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the &wV-om <br />CITY OF CqNSTRUICTION <br />everett PERMIT PERMIT NO. 19553 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ? MECHANICAL 'EkPLUMBING ❑'SIGN <br />OWNER MAIL .ADDRESS CITY ZIP PHONE �— <br />Ramo Realty 17125 Smokey Pt. Dr. Arlingtcn RRBB 9B223 <br />ARCHITECT OR DESIGNER MAIL ADORE SS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE L!CENSE0 <br />Busby's Plumbing 3902 High St. Everett, WA 9821l 259-3173 BUSBYJW130BH <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CON FACTOR MAIL ADDRESS CITY ZP PHONE LICENEEM <br />CLASS OF WORK --- -- -- <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ EUILDING RELOCATION <br />WE UATION OF WORK <br />E <br />DESCRIBE WORK <br />Installation of nei plumbing and fixtures <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Medical offic <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 09 CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE ERFORMANLONSTRUCTION. <br />Sl ALL E00ONT CTI EDAGENT.OR OWNER DATE <br />�_( 2-10-88 <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADCRESS <br />9505 - 19th Ave SE Suites 101 & 102 <br />PLUMBING <br />MEtHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />WATER CLOSET (TOILET) <br />10 <br />QO <br />A/C—A/HNOLr UNITS - H P <br />BATHTUB <br />REFRIGERATIONUNITS —H.P EA <br />2 <br />LAVATORY (WASH BASIN) <br />10 <br />00 <br />BOILERS—B.T.U./H.P. <br />SHOWER <br />GAS FIRED ABC. UNITS — B.T.U. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />1 <br />LAUNDRY TRAY <br />5 <br />OO <br />UNIT HEATERS --O.T.U. to <br />1 <br />CLOTHES WASHER <br />5 <br />00 <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />1 <br />FLOOR DRAIN <br />5 <br />00 <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />]. <br />WATER HEATER <br />6 <br />50 <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAR, ETC.) <br />45 <br />00 <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />_ <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />S <br />SUBTOTAL S <br />6 <br />50 <br />PERMIT <br />_ <br />PERMIT S <br />15 <br />00 <br />TOTAL FEE <br />S <br />BO.00 $$ <br />N$1 <br />TOTAL FEE <br />21 150 <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES []NOFEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO. OF DWELLINGUNITS <br />PLUMBING <br />80.00 x4f <br />QQx <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MAX. OCC LOAD <br />MECHANICAL <br />21 <br />50 <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />S(.c. 30-R,,) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M. M. <br />PLANS CHECKEDU <br />APPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />101 <br />50 <br />oeowr vwl mwrinu <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Cn <br />In <br />LL7 <br />�J <br />r <br />AD[IFL cS f'I ._ <br />