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the Ev CITYOF 4f0NSTRUCTW* Ig <br />CITY OF <br />everett PERMIT PERMIT NO.07206 <br />CITY HALL 259 0745 <br />EVERETT, WA 98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL Ed PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Safeway <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />Sea Tac Mechanical 10416 Empire Way South Seattle 98178 723-5388 22708 <br />❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />S <br />PROPOSED USE OF BUILDING <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER 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 />CONST ION OR T FO ANCE OF ONSTRUCTION. <br />SIGNAT E CO ACTOR U ZED AGE T DAE <br />X <br />LEGALDESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK___ —OF <br />JOB ADDRESS <br />7601 Evergreen Way <br />PLUMBING <br />ME HANICAL ��t ' _ <br />��� c. <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF E UIP ENT <br />FEE <br />15 <br />WATER CLOSET (TOILET) <br />30 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA <br />_ ] <br />LAVATORY (WASH BASIN) <br />12 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.G. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B T.U. M EA, <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />2 <br />WATER HEATER <br />4 <br />On <br />CLOTHES DRYERS <br />URINAL <br />2 <br />On <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />65 <br />FLOOR DRAIN <br />130 <br />00 <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />5 <br />ROOF DRAINS - RAINLEADERS <br />10 <br />00 <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR. ETC.) <br />SUB TOTAL <br />2aE <br />00 <br />SUB TOTAL 3 <br />PERMIT <br />$ <br />PERMIT 3 <br />TOTAL FEE <br />$ <br />TOTAL FEE 3 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />211 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES ONO <br />" <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1, ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL - <br />211 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />— <br />5. GRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SP'CE) THIS IS YOUR PERMIT <br />7959 o a ♦L^ I'' 0 0 —_o <br />CV <br />- 'YOU'R REVE1PTo <br />THANK Y;Q U <br />B. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />ADD <br />5 M 80 <br />