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the 1.1ergreen ^, O N ST R U CT.O V <br />(.SIT C;: r-- <br />everett PERMIT PERMIT NO. 16660 <br />CITY HALL 259 8745 <br />EVERLTT, WA 9E201 a COMBINATION ❑ BUILDING I � MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS - CITY ZIP PHONE <br />Harmon 6 Assaciates 9725 3rd Avenue NE Seattle 98115 527-2085 <br />ARCHITFCT OR DESIGNER MAIL ADDRESS CI lY ZIP PHONcc <br />GENERAL CONTRACTOR MAIL ADDRESS CITIZIP PHONE LICENSE 0 <br />Same <br />MECHANICAL CONTPAC FOR MAIL ADDRESS C'T" ZIP <br />LICENSE M <br />PLUMBING CONTRACTOR MAIL ADDRESS CITf ZIP PHONE ICENSE N <br />V~V V V L9 NEW ❑ ADDITION ER ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACF. INSERT <br />s 11,250.00 — <br />DESCRIBE WORK <br />1...IL 1. 11lINa V V C111c..I <br />PFOPOSED USE OF BUILDING <br />Automotive <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 />GOVERNING THIS TYPE OF WORK WILT_ BE COMPLIFC WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO V',OLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCA LAW REGULATING CONSTRUCTION OR THE <br />P F RMANCE OF CO ST UCTION. <br />SIGIrRE OF GONTRACTO lR U R12E0 AGENT / �U,AT <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_BLOCK_OF <br />Tenant • USA Muffler <br />_ <br />JOB ADDRESS <br />1205 SE Everett Mall Way Space D <br />PLUMBING <br />MECHANICA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />1 <br />V.IATER CLOSET (TOILET) <br />2 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />1 <br />LAVATORY (WASH BASIN) <br />2 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />1 <br />WATER HEATER <br />2 <br />00 <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />2 <br />FLOOR DRAIN <br />4 <br />00 <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />1 <br />SINK (SERVICE - BAR, ETC.) <br />2 <br />00 <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />+ <br />12 <br />00 <br />SUB TOTAL $ <br />PERMIT <br />S <br />PERMIT $ <br />_- <br />TOTAL FEE <br />$ <br />12 <br />00 <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />NA <br />STREET SETBACK <br />NA <br />REAR YARD SETBACK <br />NA <br />PLAN CHECK NUMBER <br />86/BO02 <br />PLAN <br />FEE 60.13 <br />CHECK FEE <br />RECEIPT NO. <br />Rn47R <br />USE ZONE <br />C-1 <br />LOT AREA <br />NA <br />VACANT SITE <br />❑YES IXNO <br />FEES <br />VALUATION <br />FEE <br />ng clP qlIrCh <br />gcli <br />Ir E� <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GflOUP <br />NA <br />NO. OF DWELLING UNITSCO <br />0 <br />BUILDING <br />$11,250.00 <br />92 <br />50 <br />SIZE OF BLDG. <br />408 B-2 1760 <br />NO. OF STORIES <br />-4 1 <br />MAX. OCC, LOAD <br />20 <br />PLUMBING <br />12 <br />00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />YES ;:NO <br />MECHANICAL <br />_ <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC..303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />106100 <br />_ <br />3. FIRE HYDFANT <br />4. FIRE PROTECTION SYSTEM <br />6.GRAOING <br />PERMIT VALIDATION%� CE 4F�II�15'YQDR'PFP�fT' <br />WHEN PROFERLY VALIDATED (I <br />Nf)!J016660 LL <br />CC <br />B SRCH $1.50 L; <br />O-D6 $92.50 c-- <br />PLBG $12.00 <br />CHECK, $106.09 <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />SG <br />PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />LC <br />f <br />ADDRESS FILE <br />