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the Ever -. <br />Cr-INSTRUCTION <br />F <br />CITTYYOF <br />everel t <br />PERMIT <br />PFRMIT NO.08557 <br />CITY HALL 259-8745 <br />❑ COMBINATION BUILDING ❑ MECHANICAL. <br />El PLUMBING <br />EVERETT, WA 98201 <br />OWNER <br />MAIL ADDRESS CITY <br />IF <br />PHONE <br />General Nutrition <br />Center <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE <br />Meyer Sign 512� <br />Minor Street Seattle 98109 <br />624-4243 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE # <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />CLASS OF WORK <br />El NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION FIFENCE SIGN ❑GARAGE <br />VALUATION OF WORK <br />y 500.00 <br />PRWOSED 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 />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLGCK_OF _. <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 THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUFF F CONTRACTOR O THOR ED AGENT DATE <br />11 1 O / 8 0 <br />JUB ADDRESS <br />1512 South Broadway <br />X �- <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <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 FIRED A.C. UNITS —TONNAGE EA. <br />SHOWER <br />SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />KITCHEN <br />WALL HEATERS—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 />VACUUM BREAKERS <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL <br />SUBTOTAL $ <br />PERMIT <br />S <br />PERMIT <br />S <br />- <br />TOTAL FEE <br />S <br />TOTAL <br />FEE <br />S <br />SIDE YARD SETBACK 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 />SITE <br />OYES VACANTONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 500.00 <br />5 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE REQUIRED SPRINKLERS <br />MECHANICAL <br />OYES 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 — <br />iS <br />ko <br />3. FIRE HYDRANT <br />PERMIT VALIDATION <br />4. FIRE PROTECTION SYSTEM <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />0 3 53 $ 0 0 5.0 0 --- <br />« <br />S. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />c= <br />APPLICATION ACC. BY PLAIDS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />II t. I If) Piz- C I I PT <br />RB <br />BAB LNC <br />n,".,Ifs YOU <br />ADDRESS FILE I I wy 80 <br />