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CITY OF C-ONSTRUCTION <br />everett PERMIT PERMIT NO. 19436 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ® BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS LITY Zip PHOI.F <br />MGR Partnership 9505 19th Ave SE 1101 & #102 F.jmxkk Everett., WA <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHO,4E <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Ramo Inc. 17215 Smokey Pt. Dr. Arlington, WA 98270 653-4555 MX RAM0269MR <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Arts Plumbing <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION U ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 25,000 <br />Remodel inside <br />HEAT SOURCE — <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />❑ OTHER <br />PROPOSED USE OF BUILDING <br />Professional center <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. 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 PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE O RA TO AUTHO 1Z GE WNER DATE <br />X�— <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CORES) <br />LOT _ BLOCK _ OF <br />— <br />JOB 4,;DRESS <br />9505 19th Ave SE Suites 101 & 102 <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET)_ <br />A/C - A/HNDLG UNITS - H.P. <br />BATHTUB _ <br />REFRIGERATION UNITS - H P. EA <br />LAVATORY ( WASH BASIN) <br />BOILERS — B.T.U./ H.P. <br />SHOWER <br />GAS FIRED ABC. UNITS — B.T.U. <br />KITCHEN SINK & DISR <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />DISHWARHER <br />WALL HEATERS -'-B.T.U. M <br />LAUNDRY TRAY <br />_ <br />UNIT HEATERS —B.T.0 M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK ISERVICE — BAR, ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL <br />PERMIT <br />$ <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 />USEZONE <br />B-1 w/contract <br />LOT AREA <br />VACANT SITE <br />DYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />Q ppp <br />SX&9Q 25,00 <br />25 <br />OO <br />TYPE OF CONST. <br />OCCUPANCYGROUP <br />B-2 <br />NO. OF DWELLING UNITS <br />0 <br />PLUMBING <br />SIZE OF BLDG. <br />2530 sf <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />26 <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. "O;(e) <br />STATE BUILDING SURCHARGE <br />SO <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />SH <br />PLANSCHECKED BY <br />Be <br />APPR. FOR ISSUANCE <br />Be <br />— <br />BY <br />DRIVEWAY PERMIT <br />TOTAL <br />255 <br />50 <br />ocourt ,nl Inennu <br />SEPARATE PERMITS REQUIRED FOR PLUMBING, <br />MECHANICAL AND ELECTRICAL <br />WHEN PROPERLY VALIUATE0 (IN THIS SPACE) THIS IS YOUR PERMIT <br />CID <br />M <br />.:j- <br />a7 <br />