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CITY OF <br /> everett PERI�IT pERMIT NO. 06664 <br /> CIN HALL 259�8745 <br /> EVEFETT.'IJq 9820� ❑ COMBINATION �7�UILDING ❑ MECHANICAL ❑ PLUMBING /'"� <br /> �l-\ <br /> OYINER IAAiLhD�RE55 GITY ZIP PHONE � <br /> Claremont Shopping Center Inc. 98203 258-1993 <br /> ARCHITECiORDESIG4ER MhILADOFE55 CITY IIP PHONE <br /> GENEPFLCONTRAGTOF AIAILADDFESS CITY 21P PHONE UCENSEf <br /> Same <br /> MECMnNiCALCANTqFCTOF MAILADDPESS LITY ZIP FHONE UCENSEI <br /> PW MBUIG CANTRACTOR MAIL ADDRESS CITY 21P PHONE LICENSE� <br /> CLA55 OF V/OPK <br /> ❑NEW �iXDDIT10N ❑ALTERATION ❑HEPAIR ❑OEMOLITION ❑FENCE ❑SIGN ❑G��RAGE <br /> VALUATION OF V/ORK <br /> b���0.�� <br /> DESCRIBEVlOflK <br /> 423 Sq. $oot addition <br /> PPOPOSED USE OF BUILUING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br /> LEGALOESCRIPTIONOFPflOPEPiY($MOW BELOWONATTACMFOUFCAPIES� PLICATION AND KNOW THE S�ME TO BE TFlUE AND CORRECT. <br /> �or 1-12 aiocK_oF Claremont Heights ALL PROVISIONS OF LA��vS A�D ORDINANCEu GOVERN WG THIS <br /> TYPE OF WORK WILL BE COM'_IED WITH WHETHER SPECIFIED <br /> HEREIN OR NOT. THE GRANTING OF A PEAMIT 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 CO�'STRUCTION. <br /> JOB ADDfiE55 SIGNPTUR CANiRAC70fl OR AUINORI D AGE � DAiE <br /> 4923 Evergreen Way X x � � � � y� �/,,-�y�1y � <br /> PLUMBING MEQ � NICAL <br /> . NO. TYPE OF PIXTURE OR ITEM FEE NO. TYPE-OP EQUIPMENT FEE <br /> � WATER CLOSET(TOILET) A�R COND.UNIiS—H.R EA. <br /> BATHTUB REFqIGERATION UNITS—H.P.EA <br /> IAVATORY(WASH BFSIN) BOILERS—H.P.EA. <br /> SHOWER GAS FIRED A.C.UNITS—TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> IAUNDRY TfiAY UNIT HEATERS—B.T.U. PA <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> YlATER HEATEP CLOTHES ORYEflS <br /> URINAL VENTILATION FAN <br /> DPI4KING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIF HANDLIIJG UNIT— QF.M,� <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLEADEHS METAL FIREPL4CE&CHIMNEY <br /> SINK ISERVICE—BAR,E7C.) <br /> SUBTOTAL SUBTOTAL S <br /> PERMIT 5 PEHMI7 S <br /> TO7ALFEE S 70TAL FEE S <br /> SIDE YARD SETBAGK � STREET SETBACK REAF YARD SET�ACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 79/509 FEE 16.00 FECEIP7 NO <br /> USE ZONE LOT AREA VACANT SITE 42306 <br /> ❑YES ❑NO FEES VALUATION FEE <br /> 7YPE OF CONST. OCCUPANCY GROUP NO.OF OWELLING UNITS <br /> BUILDING s 5,000.00 32 00 <br /> SIZE OF BLOG. NO.OF STORIES MAX.OCC.LOAD <br /> PLUMBING <br /> FIFE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPROVALS BY DATE OTHER <br /> 1. ENVIFONMENTAL CHECK LIST PENALTY . U.B.C. <br /> 2. BUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL � 32 00 <br /> 4. FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED pN THIS SP�i>,�61�s�o�RRE�iN)T Q O � j .i <br /> 5. GRADING U J L <br /> 6. DRAINAGE , ' '' � (D <br /> 7. ENVIRONMENTALIMPACTSTATEMENT � � <br /> 8. HEALTH DISTRICT ,� . '��u � RECE'� <br /> APPLICATION ACC.BY PLANS CHECKED BV APPR.FOR ISSUANCE BY 't F-�L+.� '1 1�/� <br /> ��.r�r <br /> rnari <br /> — n ocs 1��. <br /> ADDRESS FILG r„�_'_, <br />