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(he Evergreen <br />CITY OF �ONSTRU CTION <br />evlerett PERMIT PERMIT NO. 06459 <br />CITY HALL 259-8745 <br />EVEF ETT. WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANICAL PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Reininga Corporation 425 California Street San Francisco 94104 391-2250 <br />ARCHITECT OP DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CON RACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Johnson -Carruthers <br />300 120th N.E. Suite <br />230 Bellevue <br />98005 455-1241 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Jo HN SI 227E <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSEE <br />MIDEW ❑ADDITION ❑ALTERATION <br />a 1,928,691.00 <br />E WOR1 <br />Construct Retail Store <br />❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />PROPOSED USE OF BUILDING <br />Safeway Store and Shops <br />I 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 />PRESU GIVEAUTHORITYTOVIOLATE ORCANCEL THE PRO- <br />VISIO OF ANY OT ER STATE OR LOCAL LAW REGULATING <br />CON RU ION E ANC E CONSTRUCTION. <br />SIGN R ONTR R UTH 17 ENT 16y114/79 <br />X <br />LEGALDESCRPTONofPROPERTY SHOW BCLOWORATTACHFOUR COPIES) <br />lob- thru,,?OcK 2 OF Beverly Home Tracts <br />7-28-5 <br />JOB ADDRESS <br />7525 Evergreen Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />B..IHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK 8 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 />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />_ <br />DRINKING, FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />SUB TOTAL $ <br />PERMIT <br />S <br />PERMIT $ <br />I TOTAL FEE <br />$ <br />TOTAL <br />FEE $ <br />SIDE YARD CETBAC,: <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />7 [�/tea <br />PLAN CHECK <br />FEE 1505.20 <br />FEE <br />Xi6f4 NG <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES LINO <br />FEES <br />VALUATION <br />EE <br />TYPE OF CONST. <br />-z <br />OCCUPANCY GROUP <br />- / 9t, <br />NO. OF DWELLING UNITS <br />BUILDING <br />$1,928,691 <br />2,315 <br />69 <br />SIZE OF BLDG. <br />5D G 36 •x f <br />NO. OF GTO IES <br />t-V <br />MAX. OC/C. LOAD/ <br />/ Oa y <br />PLUMBING <br />FIRE 70NE ` /' <br />BASEMENT <br />FIRE SPRINKLERS <br />REOSIR L)fJO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENV,RONMENTAL CHECK LIST <br />PENALTY <br />U.B.0 <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />2, 315 <br />69 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTRA <br />5. GRADING 1 V <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />O' <br />C <br />6. DRAINAGE 0Lr. <br />�7. ENVi4NMEMAL IMPAWTATEMENT <br />8. HEAL? DI ICT G <br />APPLICAfl%�. BY <br />.moo m <br />LANS CHECKED BY <br />xwM <br />APPR. FOR ISSUANCE 01' <br />