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the Evergreen CITY OF 1 • C r 1\ ST R U CT' O N <br />A <br />everett PERMIT PERMIT NO.08470 <br />CITY HALL 2598745 <br />EVERETT. WA 98201 ❑ COMBINATION ❑ BUILDING Ei MECHANICAL ❑ PLUMBING <br />OWNED MAIL AODRE55 CITY ZIP PHONE <br />H & L Sporting Goods 1410 South Broadway <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP SHONE LICENSED <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />III <br />Bayles Brothers 13807 Lake City Way Seattle 364-1100 <br />MAIL ADDRESS <br />CLASS OF WORK <br />El NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE I-] SIGN ❑GARAGE <br />VALUATION OF WORK <br />E <br />PHONE <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 />CONST UCTION OR THE PERFORMANCE OF CONSTRUCTION. <br />SIG NA OF CONTRACTOR OR AU HOR12 D A3EIr DATE <br />X <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT BLOCK—oF <br />Q 2 <br />JOB ADD <br />South Broadway <br />PLUMBING <br />M CHANICAL <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 />SHOWER <br />GAS FIRED A.C. UNITS —TONNAGE EA. <br />KITCHEN SINK 8 DISR <br />1 <br />FORCED AIR SYSTEMS — B T.U. M 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 />_ <br />WATER HEATER <br />URINAL <br />CLOTHES DRYERS <br />VENTILATION FAN <br />3 <br />00 <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />S10\'E <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />EINK (SERVICE — BAR. ETC.) <br />SUB TOTAL <br />PERMIT <br />$ <br />SUB TOTAL $ <br />PERMIT S <br />9 <br />3 <br />00 <br />00 <br />TOTAL FEE <br />S <br />TOTAL <br />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 DYES ONO <br />FEES <br />VALUATION <br />FEE <br />_ <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO, OF DWELLING UNITS <br />BUILDING <br />5 <br />SIZE OF'dLDG. <br />NO. OF STORIES <br />MAX. DOC. LOAD <br />- <br />PRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />DYES ONO <br />12 <br />00 <br />FHANICAL <br />i_— APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />U.B.C. <br />SEC. 303 (a) <br />— <br />2. BUILDING PLANS <br />TOTAL <br />—' <br />12 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />- <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />9 4 6 1 '� 2. 0 0 -CA <br />ti <br />1 <br />YCI U R RcC E 1 PTo <br />I-i A INK Y O U <br />5. GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY <br />B.W. <br />APPR. FOR ISSUANCE BY <br />L.C. <br />