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lhcLl'er�.r�.�„ ;. . , .,. CpNSTRUCTIOf � � ` <br /> everett pE�NiIY PERM1IIT N0. i-58 �2 <br /> CITY HALL 259�87a5 <br /> EVERETT.WF98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> 01YNER NAIL AOORESt CITY ZIP PMONE <br /> Pay N Pak Store 10115 Gvezg.reen S9av Everett 98204 <br /> ARCMITELT OR OESIGNER MAIL AOORESS CITY ZIP PMONE <br /> GENERAL CONTRFCTOR MAIL ApDRESS CITY ZIP PNONE LILENSE� <br /> MECMANICAL CONTRAGTOR IdFIL ADORE55 QTY 71P PMONE LICENSE M <br /> PLUMBING CONTRACTOH MAIL AODRESS CITY ZIP PHONE UCENSE/ <br /> CLASS Of WOFK <br /> O NEW ❑ ADDITION �ALTEFATION ❑REPAI(i ❑ DEMOLITION O FENCE O SIGN ❑ WOOD STOVFJFIREPLACE INSEFT <br /> VRlUAT10N OF WORN <br /> S 9.r]��0�.�0 <br /> DESCRIBE WORK <br /> Add store fixture racks <br /> PROPOSEO USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AIJD EXAMINED THIS <br /> retail sales APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL OESCFIPTION OF PROPERTY�SHOW BELOW OR ATTACH FOUP COPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WOf1K WILL BE COMPLIED WITH <br /> LOT_BLOCK_OF WHETHER SPECIFIED HEREIN OR NOI.THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V�OLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULAT�NG CONSTRUCTION OR THE <br /> PERFORMANCE OF COP TRUCTION. <br /> JOB ADDRE55 SI ?U OF CONTRAGTOR OR U MOFI2[0 AGENT OATE <br /> 10115 Evergreen Way X , �?���86 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA7ERCLOSET�TOILEn AIR COND. UNITS— H.P. EA. <br /> BA7HTUB REFRIGEFlATION UNITS— H.P. EA. <br /> LAVATORY(WASH BASINI BOI:.ERS— H.P. EA. <br /> SHOWER GAS FIRED A.C. UNITS —TONNA3E EA. _ <br /> KI7CHEN SINK&DISP. FORCEU AIR SVSTEMS— B.T.U. M EA. <br /> DISMWASHER WALL HEATERS— B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS— B.T.U. M <br /> CLO7HES WASHER EVAPORATIVE COOLERS <br /> WATER HEATER CLOTHES DRYERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGF.NGOO <br /> FLOOR DRAIh AIR HAN�LING UNIT— C.F.M. <br /> VACUUM BREAKERS STOVE—\NOOD <br /> ROOF ORAINS— RAINLEADERS METAL FIRI:PLACE 8 CHIMNEY <br /> SINK(�ERVICE— BAR, ETC.) FIREPLACE!NSERT <br /> HEAT PUMP <br /> SUB TOTAL i SUB TOTAL S _ <br /> PERMIT 5 PERMIT 5 <br /> TOTAL FEE f TOTAL FEE S <br /> SIDE YARD SETBACK STREET SETBACK REAR YARD SETBACK PLAN CHECK Nl1MBER PLAN CHEGK FEE <br /> 86/15872 F�69.33 81595 EIPT NO. <br /> USE ZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> '-:YES � .NO <br /> TYPE OF CONST. OCCUPANCY GROUP NO.OF DWELLING UNITS <br /> BUILOING 595,000. 260 50 <br /> SIZE OF BLDG. NO. OF S70RIES MAX. OCQ LOAD <br /> PLUMBING <br /> FIRE ZONE BA�EMENT RE�USRED NLERS MECHANICAL <br /> �.:YES : �NO <br /> APPHOVALS BY �ATE OTHER <br /> 1. ENVIRONMENTAL CHECK LIST PENALTY U.B.0 <br /> SEC.307(a) <br /> 2.BUILOING PLANS _�TA� 260 50 <br /> 3.FIRE HYDRANT <br /> 4.FIRE PRO7EC710N SYSTEM PEHMIT VALIOATION P ,ta�g 8. �� <br /> WHEN PROPERLY VALIDATE0IW THIS BP C�1 THIS`�I U P IT-- f�Q <br /> 5.GRADI�IG t`— <br /> 6.DRAINAGE O:P <br /> 7.ENVIRCNMEN7ALIMPACTSTATEMENT . . . .. - LC) <br /> � . <br /> B.HEALTH DISTFiCT . . . ��,�..�.l I: .i I �.� <br /> APPLICATION ACC.8Y PLANS CHECKED BY APFF7. FOR ISSUANCE BY � � � �i• � � 1 <br /> :. , <br /> JEF <br /> - , i L��.; „ :, <br /> ADDRESS FILE <br />