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die Evergreen � ����T��CT I O� <br /> CITY OF <br /> e►`T��"��t P�RIVIIT PERMIT NU. 09029 <br /> CiTY H!•.LL 259�8745 <br /> evrr�err ��✓A sozoi ❑ COMBINATION f� BUII_DING ❑ MECHANICAL PLUMBING <br /> OWNEP <br /> MAILAUDSE55 CITY 21P PHOtlE <br /> D G H Enterprise 11000 Lake City Way Seattle 98125 367-578 <br /> FflCHI1ECT Oi�ESIGNEfi MRIL ADDRE55 GITY 21P PHONE <br /> GENERALCONTRACiOR MAILADDRE55 QTY ZIP PNONF I�CENSE� <br /> Same <br /> MECHAVICAL GONTPACTOR <br /> A!NILAODRESS CITY ZIP PMC��E LICENSEI <br /> P W MBING LONTPAGTOR <br /> IAAILAOORE55 CITY ZIP PHONE UCENSE! <br /> L1A55 OF WORK <br /> ❑NEW ❑ADDITION ❑ALTERATION ❑FEPAIR ❑DEMOLITION ❑FENCE ❑SIGN GARAGE <br /> VALUATION OF WORR <br /> s 18 , G00. 00 <br /> DESLRIBE WORN <br /> Tenant Improvements <br /> PROPOSE�WEOF PUILDING <br /> Of f i ce I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN�D THIS AP- <br /> iecn�oescaianoNOFPeoveaTrRMoweE�owoanrrncHFouacoaies� PLICATION AND KNOC! iHE SAME TO BE TRUE AND CORRECT. <br /> ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br /> �or o�oc�c._oF — TYPE OF WOP'! WILL BE COMPLIED WITH WHETHER SPECIFIEU <br /> HEREIN OR NJT. THE GRANTING OF A PERMIT DOES NOT <br /> PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br /> VISIONo OF ANY OTHER STATE OR LOCAL tAW REGULA7ING <br /> CONSI RUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /> SIGtlAtURC OF CONTRACTOR OR AU1HORr ED AGENT �AT <br /> JOB AD�FE55 <br /> .1010 South Broadway X .�, � ,� �-t � - � �/ <br /> PLUMBING Y MECHANICAL __ <br /> N0. TYPE OF FIXTURE OR ITEM FEE N0. TYPE OF E�UIPMENT <br /> FEE <br /> WAT6R CLOSET(TOILET) AIP COND.UNITS—H.P.EA. <br /> PEFRIGEFATION UHITS—H.P.EA <br /> BNTHTUB <br /> BOILERS—H.P.EA. <br /> IP,VATORY M�ASH BASIN) <br /> — GAS f-IRED AC.UNITS—TONNAGE EA. <br /> SHOVlER <br /> FORCED AIR SYSTEMS—B.T.U. Id EA. <br /> KITCHEN SINK&DISP. <br /> WALL HEATERS —B.T.U. M <br /> DISHWASFIER pp <br /> UNIT HEATERS—B.T.U. <br /> IAUNDRYTRAV <br /> EVAPOr7ATNE COOLERS <br /> Cl0'fHES WASHER — CLOIHES DRY[PS _ --- <br /> ' WATER HEAIEF ._ <br /> . VENTILATION FAN _ _ _._ _ <br /> URINAL <br /> FlANGE HOOU <br /> DRINKING FOUNTNN �,p ti�, <br /> AIFl HANDLING UNIT— - <br /> . FLOOR DRAIN STC/E <br /> VACUUM BFEAKERS — <br /> ROOF DRAINS—RAINLEPDERS <br /> METi.L FIHEPLACE 8 CHIMNEV <br /> SINK(SERVICE—BAR ETC.) <br /> SUB70TAL S <br /> SUB TOTAL PERMIT s �-- <br /> PERMIT S TOTAL FEE 5 <br /> TOTAL FEE 5 p�AN GHECK rEE <br /> SIDE YARD SETBACK STRELT SETBACK REAR YARD SETBACK PLAN CHECK NUMBER RECFIPT tl0. <br /> 81/9029 FEE $S .S3 53023 <br /> USE ZONE LOT AREA VACANT SITE — FEES YALUATION FEE <br /> ❑YES I}P7D <br /> TYPE OF CONST. OCCUP4NCYBGRzOUP NO.OF DWEWNG UNITS <br /> II-N BUILDING $ ],H �OOO . 12 SO <br /> SIZE OF BLDG. NO.OF STORIES MAX.OCC.LOAD <br /> l PLUMBING <br /> FIRE ZONE BASEMENT FIRE SPRINKL[RS MECHANICAL <br /> REQUIRED <br /> ❑VES � <br /> APPHOVALS <br /> BY DATE �THER _ <br /> 1. EIDIIP�NMENTALCHEqiLIST PENALTY gBC303(a) <br /> 2. BUILDING PLANS TOTAL ].Z S O <br /> 9. FIRE HYURANT <br /> PEFMIT VALIDATION 1 <br /> 4 FIRE PROTECTION SYSTEM WHEN PROPERLY VAL'OATED(IN THIS SPNCE)THIS IS YDI�A I'RA��� .� __ <br /> 5- GRADING �� �. �� � . � �• � � (�b - <br /> c•s <br /> 6. ORAINAGE 0 <br /> 7. ENbIRCE NENTAIINPACTSTATEMENT �� . � � Ii�T O7 <br /> B, HEAL?H UISTRICT . . . .i . . . �� O <br /> APPLICATION ACC.BY PLANS CHECKED BY APPR FOR ISSUANCE BY � <br /> ( <br />