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lhe Euergreen <br />ciTv oF <br />everett <br />259-8745 <br />^� t'�`�NSTRUCTION <br />PERMIT <br />PERMITNO. ZO� 6S <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL fc� PLUMBING ❑ SIGN <br />OWNER M�ILAOORE55 CITY ZIP PMONE <br />Safe:vay 7601 Evergreen Way Everett, WA 98203 355-1590 <br />ARCNITEGTORDESIGNER MAILADORE55 CITY ZIP P��ONE <br />GENERALCONTR�CTOfl MAILADDFESS GTY ZIP PHONE LICENSE+ <br />MECHANICAIGONTRFCTOR MAILAO�(iESS CITY 21P PHONE IICENSE� <br />WILLIPH136Q4 <br />:ONTRACTOii MAIL AOORE55 <br />Williams Plumbing and Htg. Inc. 21918 8th P1. W <br />;LA55 OF WORK <br />❑ NEW ❑ ADDITION C�ALTERATION ❑ HEPAIR <br />�ALUATION OF WORK <br />$ <br />)ESCRIBE WORK <br />Add case drains for added frozen food cases. <br />',ITY ZIP rnunc <br />Bothell, WA 98021 987-2739 <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Groc=ry Store <br />LOT �_ BLOCK _ <br />7601 <br />PLUMBING <br />NO. TYPE OF FI) <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORY�WASHBA'. <br />SHOWER <br />KITCHEN SII�K 8 �ISP. <br />DISHWASHER <br />LAUNORYTRqV <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEA�E <br />SINK �SERVICE — BAR. ETC.) <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />TYPE <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 />GOVEFNING THIS TYP[ 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 />SIGNAT/U�RE OF CONTPF�LT\Ofl. �UTNORIZEO AGENT. OR OWNER OATE <br />X .II/�iS-.Nf.e/ � �J_�.P/AM�� .�1��l YP <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — �+�HNDLG UNITS — HP. <br />REFFIGERATION UNITS — H.P. EA. <br />BOILERS — B T.0 /H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FOflCED AIR SYSTEMS — B.T.U. M EA. <br />YJALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESORYEPS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />IdETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />3U UU <br />5 10 00 <br />s 40 00 <br />SiDESETOnCK PLANCHECK <br />OF <br />SITE <br />❑ NO <br />SIZE OF OL�G. I NO. OF STORIES I MAX. OCC. LOAD <br />APPLICATION /+CL. BY <br />SH. <br />OY � APPR FOR ISSUANCE OY <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATLENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />CHECt� �(y R��E�PT NO. <br />VALUATION FEE <br />S <br />Sec.304(e) <br />TOTAL � I <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATEO pN THIS SPACE) THIS IS VOUR PEFiMIT <br />;'i:,;:i�s' �;<i <br />