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the ED <br />CITY OF OF rONSTRUCTI®N everett PERMIT PERMIT NO. 18436 <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION 9A BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Safeway Stores, <br />Inc. P.O. Box 90947 <br />Bellevue 98008-0947 455-8688 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Design Dept. <br />Same PI as above <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />Kirtley-Cole <br />Associates, Inc., P.O. Box 605 <br />Snohomish <br />98290 <br />568-3175 KIRTLCA272RF <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE <br />PLUMPING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE II <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION G,� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 200.000.00 <br />New refreigeration and flooring <br />'EAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Grocery Stor: <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />Sr.WAZUaLOF CONTRACTOR. AUi IZEO NT. OR OWNER DATE <br />/���- 4O7 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />_ <br />JOB ADDRESS <br />7601 Evergreen Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIC—A/HNDLG UNITS— H.P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — B.T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS — B.T.U. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS— BT.U. M EA. <br />DISHWASHER <br />WALL HEATERS—B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS—; T.U. M <br />CLOTI *ES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHESDRYERS <br />DRINKING FOU14TAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />B.ACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF OFAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE— BAR, ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />$ <br />SUBTOTAL <br />PER.WiT <br />S1 <br />PERMIT <br />TOTALFEE <br />$ <br />TOTAL FEE <br />FRONT SETBACK <br />N/A <br />REAR SETBACI: SIDE <br />N/A <br />SETBACK <br />N/A <br />PLAN CHECK NUMBER <br />87/18436 <br />FEE <br />643.18 <br />RECEIPT NO. <br />90447 <br />USE ZOIJE <br />B-2 w/contract <br />LOTARFA VACANT <br />N/A <br />SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />1� <br />AM 000AMF <br />5 <br />TYPE OF CONST. <br />III-N <br />OCCUPANCY GROUP <br />B-2 <br />NO. OF DWELLING UNITS <br />0 <br />PLUMBING <br />/ <br />SIZE OF BLDG. <br />N/A <br />NO. OF STORIES <br />1+Mezz <br />MAX. OCC. LOAD <br />No Change <br />MECHANICAL <br />BLDG VU.50 <br />FIRE SPRINKLERS REOUIRED CRYES EINO <br />INVESTIGATION FEE <br />G - f)Y�`041e)�,�Q <br />�•OR <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S.H. <br />PLANS CHECKED BY <br />B.E. <br />APPR. FOR ISSUANCE BY <br />L.C. <br />DRIVEWAY PERMIT <br />TOTAL <br />993 <br />00 <br />PFRNHT VAUTIATION <br />Separate plumbing and mechanical permits <br />required. <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR FERMI I CD <br />M <br />ct- <br />Cb <br />ADDRESS FILE <br />