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the Evergreen <br />CITY OF <br />everett <br />CITY HALL 2598745 <br />EVERETT WA 98201 <br />CONSTRUCTION <br />y everett <br />PERMIT <br />COMBINATION • BUILDING A MECHANICAL • PLUMBING <br />OWNER MAIL ADDRESS ZIP PHONE <br />-0 <br />Jay Jacobs 1530 5h Ave. Seattle 622-5400 <br />ITl <br />ARCHITECT OR DESIGNER MAIL AD pR ESS PI10NE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />z <br />C <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />W <br />ouble A Construction Co. Inc. 524-0300 DO UB LZ 23 <br />QQ m <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PERM:T CLASS <br />OF WORK <br />❑CUMBINATION <br />BUILDING ❑PLU'MBING ❑MECHANICAL <br />❑NEW ❑ADDITIDN ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />s 35,000.00 <br />❑DEMOLISH ❑FENCE ❑SIGN ❑SWIMMING POOL — <br />DESCRIBE WORK <br />interior remodel <br />PROPOSED USE MECHANICAL <br />retail store - <br />TYPE OF ENERGY <br />LEGAL DESCRIPTION OF PROPERTY (SHCVJ BELOW OR ATTACH ❑GAS ❑ELEC. _ <br />FOUR COPIES) <br />NO. TYPE OF EQUIPMENT FEE _ <br />LOT GLOCK._—OF— AIR CONO. UNITS—H.P. EA. 3 _, <br />REFRIGERATION UNITS-H.P. EA. <br />BOILERS-H.P. EA. 1 __ <br />FORCED AIR SYSTEMS-B.T.U. MEA. <br />Jay Jacobs <br />JOB ADDRESS <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />1512 South Broadway <br />EVAPORATIVE COOLERS <br />PLUMBING <br />CLOTHES DRYERS <br />1 _ <br />—�- <br />VENTILATION FAN <br />RANGE HOOD <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />LI - <br />BATH TUBS <br />S <br />I <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />1 <br />FAC. BUILT FIREPLACE & CHIMNEY <br />I <br />DRINKING FOUNTAINS <br />I <br />GAS. SYSTEM: NO OP OUTLETS <br />FLOOR DRAINS <br />1 <br />SUBTOTAL 5 <br />I <br />KITCHEN SINKS & DISP. <br />1 <br />PERMIT 8 <br />TOTAL FEE $ 1 <br />BAR SINKS <br />ROOF DRAINS - RAIN LEADERS <br />T— <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- <br />SHOWER BATHS <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR 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 1 HAVE READ AND EXAMINED THIS AP <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS --ELECTRIC <br />I <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE <br />OF WORK WILL BE CON'PLIED 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 />WASH BASINS <br />I <br />LAUNDRY TRAYS <br />- <br />AN V OTH ATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE RFO MAN CONSTRUCTION. <br />I <br />I <br />SUB TOTAL <br />PERMIT <br />$ <br />TOTAL FEE <br />WATER <br />SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />URE OF CONTR CTOROR AUTH. AGENT DATE <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 />78/574 <br />92.30 <br />33455 <br />-- <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />FEES <br />VALUATION <br />FEE <br />OYES ONO <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />140. OF UNITS DWELLING <br />I <br />BUILDING <br />$�3S TOOO.00 <br />1421 <br />SIZE OF BLDG. <br />NO. Or STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />9 I 00 <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />I <br />OYES ONO <br />MECHANICAL <br />OTHER <br />I <br />I <br />SPECIAL CONDITIONS: <br />- - _-_— <br />PENALTY <br />SEC. 003(4) <br />AAIXRR <br />--_ - <br />TOTAL <br />IT VALIDATION 5775- w `-O~ <br />f#90010LYV=L TfD(1NTII1S5PAC E) R PE RMIT <br />-- - <br />yQUR RE'+GEti�� <br />-- - - <br />uR REC�i THANK Youco'Y <br />I <br />You � ?` <br />r.PP(If.ATION ACCEPTED tlY: <br />PLANS LHECKED bY; <br />AmnovtO FORT- pY <br />APRE SIFpY1t 1 __ <br />