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r QINSTRUCTION <br />the Ebergreen <br />CITY OF <br />259-8745 f <br />ev PERMIT PERMITNO_. 19893 <br />8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL '❑ PLUMBING ® SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Castle Chiropratic 9610 Evergreen Way Everett, WA 38201 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Tube Art Display's <br />808 Aloha St. <br />Seattle, WA 98109 <br />284-0421 TKUBEAD*311QS <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE N <br />TUBEAD154106 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSEN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S 6800.00 <br />Ucna Hlut WUNK <br />Install illiminated awning on two elevations. <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Clinic <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANDCORRECT. ALL PROVISIONS OF LAWS AND 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 AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFQRWYCE OF C STRUCT(GN. <br />SIGNATURE AC TO T EDA T. OR OWNER D�� <br />X . <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />I.OT _ BLOCK _ OF <br />JOB ADDRESS g y <br />9610 Evergreen Wa <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H P <br />BATHTUB <br />- <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS — B.T UJH P. <br />SHOWER <br />GAS FIRED A C. UNITS — 8 T.U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.0 M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGEHOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS -- HAINLFADEPS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC.I <br />METAL FIREPLACE & CHIMNEY <br />FIRE PLACE INSERT <br />_ <br />HEAT PUMP <br />GAS PIPING <br />E(HAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />S <br />PERMIT <br />TOTAL FEE <br />$ <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATiJN <br />FEE <br />TYPE OF CONST <br />OCL.UPANC• GF CUP <br />NO OF DWELLING UNITS <br />BUILDING <br />$ 6800.00 <br />24 <br />00 <br />PLUMBING <br />SIZE OF BLDG <br />NO OF STORIES <br />MAX OCC. LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED C3 YES 0 NO <br />INVESTIGATIGN-FF <br />Sec. 304(e) <br />T <br />STATE BUILDING SURCHARGE' <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLAT A CHECKED BY <br />B.E. <br />APPR FOR ISSUANCE <br />H.E. <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />�24 <br />0000 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />C'M <br />Cm <br />C0 <br />0-3 <br />API)RFSS FILE <br />