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the ET•ergreen ; O N ST R U C T I O N <br />C1T I Or <br />everett PERMIT PERMIT NO. 15737 <br />CITY HALL 2596745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING xx MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />GTE 2930 Wetmore Fifth Floor Everett 98201 <br />ARCHITECT OR DESIGNEI MAIL ADDPESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONL LICENSE A <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE Y <br />MacDonald Miller Company 11063 Pacific Highway South Seattle 98168 763-9400 <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MACDOM248J7 <br />K <br />f <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O DEMOLITION ❑ FENCE 0 SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />WORK <br />T__.-I1 ir m, <br />PROPOSED USE OF BUILDING <br />'fice-Computer Room Fifth Floor <br />I HEREBY CERTIFY THIS <br />APPLICATIONTHAT I HAVE REXAMINEDEAD AND <br />AND KNOW THE SAME TO BE RUEAND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORMNANCES <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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OF AUTHORIZED AGENT DATE <br />X Check #28360 11/2G/65 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR AlIACH FOUR COPIES) <br />LOT -BLOCK -OF <br />_ <br />JOB ADDRESS <br />R8 2930 Wetmore <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE CIF FIXTURE OR ITEM <br />FEE <br />NO.T <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS - B.T.U. 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 />WATER HEATER <br />CLOTHES DRYERS <br />_ <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADLRS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />_ <br />1 <br />HEAT PUMP <br />6 <br />00 <br />SUB TOTAL <br />f <br />SUBTOTAL f <br />6 <br />QQ_ <br />PERMIT <br />f <br />PERMIT f <br />1�C <br />00 <br />TOTAL FEE <br />f <br />TOTAL FEE f16 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />f <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES [-NO <br />MECHANICAL <br />16 <br />00 <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />_ <br />16 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5.GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TH19PlrG U THIj5TjUp P8PIT <br />5 7 U j <br />F- T <br />. R E C E I IIT1 A <br />YOU <br />S. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />Ew <br />2 () ttov S 5 <br />ADDRESS FILE <br />