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the Evergreen C(*STRU CT' 0 N 09 <br />CITY OF <br />everett PERMIT PERMIT NO. 07515 <br />CITY HALL 259 8745 <br />EVERETT. WA 98201 ❑ COMBINATION ® BUILDING ❑ MECHANIC&L El PLUMBING <br />MAILADDRESS <br />CITY �- <br />ZIP <br />PHCNL <br />OWNER <br />Leeds Shoe Store <br />#3981 1512 South Broadway <br />Everett <br />98204 <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />APCHITECT OR DESIGNER <br />GLNENAL CONTRACTOP <br />MAILADDRESS <br />OIL <br />ZIP <br />98133 <br />PHONE <br />365-0242 <br />LICENSE# <br />27022 <br />S. & S. Sign Co. <br />13190 Store Avenue N. Seattle <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICE ISEI <br />MECHANICAL CONTRACTOR <br />MPIL ADDRESS <br />CITY <br />21P <br />PHONE <br />LICENSE/ <br />PLUMBING CONTRACTOR <br />❑NEW ❑AUDITION ❑ALTERATION ❑REPAIR <br />1844.00 <br />erect illuminated <br />(SHOW <br />LOT BLOCK_OF <br />Broadww�Y <br />❑DEMOLITION ❑FENCE IR361GN ❑GARAGE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE ANC 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 OGIVE AUTH09ITY OVIOLATE R <br />PRO- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONS RUCTION OR THE P FORMANCE OF CONSTRUCTION. <br />SIGN E OF CUNT CT OR AUT ZED AGENT DATE <br />94. , . /) , , A / I 4/28/80 <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR COND. UNITS — H.P. EA. <br />WATER CLOSET (TOILET) <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 />FORCED AIR SYSTEMS —B.T.U. M EA. <br />KITCHEN SINK & DISP. <br />WALL HEATERS —B.T.U. M <br />DISHWASHER <br />UNIT HEATERS — B T.U. M <br />LAUNDRY TRAY <br />EVAPORATIVE COOLERS <br />— <br />CLOTHES DRYERS <br />CLOfHES WASHER <br />WATER HEATER <br />VENTILATION FAN <br />URINAL <br />RANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE &CHIMNEY <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />SUBTOTAL $ <br />SUB TOTAL <br />PERMIT f <br />PERMIT <br />S <br />S <br />REAR YARD SETBACK <br />TOTAL FEE f <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />TOTAL FEE <br />STREET SETBACK <br />SIDE YARD SETBACK <br />VACANT SITE <br />OYES ONO <br />NO. OF DWELLING UNITS <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />USE ZONE <br />LOT AREA <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />MAX. OCC. LOAD <br />BUILDING f 1844.00 9 00 <br />SIZE OF BLDG, <br />NO. OF STORIES <br />FIRE SPRINKLERS <br />REQUIRED <br />PLUMBING <br />MECHANICAL <br />FIRE ZONE <br />BASEMENT <br />❑YES ONO <br />BY DATE <br />OTHER <br />APPROVALS <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY U.B.C. <br />TOTAL 9 00 <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM —_ <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />14 18 $ 0 0 q, 0 0 -- <br />5, GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATP..ENT <br />_ <br />YOUR RECEIPT <br />B. HEALTH DISTRICT <br />APPR. FOR ISSUANCE BY THANK Y O U <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />LNC <br />28n80 <br />