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TheEv. <br />CITYOF`"ONSTRUCTION - - CITY OF <br />everett PERMIT PERMIT NO.1.1210 <br />CITY HALL 259.8745 <br />EVERETT. WA 982R1 ❑ COMBINATION ®&BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Coach House Gifts 1402 S.E. Everett MALL WAY 98204 347-4235 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />Meyer Sign Co. <br />512t:i Minor North <br />Seattle <br />98109 624-4243 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP PHONE LICENSE <br />ME YE RI S 219B6 <br />PLUMBING CONTRACTOR <br />M%IL ADDRESS <br />CIT' <br />_ <br />LIP PHONE LICENSE, <br />GIAJJ V, WVHR <br />El NEW []ADDITION ❑ALTERATION ❑REPAIR El DEMOLITION FJFENCE IjkGN ❑GARAGE <br />$ 500.00 <br />install illuminated sign <br />PROPOSED USE OF BUILDING <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO. <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CON C ION OR TH E ANCE OF CONSTRUCTION. <br />SI ATU EOF NTRAC iH AGE DATE <br />X / ff: <br />LEGAL DESCRIPTION OFPROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK —OF <br />J00 AppRE55 - <br />1402 S.E. Everett Mall Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET <br />AIR COND. UNITS - H.P. EA. <br />_(TOILET) <br />BATHTUB <br />_ <br />REFRIGERATION UNITS - H.P. EA <br />LAVATORY (WASH BASIN) <br />_ <br />BOILERS - H.P. EA. <br />_ <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 -BT.U. M <br />_ <br />_ <br />LAUNDRY TRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASX.R <br />EVAPORATIVE COOLERS <br />_ <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STO\E <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK ,SERVICE - BAR. ETC.) <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT <br />$ <br />PERMIT $ <br />TOTAL FEE <br />S <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />-PLAN CHECK NUMBER <br />PLAN CHECK <br />FEE <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />EYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$500.00 <br />5 <br />00 <br />SIZE OF SLOG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />MECHANICAL <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />DYES ONO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />5 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />PERMIT VALIDATION �7Ij �U <br />WHEN PROPERL`f VALIDATED (IN THIS �POCc+HI51S �4R� Yf�R� f1 7 O .- <br />UO V[ rW' U I <br />T 0 �1�•ir }"i1'�• <br />N <br />yp� <br />R <br />RE <br />YOUR GCEIf 1" <br />THA y yP L <br />Ifl L`iQ! Mfio�V <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />RF <br />APPR. FOR ISSUANCE BY <br />NV <br />.. ,� JAR <br />ADDRESS FILE <br />