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3 <br />the Evergreen CITY OF CC' I ST R U CTI O N <br />verett PERMIT PERMIT NO.07744 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ®(BUILDING ❑ MECHANICAL PLUMBING <br />DWNLR MAIL ADORE55 CITY 71" PHONE <br />Olympic Bank 2817 Colby Everett 98201 258-3770 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GLNERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSEI <br />Sanford Wright P.O. Box 809 Everett 9820C 259-4138 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />WR IG HS 378NO <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 1 <br />CLASS OF WORN <br />❑NEW ❑ADDITION WTERATIDN ❑REPAIR El DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />f 18,200.00 <br />DESCRIBE WORK <br />PROPOSED USE OF BUII DING <br />commercialI <br />HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGN AL F )ACTORORAUTHO EDAGENI DATE <br />X RI''iR0. 6/24/80 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />-2-7-N30'-3 22 South Park-Replat of Blocks 2C <br />LOT 8LOCV,_OF <br />19-21-22-23-24-2F-26-?7?728 <br />JOB ADDRESS <br />4201 Rucker <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />E OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UN' fS — H R EA <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />_ <br />LAVATORY (WASH BASIN) <br />BOILERS— I' ^. EA. <br />SHOWER <br />GAS FIRED A . UNITS —TONNAGE EA. <br />KITCHEN SINK A OISI <br />FORCED AIR SYSTEMS — 8.T. U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.f- M <br />_ <br />VACUUM BREAKERS <br />STOVE <br />ROOF -DRAINS— RAINLEADERS <br />METAL FIREPLACE A CHIMNEY <br />SINK (SERVICE — BAR. ETC. <br />SUB TOTAL <br />T <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT S <br />TOTAL FEE <br />$ <br />TOTAL <br />FEE f <br />SIDE YARD SET3ACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />80/7744 <br />PLAN CHECK <br />FEE 57.20 <br />FEE <br />RECEIPT NO <br />USE ZONE <br />B-2 <br />LOT AREA <br />VACANT SITE <br />AYES XJ(O <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-1 Hr <br />OCCUPANCY GROUP <br />B-2 REmodel <br />NO. OF DWELLING UNITS <br />D <br />BUILDING <br />$ 18,200. <br />88 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />— <br />FIRE ZONE <br />I I <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIR64 <br />LIVES 0 <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />UBC. <br />SEC. 303(a) <br />2. BUILDING PLANS <br />- <br />TOTAL <br />88 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VAJDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IC YOURPERMIT <br />39 15 $ 0 8 8. 0 0 ­�4 <br />YOUR RECEIPT CD <br />f 1-I it IYJ V YO 0 <br />5. GRADING <br />_ <br />6 DRAINAGE <br />_ <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE By <br />