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the Evergreen <br />CITY OF <br />evere l <br />CONSTRUCTION <br />PERMIT <br />•s <br />PERMIT N0. 08031 <br />CITY HALL 8 <br />EVERETT. WAA 9620101 ❑ COMBIWAT1UN gBUILDING ElMECHANICAL ❑ PLUMBING <br />OWNER <br />MAILAWRESS CHY ZIP PHONE <br />Connie Shoes 1402 South Broadway <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />ONE LICENSE F <br />GENERALCONTRACTOR MAIL ADDRESS CITY ZIP PH <br />Meyer Sign 512' Minor Seattle 624-4243 <br />MAIL ADDRESS CITY ZIP PHONE LICENSE <br />MECHANICAL CONTRACTOR <br />LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY ZIP P110NE <br />CIASS OF WORK <br />❑D:EW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FE'I:E aSIGN DGARAGE <br />5 500.00 <br />install illuminated letters <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 />Lor__BLocK_oP <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 />CONSTRUCTION OR TH�WERFORMANCE OF CONSTRUCTION. <br />SIGNATURE CONTRACTOR AU GATE <br />7/ 2 9� B 0 <br />X <br />JOB ADDRESS <br />1402 South Broadway <br />`^� <br />MECHANICAL <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P . EA <br />REFRIGERATION UNITS — H.P. EA <br />BATHTUB <br />BOILERS — H.P. EA. <br />LAVATORY (WASH BASIN) <br />GAS FINED A.C. UNITS —TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS —B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALLHEATERS — B T.U. M <br />DISHWASHER <br />UNIT HEATERS —B.T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />CLOTHES WASHER <br />CLOTHES DRYERS <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT — C.F.M. <br />FLOOR DRAIN <br />'STOVE <br />VACUUM OREAKERS <br />METAL FIREPLACE & CHIMNEY <br />RCCF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />1 <br />SUB TOTAL $ <br />SUBTOTAL <br />PERMIT S <br />PERMIT <br />$ <br />TOTALFEE f <br />TOTAL FEE <br />$ <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />STREET SETBACK <br />REAR YARD SETBACK <br />SIDE YARD SETBACK <br />N0. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑NOTYPE <br />FEES <br />FEEOYES <br />OF C014ST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITSBUILDING <br />IFEECEIPT <br />5 <br />CO <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />MECHANICAL <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />REQUIRED <br />DYES ONO <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 5 00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />SPACE) ?:JIS IS YOUR <br />WHEN PROPERLY VALIDATED (IN THIS $ <br />EJJ OoE�Mlo O <br />JJ I <br />5. GRADING <br />cy <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />`` pp <br />'i �� IA RtiC f I PT <br />B. HEALTH DISTRICT <br />c <br />APPLICATION AC(: BY PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />T; -I AN Y, Y O U <br />BAB <br />U JUL 0 U <br />