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Me Evergreen . • CO RUCTION <br />• <br />CITY OF <br />everelft ERMIT PERMIT NO.07754 <br />CITY HALL 259.8745 <br />EVEaETT WA 98201 ❑ COMBINATION ❑ BUILDING EIKMECHANICAL ❑ PLUMBING <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />OWNER <br />Frederick & Nelson <br />Seattle <br />— <br />_ <br />ARCHITECTORDESIGNER <br />MAIL ADDRESS <br />UITN <br />ZIP <br />PHONE <br />MAIL ADDRESS <br />CITv <br />ZIP <br />PHONE <br />LICENSE / <br />GENERAL CONTRACTOR <br />Newland Construction <br />UCENSEI <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />_ ...... <br />.. .....�-� .,__,.x,,. <br />1:10111 <br />r,9Q-7f,RFi <br />rll-ST- <br />MAIL <br />CLASS OF WORN p1 �yI <br />NEW ❑ADDITION ❑ALTFRALION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN OGARAGE — <br />VALUATION OF WORK <br />s 8,000.00 <br />DESCRIBE WORK <br />PROPOSED USF OF BUILDING <br />Department store <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 />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR CCPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF <br />HEI EIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE AW HORITY TO VIOLATE OR CANCEL THE PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CON RUC THE PERFORMANCE OF CONSTRUCTION. <br />SI ATURE 0 TRA OR R AU HORIZFD AGENT DATE <br />6 / 19/ 8 0 <br />X i/ <br />JOB ADDRESS <br />1402 S. Broadway, Everett Mall <br />MECIIANI <br />AL <br />PLUMBING <br />_. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />AIR COND. UNITS - H.P. EA. <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS - H.P. EA <br />_ <br />BATHTUB <br />- <br />BOILERS - H.P. F_A. <br />LAVATORY (WASH 3.7-1 <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />SHOWER <br />FORCED AIR SYSTEMS B.T.U. M EA. <br />KITCHEN SINK & DI" <br />WALL HEATFflS - B T.U.. M <br />DISHWASHER <br />UNIT HEATERS B.T.U. M <br />LAUNDRY TRAY <br />O <br />EVOT.AES IVECOOLERS <br />CLOTHES WASHER <br />WATER HEATER <br />VENTILATION FAN <br />VENTILATION <br />URINAL <br />`_2 <br />RANGE HOOD <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />STOVE <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />METAL FIREPLACE 8 CHIMNEY <br />- <br />ROOF DRAINS - RAINLEADERS <br />SINK (S'_PVICE - BAR. ETC.) <br />SUBTOTAL <br />$ 6 00 <br />Sur 7OTA.L <br />$ 3 00 <br />PERMIT <br />PERMIT <br />5 <br />TOTAL <br />FEE f <br />TOTAL FEE <br />SIDE YARD SETBACK '.�I REET SETBACK <br />$ <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />RECEIPT NO. <br />FEE <br />USE ZONE <br />LOT AREA <br />V: CANT SITE <br />OYES ONO <br />- <br />REFS <br />VALUATION <br />FEE <br />I <br />TYPE OF C.ONST. <br />OCCUPANCY GROUP <br />70. OF DWELLING UNIT;. <br />BUILDING <br />$ <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />—FIRE SPRI <br />REQUIRED <br />"ERS <br />MECHANICAL <br />ion <br />DYESONO <br />OTHER <br />—� APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />TOTAL <br />9 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT OPERATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />��' <br />3 6 66 $ 0 0 9.00 ---'LCA <br />5. GRAJING <br />6. DRAINAGE <br />rrr�---,,,, <br />` L <br />YOUR n E C C I Ph <br />;. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPR. FOR ISSUANCE BY <br />.4PPLIG TION ACC. BY <br />PLANS CHECKED BY <br />I <br />THANK YOU <br />ADDRESS <br />