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1 <br />I <br />the Evergreen <br />CITY OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />CONSTRUCTION <br />PERMIT <br />COMBINATION - BUILDING MECHANICAL • PLUMBING <br />everett <br />,,e <br />OWNER MAIL ADDRESS SIP PHONE <br />n Shop <br />m <br />-I <br />ARCHITECT OR UESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSF NO. <br />lgene Const. P.O. Box 25699, Seattle 363-0303 223-01 AL-GE-N 306B <br />z <br />c: <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />(A.) m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />tA) <br />PERMIT <br />❑COMBINATION <br />N BUILDING ❑ PLUMBING ❑ MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑AUDITION ❑ALTERATION ❑flEPA1R <br />cn <br />VALUATION OF WORK <br />$10000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Store interior at Everett Mall <br />PROPOSED USE <br />MECHANICAL <br />TYPE OF ENERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />$ I <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P, EA. <br />I <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />I <br />JOB ADDRESS <br />slasou�i DRong,rnY <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />PLUMBING <br />EV APO RAT I VE COOLERS <br />CLOTHES DRYERS <br />I <br />VENTILATION FAN <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />FA C. BUILT FIREPLACE &CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />I <br />KITCHEN SINKS & DISP. <br />I <br />SUBTOTAL $ <br />I <br />OAR SINKS <br />I <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, Ofl IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />R"N, 9/30/77 <br />SIG ATUREOFCONTRACTOR AUTH. AGENT ATE <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS - ELECTRIC <br />I <br />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />I <br />1 <br />SUB TOTAL <br />PERMIT S <br />OTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE_ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YAROSETBACK <br />PLAN CHECK NUMBER <br />77/614 <br />PLAN CHECK PEE <br />FEE RECEIPT NO. <br />33.80 24678 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />DYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />II-N S r. <br />OCCUPANCY GROUP <br />F-2 <br />NO. OSF DWELLING <br />UNIT <br />_ <br />1 <br />BUILDING <br />$1O OOO. OO <br />S21 OO <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />3 <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />g3YES ❑NO <br />MECHANICAL <br />I <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 303(a) <br />I <br />TOTAL <br />IRO <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />YOUR RECEM-1) <br />TMA.NK YOU - 1 <br />• -' <br />3*6 0.77 <br />APPLICATION ACCEPTER BY: <br />PLANS 0IECKED tlY: <br />AITROVED FOR ISSUANCE BY. <br />K.C. <br />ADDRESS FILE: <br />