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�oNSTRUCTIOV <br />piT({L'CICTYOOF <br />everett <br />PERMIT PERMIT NO. 16064 <br />CITY HALL 259-8745 <br />I• <br />EVERETT, WA 98201 ® COMBINATION <br />® BUILDING ® MECHANICAL L-J{ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Nutri Systems 1203 S.E. Everett Mall Way Everett 98204 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # <br />Harmon And Associates 9725 3rd Avenue Seattle 98115 522-2085 <br />MEOHANICAL CONTRACTOR MAIL ADDRESS SIT ZIP PHONE LICENSE# <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE # <br />CLASS OF WORK <br />❑ NEW 0 ADDITION CRXALTERATIONI 0 REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN 0 WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF WORK <br />S 10,000.00 <br />DESCRIBE WORK <br />Tenant Improvement <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />z <br />Retail Sales <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CD <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR A'TACH <br />FOUfl COPIESI <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />�. <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />m <br />LOT -BLOCK -OF <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />. <br />n <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PE O MANCE OF CONSTRUCTION. <br />In m <br />JOB ADDRESS <br />SIGN E OF CONTRA OR 0 iHORIZED AGENT DATE <br />c <br />1203 S.E. Everett Mall IN Space R Bldg. 2 <br />X Z AG� <br />CD <br />m� <br />PLUMBING <br />MECHANICAL <br />o 3 <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />z <br />WATER CLOSET(TOILET) <br />AIR COND. UNITS — H.P. EA. <br />Pn _ <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />C z <br />LAVATORY (WASH BASIN) <br />2 <br />00 <br />BOILERS — H.P. EA. <br />_ <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE <br />---I Ln <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS —B.T.U. M EA. <br />-G -T1 <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />CD ;n <br />�T a <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />:x <br />CLOTHES WASHER <br />EVAPORATIVE COOLERSHi <br />fxn .-. <br />WATER HEATER <br />2 <br />00 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />n frn <br />DRINKING FOUNTAIN <br />RANGE HOOLT <br />In <br />]. <br />FLOOR DRAIN <br />2 <br />00 <br />AIR HANDLING UNIT — C.F.M. <br />Z <br />VACUUM BREAKERS <br />STOVE — WOOD <br />I- <br />ROOF DRAINS — RAINLEADERS <br />& CMN <br />SINK (SERVICE — BAR, ETC.) <br />ACE INSERT <br />UMPx <br />a <br />z <br />tMETALFIREPLACE <br />x <br />Ln <br />SUB TOTAL <br />+ <br />8 <br />00PERMIT <br />S <br />TOTAL FEE <br />S <br />8 <br />00 <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />°LA.N CHECK NUMBER <br />PLAN CHECK FEE <br />Pn <br />N/A <br />FEE RECEIPT NO. <br />86/16064 <br />52.33 �, <br />LOT AREA <br />VACANT SITE <br />FEES <br />USE ZONE <br />VALUATION FEE <br />C-1 <br />N/A <br />❑YES 1XW <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />V-N <br />B-2 <br />0 <br />$ 10,000. 80! -50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />8 00 <br />2000 Sq. Ft. <br />1 <br />19 <br />PLUMBING <br />FIRE ZONE BASEMENT <br />FIRE SPRINKLERS <br />MECHANICAL <br />6 <br />00 <br />REQUIRED <br />DYES 17N0 <br />APPROVALS <br />OTHER <br />BY <br />DATE <br />U.B.C. <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />SEC..303 (a) <br />94 <br />2. BUILDING PLANS <br />50 <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SP�(;E) T�IS IS YfV G3E�MIT 6 1 <br />// JJ <br />S. GRADING <br />6. DRAINAGE <br />O <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />(Q <br />r. -r, <br />I ITT•C <br />B. HEALTH DISTRICT <br />,, • <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />JEF <br />!) I L a o6 <br />ADDRESS FILE <br />