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� <br /> � <br /> the C•rergreen ' , <br /> ��TYOF �`'JNSTRUCTION <br /> everett PERMIT pERMIT NO. 06664 <br /> CITY HALL 259�8745 <br /> EVERETf,WA 98201 ❑ COMBINATION ��UIL�ING ❑ MECHANICAL ❑ pLUMBING <br /> OYINER MAIIADOPE55 CITY ZIP PMONE <br /> Claremont Shopping Center Inc. 98203 258-1993 <br /> aRCHITECTOfl�E51GNER 1dAILADDRE55 CITY ZIP PHONE <br /> GENERFLCAN7fiACTOR MAILAD�NESS CITV ZIP PHONE ULENSE/ <br /> Same <br /> b1EGMFNICALCANTRA�TOR MAILADDRE55 CITY ZIP PHONE LICENSEr <br /> PLUMBINGCC�+TFACTOR MAILA�DRE55 CITY ZIV PMONE LICEP:oE1 <br /> CV.55OF WORK <br /> ❑NEW �XDDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION OFENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORK <br /> �10�0.0� <br /> �ESCRIBE WOflK <br /> 423 Sq. $oot additicn <br /> PROPOSED USE OF BUILOING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP� <br /> LEGAL�ESCRIPTIONOFPROPERTVISHOW OELOWOPATTALHFOUflCAPIES) PLICATION AND KNOW THE SAME TO BE TRUE A'JD CORfiECT. <br /> 1-12 Claremont Hei hts ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or BIOC�GF g TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NUT <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 /> .108 FOOPE55 <br /> SIGNATUR CONTRFGTOR OF AUTHORI D AGE � DATE <br /> 4923 Evergreen Way X x ,��i / >.�� � <br /> PLUMBI�iG MEQ ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) AIR COND.UNITS—H.P.EA. <br /> BATHTUB fiEFRIGERATION UtJITS—H.P.EA <br /> LAVATORV N�ASH BASIN) BOILEPS—H.P.FA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK&�ISP. FORCED AIR SVSTEMS—B T.U. M EA. <br /> DISHWASHER H'ALL HEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B.T.U. hl <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD , <br /> FLOOfi DRAIN AIR HANDLING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE <br /> fl00F DRAINS—RAINLEADERS METAL FIFEPLACE 8 CHIMNEY <br /> SINK�SERVICE—BAR,ETCJ <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT 5 PEqMIT S <br /> TO7ALFEE S TOTAIFEE S <br /> SIDE YARD SETBALK STREET SETBACK REAR YARD SETBACK PLAN CHECK NUMBEF PLAN CHECK FEE <br /> 79/509 FEE 16.00 RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE 42306 <br /> ❑YES ❑NO FEES VALUA710N FEE <br /> 7YPE OF CANST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILDING S S,Q00.00 32 00 <br /> S12E OF BL�G. NO.OF STORIES MAY..OCC.LOAD <br /> FLUMBING <br /> fIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIpED MECHANICAL <br /> ❑YES GNO <br /> APPHOYALS BY DATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY . U.BC. <br /> SEC.303(a) <br /> 2. BUILDING PLANS <br /> TOTAL 32 00 <br /> 3. FIRE HYDRANT � <br /> a. FIRE PROTECTION SYSTEM PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(W THIS SPAC;)iH�IS'YOuR��N�},O Q � ' .� <br /> � 5. GRADWG � � d �� �. <br /> 6. DRAINAGE . ' � . (D <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � ,1 <br /> B. HEALTHDISTRICT �. ��1� �} Q RECC�� <br /> APPLICAT101�ACC. BY PLANS CHECKE��Y APPR.fOR ISSUANCE BY �� � n��� '1 �� <br /> �L�+�+'F"�T , <br /> i- <br /> ��cn� <br />