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__ � <br /> `�� 'y` C''9NSTRUCTION �"� ''~' <br /> everett PERMI'T PERMIT N(2r: �� �� � <br /> 259 -8,45 > <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING fxl MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER <br /> MPIL AODRE55 CITY 21P PHONE <br /> Take 5 Video 10730 19th Ave. SE Everett <br /> ARCHITEGT OR DESIGNER MAIL AODPE55 <br /> C'TY ZIP PHONE <br /> GENERPLLONTRACTOR <br /> MAIL AODRESS CITY ZIP PHONE LICENSE� <br /> MECHPNICALCONTRACTOf1 <br /> MAIL/.00RESS GTY ZIP PMONE LICENSE M <br /> Evergreen Refregeration 717 S. Kenyon St. SitYYYB Seattle 763-1794 <br /> PLUMBINGCONTRAGTOR MAILAO�RESS CITY ZIP PHONE LICENSE� <br /> EVERGI201D7 <br /> CLRSS OF WORK <br /> C� NEW ❑ ADDITION ❑ ALTERATION ❑ 11EPA�R ❑ DEMOLITION ❑ BUILDING HELOCATI <br /> VALUATION Oi WJRN <br /> S 3000.00 — <br /> UESCRI9E WORK <br /> HVAC <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEUUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Retail APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCHIPTIONOFPPOPERTY�SHOWBELOWOPFTTACHFOURGOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT__aLOGN _OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIO'_ATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> ',HE PERFORMANCE OF CONSTRUCTION. <br /> SIf21MTtl OF LONTRACTOR.A MO ❑AGG4T.OR OWN/EN DA�E Q <br /> JOBADDRE55 y ^��" ,���! /D �OU V� <br /> 10730 19th Ave. SE �� <br /> PLUMBING NECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO.^ TYPE OF EOUIPMENT <br /> FEE <br /> WA7ER CLOSET ITOILETI A/C-AiHNDLG UNI75-HP, 9 00 <br /> REFRIGERATICN UNITS—H.P.EA. <br /> BATHTUB <br /> LAVATORV(WASH BASIN) BOILERS—B.T.U./H.P. <br /> GAS FIRED A�C.UNITS—BS.U. <br /> SHOWER <br /> � NITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> WALL HEATERS—B T.U. M <br /> DISHWA3HER <br /> UNITHEATERS—B.T.U. M <br /> LAUNDRYTRAY <br /> CLOTHES WASHEF EVAPORATIVE COOLEFS <br /> CLOTHES DRYERS <br /> URINAL <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> PANGEMOOD <br /> FLOOR DRAIN <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF ORAINS—RAINLEADEPS WOOD STOVE <br /> SINK(SERVICE—OAR,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIFEPLACEINSERT <br /> NEAT PUMP <br /> GAS PIPIN6 <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT S PEHMIT <br /> TOTAL FEE S TOTAL FEE <br /> FRONTSETBRCK <br /> REAR SETBACK 9oE SETBnCK PLAN CHECK NI�MBER FEE RECEIPT NO. <br /> USEZONE LOTAREA '•ACANTSITE FEES 1LAWINaa�: OOU�io�J'T 'k.K��! <br /> ❑YES ❑NO / <br /> TYPE OF GOi�ST. OCCUPANCY GF.OUP NO OF DWELLING UNITS <br /> BUILDING $ <br /> PLUMBING MECH 4 •� <br /> SRE OF BL�G NO.OF STOHIES MA%.OCC.LOAD CHECf� _ �� <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRE SPRINKLERS REOUIRED ❑�ES ❑NO STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARCaE <br /> ppPLICAT10N FLC.BY PLANS CHECKED OY APPR.FOR ISSUANCE�Y DRNEWAV PERMIT <br /> TOTAL 24 00 <br /> S.H. <br /> PERMIT VALIUATION <br />' WHEN PROPERLV V�ILIDATED(IN THIS SPACE)THIS IS YOUR PERMIT �' <br /> r� <br /> N <br /> � <br /> N <br /> A�DRESS FllE <br />