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-.: <br />Th[BtYITA[eq <br />- cm OF <br />i TRUC ITON <br />evere6E. <br />PERMIT <br />PERMIT <br />. 0 $ <br />CITY HALL 259-8745 <br />EVERETT, WA 68201 <br />® COMBINATION ❑ BUILDING ❑ MECHANICAL` <br />❑ PLUMBiNC <br />}. <br />OWNER . .. <br />- MAIL AD M CRY <br />ZIP <br />_Weisfields Jewelers <br />800 So. Michigan P8 , WA 1)R106 <br />'CITY <br />7 <br />(fi <br />iPHONEn <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS <br />ZIP <br />_:.1.• <br />1 <br />Tom Henderson <br />64 Marian St. q Pa f f I P <br />622_1479 <br />I - <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />D <br />a10N LICENSEI <br />Georae's Plumbing <br />15653 Pa-' - gWy S. $gat 1 WA <br />98188 <br />I <br />MECHANICAL CONTRACTOR <br />AODRE55 <br />MAIL CRY <br />ZIP <br />MOMP2.24 ffs" A <br />PLUMBING CONTRACTOR <br />MAIL ADDRCSS CIT' <br />ZIP <br />PHONE LICENSE <br />CLASS OF WORK Sa'•' --- <br />❑NEW ❑ADDITION ❑ALTERATION OREPAIR ❑DEMOLITION ❑FENCE ❑S!GN ❑GARAGE <br />VALUATION OF WORK <br />s 42,000.00 <br />DESCRIBE WORK <br />FahrinatP ini•Prinr nF <br />PROPOSED USE OF BUILDING <br />Jewelry Store <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 />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE O OCAL LAW RFO ULATING <br />CONSTRUON OR THE PERF A ONSTRU(TION. <br />SIGNATURE TRACTOR OR AUTH DATE <br />X rill �7490_ <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK -OF <br />_ <br />�Z <br />JOB ADDRESS <br />PLUMBING <br />M ANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />WATER CLOSET (TOILET) <br />1 <br />AIR CONE UNITS — H P. EA <br />4 <br />40- <br />BATHTUB <br />_9 <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />2 <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA, <br />KITCHEN SINK & DISR <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 />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />_ <br />CLOTHES DRYERS <br />_ <br />URINAL <br />1 <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />2 <br />RANGE HOOD <br />AIR HANDLING UNIT — C F.M <br />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />_ <br />SINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />CFO —SUB <br />TOTAL s <br />6 <br />00 <br />PERMIT S <br />PERMIT S <br />_ <br />TOTAL FEE S <br />0 <br />TOTAL <br />FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK, <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />80/7658 <br />PLAN CHECK <br />FEE <br />105.95 <br />FEE <br />RECEIPT NO <br />48747 <br />USEZONE <br />C—]_ <br />LOT AREA <br />VACANT SITE <br />❑YES XNO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />III-N <br />OCCUPANCY GROUP <br />B-2 <br />NO. OF DWELLING UNITS <br />BUILDING <br />s 42T 000. <br />163. <br />0 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />20 <br />PLUMBING <br />FIRE ZONE <br />2 <br />BASEMENT <br />FIRE SPRINKLERS <br />R��ppUIRED <br />VS [7NO <br />MECHANICAL <br />D.0— <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.O C. <br />SEC. 303 (a) <br />717 <br />2, BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />7. <br />0 <br />a. FIRE PROTECTION SYS?FA <br />PERMIT VALIDATION - <br />W.1EN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />3 5 76 S 143.00 --- � <br />Co <br />i` <br />YOUR R EC E IPT C: <br />THANK YOU <br />5. GRADING 1 T <br />6. DRAINAGE �� _ <br />J7. ENVIRQIPMBN3AL IMPAGMTATEMENT <br />siiB. HEALT ISLRICT � <br />PPLICATRRI AN. BY twANS <br />Do-< n <br />O m <br />CHECKED BY <br />V.C. <br />APPR. FOR ISSUANCE B'! <br />L.C. <br />�� 1 <br />r 1 ADDRESS <br />17 ,AN 80 <br />