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1hr[rcrFrrcn . �,�ONSTRI�CTIOF� <br />!.tvG� � � �-. , <br />everett PERMIT PERMIT NO. �4012 <br />CITv HALL 259-0745 <br />eveaert wa sszoi [� COMBINATION Q BUILUING � MECHANICAi � PLUMBING <br />OWNER MAILADOPESS CITY ZIP PMONE <br />Pay'n Save Corp 1511 Sixth Seattle 98101 <br />APGHITECi OR DESIGNER MFIL AO�PESS CITY ZIP PHONE <br />GENEAAL CONTRACtOR MAII ApOHESS CITY ZIP PHONE LICENSE N <br />MELHANICAL CONTRACTOR MAIL AOORESS CITY ZIP PHONE UCENS[ N <br />PLUMBiNG GONTRACTCN MAIL ADDRE55 CITY ZIP PHONE LICENSE M <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIOtJ ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VA:UATION OF W�PN <br />S ��oi4�%ii.ao <br />Construct Ernst Home Center <br />retail Snles <br />LOT _ BLOCN _OF <br />�oenooaess <br />1325 A S <br />PLUMBItrG <br />TYPE OF FIXTURt OR ITEM <br />WATER CLOSET�TOILEn <br />BA7HTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN S�NK & DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />F�OOR DRAIY <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PFRMIT <br />TOTAL FEE <br />III-N B-2 <br />�IE �Rt.eYC NO. OF STOI <br />CJ �l!/ <br />'A4-f�i-.--�t. <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1.ENVIRONMENTALCHECKIIST <br />2. (iUIL�ING PLANS <br />3. F.:ie HYORANT <br />G. FIRE PROTECTION SYSTEM <br />5: GRADI`7G <br />E: DRfJNAGE <br />;7.ENVIRONMENTALI <br />6: HEALTM DISTRICT <br />L.C, <br />, .i <br />-PLANS CHECKED BY <br />HWM <br />FOUR COPIES) <br />� �1 <br />ti 64 00 <br />S <br />s 64 00 <br />REAR YAriD SE7BACK <br />VACANT SITE <br />YES :_NO <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRI�E AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES tJOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOC W RsGULATING CONSTRUCTION OR THE <br />PER CIRMA CE CjF GONSTRUCTION. . <br />MECH{WICAL ( � <br />N0. TYPE OF EOUIPMENT <br />J AIR COND. UNITS — H.P. EA. <br />REFl11GERATION UNITS — H.P. EA. <br />BOILERS — H.F. EA. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />S WALL HEATERS — B.T.U. M <br />2 UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HES DRYEAS <br />3 VENTIL4TION FAN <br />RANGEHOO� <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREFLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT Pl1MP <br />SUBTOTAL E bN UU <br />PERMIT S �— <br />TOTAL FEE S 69 I VU <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />84/14012 FEE 32540001 RECEIF7r;o <br />724h4 <br />FEES VALUATION FEE <br />u BUILDING s1�024�722 2794 81 <br />rnnx. occ. �oao <br />1Q4� PLUMBING G4 00 <br />FIRE SPRINKLERS MECHANICAL 69 OO <br />REOUIHED <br />� �.YES -.NO ---- <br />BY DATE O�HER <br />PENALTV U.B.C. <br />SEC. 303 (a) <br />— 70TAL 2877 81 <br />PEHMIT VALIDATION - <br />WHEN PROPERLY VAUDATEO QN THIS SPACE�.TNIS IS YOUR PERMIT ,_�J j <br />� �• <br />Q <br />�' <br />� <br />APPR.PORISSUANCE BY <br />L,C. <br />ADDRESS FIL[ <br />