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the EveweIen <br />�~ <br />CITYOF C INSTRUCTION - <br />CITY OF " everett PERMIT PERMIT NO. 21472 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION D BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING ❑ SIGN <br />OWNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />General Cinema <br />Corp. <br />1280 Boylston St. <br />Boston, MA 02167 <br />($617)277-4320 <br />ARCHITECT 04 DESIGNER <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE <br />Ploctor Dist. <br />2335 <br />Inca St.S. Denver CO <br />80223 303-934-5455 <br />GENERAL GUN 'FACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE N <br />Homan Const. <br />3464 <br />Trabue Rd. Columbus <br />OH 43204 (614) 471-0577 HOMANCM188BK <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION C ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />$ 57,000.00 <br />Remove and zap® replace concession stand <br />HEAT SOUPCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />Movie Theater. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED Th115 <br />APPLICATION AND KNOW THE SAME TO BE TRUE 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 NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMAN E OF CONSTRUCTION. <br />SIGNATURE OF CONTR C R. AUTHORIZED AGENT, OR OWNER DATE <br />3I B <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW O? ATTACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />1402 SE Everett Mall WayX <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />YPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H.P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - B.T.U./H.P. <br />SHOWER <br />GAS FIRED A.C. UNITS - B.T.U. <br />_ <br />KITCHEN SINK S DISP, <br />FORCED AIR SYSTEMS - BTU. M EA. <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC) <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTALFEE <br />$ <br />TOIDIfE 7 T <br />'i <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />89/21472 <br />FEE <br />wOA <br />RECEIPT NO. <br />14487 <br />USEZONE <br />C-1 <br />LOT AREA <br />VACANT SITE <br />DYES ENO <br />FEES <br />TION �,- <br />FEE <br />BUILDING <br />y7�C)bOD gb4 <br />.50 446100 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />A-3 <br />NO. OF DWELLING UNITS <br />0 <br />PLUMBING <br />SIZE OF BLDG. <br />N0. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />- <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED 0 YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC. BY <br />S.H. <br />PLANS CHECKED BY <br />J.W. <br />APPR FOR ISSUANCE BY <br />J.W. <br />DRIVEWAY PERMIT <br />TOTAL <br />449150 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADi?RESS F!Lv <br />