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, , <br /> tl�eL•vergreen "� CQ!ySTRUCTION � � <br /> CITY OF <br /> everett PERMIT PERMIT NO. 0�836 <br /> CITY HALL 2f9�B745 <br /> EVERETT. .VA se2oi ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNEfl � AIAILADDRE55 CI1Y 21P PMONE <br /> Eur�pean Health Spas' Inc. 5315 Everqreen Way Everett 98201 353-1157 <br /> ARCHrtECTORDESIGNER MAILADDRESS qTV ZIP PHONE <br /> GENEFAL CONTRACTOR MAIL AD�PE55 CITV ZIP PHONE UCENSE I <br /> Johnson & Johnson Const. Inc. 15 South GradY Wav Renton 98055 255-1150 <br /> MEGHFN�CAICANTRALTOR MAILAOORE55 CITV ZIP PHONE UCENSE� <br /> D 279608-81 <br /> PIUMUINGLONTR�CfOfl MAILAUDRE55 CITY ZIP PHONE LICENSEI <br /> C1A55 OF WONN <br /> ❑NEW ❑ADDITION ❑ALTERATION� '�7EPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br /> VALUATION OF WORN <br /> 5 ZO�OOO.00 <br /> DESCFIBE WORK <br /> Interior repair <br /> PROPOSEO USE OF 9UILDING <br /> commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> LEGALDESGRIPTIONOFPROPERTY�SHOWBEL0140RATTAGNFOURCAPIES� PLICATION AND KNOW THE SAME TO BE TRUE AND CORREUT. <br /> ALL PROVISIONS OF LAVvS AND ORDINANCES GOVERNING THIS <br /> �or e�aK_oF TYPE OF WORK WILL BE COMPLIED WITH WHFTHER 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 /> � JOB ADOflE9S SIGNATURE OF CONiRACTOF OA AUTHOR12ED AGENT OATE <br /> 5315 Evergreen Way X Check #1157 6/30/80 <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER ClOSET(TOiLEf) AIR WND.UNITS—H.P,EA. <br /> BATHTUB �EFRIGERATION UNITS—H.P.EA <br /> LAVAiORY(WASH BASIN) OOILERS—H.P.EA, <br /> SHUWER GAS FIflED A.C.UNITS—TONNAGE EA. <br /> KITCHLN SINK&DISP. FORCED AIR SYSTEMS—B.T.U. M EA � <br /> DISNWASHER WALLHEATERS—�.7.U. M <br /> L4UNDRV TNAY UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENT4ATION FAN <br /> 7RINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIR HANDLING UNIT— C,P.M. <br /> VACUUM BREAKERS STOVE <br /> ROOF DRAINS—RAINLFADERS METAL FIFEPLACE 8 CHIMNEY <br /> SINK ISERVICE—BAR,ETC.i <br /> SUB70TAL SUB TOTAL S <br /> PEHMIi S PEflMIT S <br /> TOTALFEE S TOTALFEE S <br /> SIDE YARD SETBACK STREEf SETBACK REAR VARD SEfBACK PLAN CHECK NUMBER � PLAN CHEf,K FEE <br /> fEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> ❑YES ❑NO FEES VALUATION FEE <br /> NPE OF CONST. pCCUPANCV GROUP NO.OF DWELLING UNITS <br /> SIZE OF BLDG. NC.OF STORIES MA%.OCC.LOAD BUILDING 5 20�000. 92 00 <br /> PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKLERS <br /> REOUIRED MECHANICAL <br /> ❑YES ❑NO <br /> APPHOVALS 8Y DATE O7HER <br /> 1, ENVIRONMENTALCHECKLIST PENA�n. � U.B.C. <br /> 2. OUILDING PLANS SEC.303(a) <br /> 3. FIRE HYDRANT TOTAL 9? 00 ' <br /> 4. FIRE PROTEC710N SYSTEM PEqMIT VALIDATION <br /> WHEN PROPEFLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> � 5. GRADING 4 I 41 $,p 9 2 O O _� � <br /> 6. DRAINAGE <br /> 7. ENVIRONMENiAt.IMPACT STATEMENT , Q� <br /> e. NEALTH DISiRICT � <br /> � APPLICATION ACC.BY PLANS CHECK_D BY APPR.FOR ISSUANCE BY Yn U R R�C[I PT � <br /> L.c. 71-1/1�?K YO U <br /> ADDRESS FILE � '� � '�N �"� <br /> r <br />