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�_ <br /> dic Ll'cr,ie��n , _ ��N�T R U CT I O N � <br /> everett p�RMIT PERMITNO. �-n � 3 � <br /> GITY HALL 259�8745 <br /> EVERETI�,WA98201 � COMBINATION � BUILDING xO MECHANICAL X❑ PLUMBING <br /> OYlNEO IdA1LAppRE55 CRY ZIP PHDNE <br /> Mcrris the Florist 5703 Evergreen t9ay Everett <br /> ARGHITEGT OR DESIGNER MAII AO�RE55 GIiY ZIP PNONE <br /> GENEBAL GONTHAGTOR MAII AOORE55 <br /> CITY 21P PMONE LIGENSE• <br /> MECHnNICAI GONTRACTOR MAIL AOORE55 GITY 21P GHOI:E LIGF.NSE/ <br /> PLUN9ING CONTRAGTOP. <br /> N./•�L AODPESS CITV ZIP PNJNE LICENSE/ <br /> CLASS OF WORK <br /> �CNFW ❑ ADDITION G ALTERATION ❑REPAIR I] CElAOLITION ❑ FENCF. t7 S�GN ❑ WOOD.i70VFJFIREPLACE INSEFI <br /> VALIIPTION OF VlOPK <br /> t 60,000,00 • <br /> OELCRIBE WORN <br /> Construct 2752 Square Foot Building <br /> PROP�SEDUSEOFBUILOING ! HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Re�nil 3ales-Florist Shop , qppLiCATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGFLDESCflIPiIDNOFPROPERTY�SHUWBELOYlORATfAGHFOURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> Be��erly Hills Div. 4 GOVERNING THl3 TYPE OF WORK WILL BE CCMPLIED WITH <br /> �r y BLO�'N?oF_ WhIETNER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br /> — OR CANCEL THE PFiOVISIONS OF ANY OTHER STATE OR <br /> G 6 28 5 LGCAL W REGULATING CONSTRUCTION GR THE <br /> PERF NCE OF CON RUCTION. oATE <br /> JOB AQDRF55 $IGN OF GZ1NTfll,GTOF 0 �2ED AG � <br /> 5703 Evergreen Way <br /> PL"UMBING a— MEC ICAL <br /> NO. TYPE OP FIXTURE OR ITEM FEE NO TYPE OF EOUIPMENT FEE <br /> 1 WA7ERCLOSET(TOILEn 2 00 AIR COND.UNITS— H.P. EA. <br /> OATHTUO REF7IGERATION UNITS— M.F. EA. <br /> ], LAVATORYIWASH BASIN) 2 OC BOILERS — H.P. EA. _ <br /> SHOWER GAS FIRED A.C.UNI75 —TONNAGE EA. <br /> KITCHEN SINK 8 DISP. 1 FORCED AIR SVSTEMF-- B.T.U. M EA. <br /> Oi�HWASHER WA�L HEA7ER5— B.T.U. M <br /> LAUNDRY TFAY 11N17 HEATERS— B.T.U. M <br /> CLOTHES WASHER EVAPORHTIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL 2 VENLILATIOY FAN 6 <br /> �RINKING FOUNTAI� RA�JGE HOOD _ <br /> 2 fLOOR OFAIN 4 00 AIR HANOLING UNIT — C.F.M. <br /> VACUUM BREAKERS STOVE—WOO� <br /> ROOF GAAINS— RAINLEADERS h1ETAL FIREPLACE&CHIMNEY <br /> SINK(SERVICE— BAR, [TC.) 2 00 FIREPLACE INSERT <br /> HEAT PUMP <br /> SUB TOTAL 1 10 00 SUB TOTAL 3 12 00 <br /> PERMIT S PEHMIT ; <br /> TOTAL FEE S 10 00 70TAL FEE 5 12 00 <br /> PLAN CHECK FEE <br /> SIDE YA3D SE78ACK STREET SE78ACK REAR VAFiD SETBACK PLAN CHECK NUMBER RECEIPT NO. <br /> N/A N/A N/A 85/14335 FEE203.45 �2�21 _ <br /> USE ZONE LOT AFiEA VACANT SITE FEES VALUATION FEE <br /> g—z ::YES . NO <br /> TYPE OF GONST. OCCUPANCY GROUP NO.OF DWELLIIJG UNITS — <br /> V-N B-Z N�A BUILDING �0�000. 313 00 <br /> SIZE OF 6LDG. NO.OF STOFIES MAX.OCC. LOAD pLUMBING ZO 00 <br /> 2752 Sq. Ft. 1 49 <br /> FIREZONE BAfEMEN7 REOUSFiED KLERS MECMANICAL 12 00 <br /> �. �YE$ . .NO <br /> — 6Y UATE OTHEFi <br /> APPRQVALS U.B.C. <br /> 1.ENVIRO4MEN7AL GHECK LIS7 PENALTY SEC.3D3(a) <br /> 2.B111L�INGPLANS 33$ 00 <br /> TOTAL � <br /> 3.FIRE HYDRANT <br /> 4.FIRE PROTECTION SYSTFM� PEHMIT VALIDATION � <br /> WHEN PROPERLY VALIDATED(IN THIS SPACEI THIS IS YOUR PERM1117 M <br /> 5.GRADING . . . . <br /> 6.ORAINAGE � M <br /> 7.ENVIRONMEIVTALIMPACTSiATEMENT � <br /> v—� <br /> B.HEALTHDISTRICT . . . � <br /> APPLICATION ACC. BY PLANS CHECKE�BY APPR. FORISSUANCE BY <br /> STG Hlvtd LC <br /> ADDRLS� fILE <br />