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�he fverg�ecn <br />(;ITV �F <br />everett <br />^ITY MALL 259�8745 <br />� ��� ��ONSTRUCTIOI� <br />PERMIT <br />� <br />PERMIT NO. 16427 <br />EVERETT.WA9B201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MFIL ADORE55 CITV 21P PMON[ <br />Snohomish County Physicians Corp. 7600 �vergreen �verett 98203 <br />ARCM1IECT OR DESIGNER MAIL A��RESS CITY ZIP PMONE <br />GENEFA! GONTRACTOR MAIL AODRE55 CITY ZIP PHONE UCENSE � <br />Kirtley Cole Assoc. P.O. Box GOS Snoho +�sh,_wA ua�ao 56H-4175 <br />MEC:IANICRICONfNACTOfi MAILP�DRESS QiY ZIP PHONE IICENSEM <br />PLUM9ING WNTRACTOR MAIL ADDRE55 CITY 21P PMOHE LICENSE 1 <br />CLA55 OF WORK <br />❑ NEW ❑ AD�ITION ❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ FENCE ❑ SIGN <br />VA UATION OF <br />S <br />Interior demolition, north end <br />O::fice <br />EGAL DESCRIPTION OF PFOPEI <br />LOT_BLOC1(_Of <br />aoe nouxess �-� <br />4Gp0 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILEn <br />BATHTUB <br />LAVA70RY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWAShER <br />LAUNDRVTRAY <br />C�OTHES WASHER <br />WAT[R HEATER <br />URINAL <br />DRINKIHG FOUNTAIN <br />FLOOR DRAIN <br />VACW61 BREAKERS <br />ROOF DPAINS — f7AINLEADEFS <br />SINK ISERVICF — BAFi, ETCJ <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />❑ WOOD STOVFJFIREPLACEINSERT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATiON AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS 4ND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORIN TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />�OF CO RA OR UTMORI2@D AGENT �ATE <br />� • � �PP 1% 4/16/8G <br />MECHANICAL <br />FEE N0. TYPE OF EdUIPMENT FEE <br />AIR CON�. UNITS — H.P. EA. <br />REFRIGERATION 11NITS — H.P. EA. <br />901LER5 — H.P. EA. <br />GAS FIRED a.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTE1d5 — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATFRS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />NANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STGVE — WOOD <br />AIETAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP _ <br />S SUB TOTAL 5 <br />S PEHMIT E <br />5 TOTAL FEE S <br />EAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br />FEE � RECEIPT NO. <br />YES ;:NO <br />SIZE OF BI.DG. NO. OF STORIES MAX. <br />FIRE ZONE BASEMENT FIRE <br />flEOI <br />YE: <br />APPROVALS BY <br />1. ENVIFONMENTAL CHECK UST <br />2. DUILOING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PROTEC710N SYSTEM <br />5. GRADING <br />6. DRAINFGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTFICT <br />APPLICATION ACC.BY PLANS CHECKED BY APPF <br />M.r�. <br />OATE <br />ISSUANCE <br />FEES I VALUATION � FEE <br />BUILOING S <br />PLUMBING <br />MECHANICAL <br />OTHEfi <br />U.B.C. <br />PENA�TV SEC.303 <br />70TAL I I —"r <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDA7ED (IN THIjS SP�ACE) iHIS.I�YQU�i Pf�Fj�+11T _'_ ;� • <br />LL,� l�U 11U cv' <br />r.', <br />.. � �.'�. �.� � . . <br />. . . . . . , , , I <br />ADDRESS FILE <br />