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the Evergreen S <br />CITY OF <br />C%NSTRUCT'0N + 4p- - <br />everett <br />PERMIT PERMIT NO 07§' <br />C) <br />CITY HALL 259.8745 LLJ U - <br />®COMBINATION ®BUILDING C� MECHANICAL PLUMBING cU• >- 046 <br />EVERETT, WA 98201 <br />MAIL ADDRESS C'TY ZIP PHONE �[ <br />OWNER <br />Edison Brutner-s Shoes Inc. <br />i <br />ARCHITECT OR DESIGNER <br />_ <br />MAIL ADDRESS CITY ZIP PHONE <br />+�____ <br />GENERAI CONTRACTOR CITY ZIP PHONE }. L`,._IISE <br />MAIL AODPESS <br />11323 Lake City Way Seattle Wa. 98125 5�83-0303 <br />Algene Const. <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS CITY ZIP Al PHON' LICENSE# <br />42AL GE NC 306BE <br />PLUMBING CONTRACTOR <br />MAILADDRESS CITY ZIP PHONE LICENSE <br />CLASS OF WORN <br />❑NEW ❑ADDITION Sii4LTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN EIGARAGE <br />VALUATION OF WORK <br />S 39,350.00 <br />DESCRIBE WORK <br />f Interior remodel of existing building_ <br />PROPOSED USE OF GUI LOING <br />retail sales <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT <br />LEGALDescRlPnoNpFPRCPEGr,ISHowBELOWORAnncHFouRcoPlEsl <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />LOT BLOCK_OF <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 CCNSTRIJCTION. <br />SIGNAT R OF NTRACTOROR UTHORIZED AGENT DATE <br />JO A RESS <br />_;I,6j2-Ruth Broadway Space <br />22 <br />/ l] <br />X <br />MECHANICAL <br />PLUMBING <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />N0. <br />TYPE OF EQUIPMENT <br />FEE <br />2 <br />OO <br />AIR CONC. UNITS <br />WATER CLOSET (TOILET) <br />REFRIGERATION UNITS - H.P. EA <br />BATHTUB <br />2 <br />00 <br />BOILERS - H.P. EA. <br />1 <br />LAVATORY (WASH BASIN) <br />GAS FIRED A.C. UNITS -TONNAGE EA. <br />_ <br />SHOWER <br />FJRCED AIR SYSTEMSB.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 COOLEflS <br />— <br />_ <br />CLOTHES WASHER <br />2 <br />OO <br />CLOTHES DRYERS <br />1 <br />WATER HEATER <br />VENTILATION FAN <br />00 <br />URINAL <br />Q <br />RANGHOOD E <br />DRINKING FOUNTAIN <br />AIR HANDLING UNIT - C.F.M. <br />FLOOR DRAIN <br />-- <br />STOVE <br />VACUUM BREAKERS <br />METAL FIREPLACE & CHIMNEY <br />RCOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR. ETC.) <br />SUBTOTAL <br />B <br />00 <br />SUB TOT S <br />2 <br />O <br />f <br />PERMIT 3 <br />_PERMIT <br />TOTAL FEES <br />3 <br />8 <br />00 <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />N/A <br />PLAN CHECK NUMBER <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />A <br />7381 <br />102.05 <br />48057 <br />USE LONE <br />C-1 <br />LOT AREA <br />VACANT SITE <br />❑YES ONO <br />FEES <br />RALUATION <br />FEE <br />TYPE OF CONST. <br />OCL:UPANCY GROUP <br />NO.OF DWELLING UNITS <br />II-1 Hr. <br />B-2 <br />BUILDING <br />139,850. <br />157 <br />00 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />MAX. DOC. LOAD <br />B <br />00 <br />1 <br />PLUMBING <br />FIFE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />2 <br />00 <br />_ <br />2 <br />OYES <br />LINO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECKLIST <br />PENALTY <br />U13C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />167 <br />OO <br />TOTAL <br />3. FIRE HYDRANT U <br />4, FIRE PROTECTION SYS <br />— <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR <br />W <br />�L�MIO O `_ <br />0733 Jj <br />5. GRADING -< <br />66. DR�� <br />00 <br />ENVIRf1N41J. AL IMPkftTATEMENT <br />C=7. <br />'Y&U R RECEIPT <br />8. HE�AL%EMISTRICT o <br />CD <br />APpKf LICA,I^cr, '. BV , �LANSCHECKED BY <br />APPR. FOR ISSUANCE BY <br />THANK YOU <br />Oo . < 0 HWM <br />U rn <br />-��- <br />1 0 APR 8 0 <br />ADDRESS <br />� <br />