`li� S f 1"S <br />—� <br />NO. <br />TYPE. OF EQUIPMENT <br />FEE <br />_ <br />AIR COND. UNITS-H.F. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. <br />I <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 />O _ <br />18 <br />UNIT HEATERS-R.T.U. <br />PLUMBING <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />I _ <br />---T— <br />18 <br />VENTILATION FAN <br />jr Fin <br />RANGEHOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />-T— <br />4- <br />DISH WASHERS <br />I <br />FAG. BUILT FIREPLACE &CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OF OUTLETS <br />_ <br />FLOOR DRAINS <br />1 <br />KITCHEN SINKS & DISP. <br />I <br />SUB- S <br />I <br />BAR SINKS <br />I <br />PERMIT 5 <br />ROOT: DRAINS - RAIN LEADERS <br />I <br />TOTAL FEE $' <br />1DO <br />SHOWER BATHE <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR C•U" NSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXANINED THIS AP <br />PLICATION AND KNOW rHE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMFLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW RYG EATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRULTI N. <br />'�� /gq/2�7' <br />SERI'ICE SINKS <br />SUMPS -SEWAGE PUMP <br />URINPILS <br />9 <br />_ <br />WATER CLOSETS <br />JAI nn <br />9 <br />WATER HEATERS - ELECTRIC <br />'on <br />WASH BASINS <br />_1 <br />I <br />LAUNDRY TRAYS <br />__ <br />I <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />_j 7 <br />WATER <br />SERVICE SIZE_ BLDG. SUPPLY <br />SIZE <br />SIGNATU OF NT A R ATH. AGENT DATE <br />SIDE YARD SETBACK <br />'STREETSETBACK <br />REAR YARD SETBACK <br />PLAN CHEC NUMB <br />FEES <br />T PLAN CHECK <br />FEE <br />VALUATION <br />FEE <br />RECEIPT NO. <br />FEE <br />--r <br />I <br />USE ZONE <br />TYPE OF CONST. <br />LOT AREA <br />OCCUPANCY GROUP <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF DWELLING <br />UNITS <br />BUILDING• <br />S <br />$�$jEgaA <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX.00C. LOAD <br />PLUMBING <br />57 I 00 <br />FIRE ZONE <br />BASEMENT <br />FIRESPRINKLERS <br />REQUIRED <br />OYES ❑NO <br />MECANICAL <br />1ES <br />lit 1 00 <br />SPECIAL CONDITIONS: <br />OTHER <br />1 <br />I <br />- <br />PENALTY <br />SEC. 303(a) <br />I <br />_—_F_--- <br />TOTAL <br />168i00 <br />— <br />"• •->C ---� <br />-.�(--�-- -- - <br />-- --�-�0 -- -- - <br />.. <br />^' <br />•:L <br />PERMIT VALIDATION L L,AAp t,,'j (� �l r- <br />WHEN PROPERLY VALIDATED( IIk4 S116PAC[ 1 �.WA,-"p"MI,T <br />YOUR RE C E �PTA <br />THANK YOU � <br />-h <br />R <br />3 77eco74 <br />LK:ATU IL•V <br />in <br />G1 <br />IUIIECKED HY, <br />APPKOVLD FOR ISSUANCE BY <br />eb <br />!ti. <br />ADDRESS FILE <br />