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the Evergreen <br />^O N ST R U CT I O N <br />CITY OF <br />evereff <br />PERMIT <br />PERMIT NO.10477 <br />CITY HALL 259.8745 <br />I- <br />❑ COMBINATION RkBUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />EVERETT, WA 98201 <br />OWNER ueorge S <br />Mustacne MAIL ADDRESS CL <br />ZIP <br />PHONE <br />George A. Mears 1512 S.E. Everett Mall Way Everett 98204 <br />353-3144 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOP <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE _ICENSE <br />Same <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITP <br />ZIP <br />PHONE LICENSE <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE � <br />CLASS OF WORK <br />❑NEW <br />❑ADDITION 20kLTEHATION CREPAIR ❑DEMOLITION ❑FENCE <br />❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />$ 500.00 <br />DESCRIBE WORK <br />4anan} <br />imnrnvcmonl- <br />PROPOSED USE OF BUILDING <br />retail sales <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />31.ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE Or 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 />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />X r 2 4/22/82 <br />LEGALL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOURCOPIES) <br />LOT BLOCK_OF <br />JOB ADDRESS <br />1512 S. E. Everett Mall Way <br />PLUMBING <br />MECH AL <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 />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />BOILERS — H.P. EA. <br />SI:OWER <br />GAS FIRED AC. UNITS — TONNAGE EA. <br />KITCHEN SINK 8 DISP. <br />FORCED AIR SYSTEMS — B T.U. H EA, <br />DISHWASHER <br />WALL HEATERS —B.T_U. M <br />LAUNDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />_ <br />VENTILATION FAtJ <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — f:.F M. <br />VACUUM BREAKERS <br />STOVE _ <br />ROOF DRAII'S — RAINLEAOERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVIC' — BAR. ETC.) <br />SUBTOTAL <br />SUB TOTAL $ <br />_ <br />_ <br />PERMIT <br />$ <br />PERMIT S <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <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 />OYES 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 />10 <br />00 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX OOC.LOAD <br />PLUn1BING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />DYES <br />SPRINKLERS <br />ONO <br />MI.CHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />10 <br />2. BUILDING PLANS <br />TOTAL <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT' VALIDATION <br />WHEN FROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />I C e �.O 10.00 <br />. O a �t rt <br />7 G I� <br />°d <br />YOVR RECEIPT cC- <br />SHANK YOU <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STA"EMENT <br />6. HEALTH DISTRICT - <br />APPLICATION ACC. BY PLANS CHECKED BY <br />APPH. FOR ISSUANCE BY <br />2 <br />ADDRESS Fla_.E Am $z <br />