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�iie Ever�rren <br /> ��i�°F 'f�� � �ONSTRUCTIO�''- r <br /> everett PERMIT PeRMir No. 16595 <br /> CITY HALL 259�87d5 <br /> EVERETT,WA 98201 ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING <br /> OWNER MAIL AppRE55 pTY IIP FNONE <br /> EVEREGREEN THRIFTWAY 4919 EVEREG F�N WAY FC�RFmm �.n qq�nz <br /> AFCHITEGT OR pE51GNER MAIL ADDRE55 CITY ZIP PMONE <br /> GENERAL CONiRACTOR MAIL AOOFES$ CITY ZIP PHONE UCENSE� <br /> MEGNANICAL CONTRACTOR MAIL ADORESS CITY ZIP PHONE UCENSE/ <br /> KING COUNTY MECH. 2910 C ST. SE. AUBURN WA gz� r�pg <br /> PWMBIkG CONTHpCTOH �dqlL A��RE55 CITY T�p PMONE LICENSE� <br /> CLASS OF WOPK <br /> � NEW ❑ ADOITION ❑ ALTERATION ❑REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOO STOVFJFIREPLACE INSERT <br /> VALl1ATI0N OF WORN <br /> S <br /> DESCRIUE WORK <br /> PROPOSE�USE OF BUIL�ING <br /> _�� I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> LEGAL DESCPIPTION OF FAOPERTY(SMOW BELOW OF ATfACH F011fi COPIES) APPLICATION AND KNOW THE SAME TO BE ?RUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN_OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HERE�N OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY"i0 VIOLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMNNCE OF CONSTRUCTION. <br /> JOB F�DRESS SIGNATURE OF�ONTRACTOH OR AUTMORIZEO AGENT DATE <br /> X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR IYEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� AIF CONO.UNITS—;�.P. EA. <br /> BATHTUB REfRIGERATION UNITS— H.P. EA. <br /> LAVATORY�WASh18ASIN) BOILERS— H.P. EA. <br /> _ SHOWEF GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS— B.T.U. M EA. <br /> DISHWASHER WqLL HEATERS— B.T.U. M <br /> LAUNDRYTRAY UNI7 HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORATPJF COOLERS <br /> WATER HEATER CLOTHES DFYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HAN�LING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEADERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SERVICE— BAF, ETC.) FIREPLACE INSERT <br /> HEAT PUM� <br /> SUB TOTAL 5 SUB TOTAL 5 <br /> PEpMIT S PERMIT S <br /> TOTAL FEE S TOTAL FEE 5 <br /> SI�E YARD SETBACK STREET SETBAGK REAR YAPD SE7BACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> i;YES �NO PEES VALUATION FEE <br /> TYPE OF CONST OCCUPANCY GROUP NO.Of DWELLING UNITS <br /> 3UIL�ING p�# <br /> SIZE OF BLDG. NO.OF STOFIES MAX.OCC. LOAD . <br /> PLI.'MBING M�C}I 416 .�J <br /> � <br /> FIRE ZONE BASEMENT FIFiE SPRINKLERS MECHANICAL <br /> FEOUIRED <br /> [:YES ;;NO <br /> APPROVALS BY DATE OTHER MECH $S .00 <br /> 1.ENVIRONMENTAL CHECK LIST ` <br /> PENALTY SEC.303(a) <br /> 2.BUI�DING PLANS <br /> 3.FIREHYDRANT TOTAL 13 0 <br /> 4.FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHcN PROPERLY VALIDATED(IN THIS SFACE)THIS IS YOf1R PERMIT L(.. <br /> 6,DRAINAGE CF' <br /> 7.ENVIRONMENTALIMPACTSTATEMENT <br /> � <br /> B.HEALTH DISTRICT <br /> L� <br /> APPLICATION ACC. BY PLANS CHECKED BY APPR.FOR ISSUANCE 81' <br /> t—: <br /> � LC <br /> .._ <br /> ADD2ESS FILE <br />