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The Evergreen <br />CITY OF <br />,ONSTRUCTIOt' <br />evierett PERMIT PERMIT NO. 14769 <br />CITY HALL 259-8745 I� I�i <br />EVERETT, WA 98201 ® COMBINATION a BUILDING 12d•MECHANICAL RPLUMBING <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Fo:xey's Pub and Eatery 607 S.E. Everett Mall Way Everett 98204 771-7151 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE# <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE N <br />❑ NEW ❑ ADDITION XXALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />LUATIO14 OF WORK <br />S 23,000.00 <br />Tenant improvement-Restrooms, Kitchen, Bar, Office <br />PROPOSED USE OF BUILDING <br />Tavern <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE ONSTRUCTION. <br />SIGNATUflE F ACTO OR AUTHORIZED AGENT DATE <br />x S <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT 4 13LOCK_OF <br />JOB ADDRESS <br />607 S.E. Everett Mall Way <br />PLUMBING <br />MECHA ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />3 <br />WATER CLOSET (TOILET) <br />6 <br />00 <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />4 <br />LAVATORY (WASH BASIN) <br />8 <br />00 <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />2 <br />KITCHEN SINK & DISP. <br />4 <br />00 <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />nn <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />rO <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />_ <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />$ <br />SUB TOTAL $ <br />3 s <br />nn <br />PERMI'i <br />i <br />PERMIT $ <br />TOTAL FEE <br />$ <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />N/A <br />STREET SETBACK <br />N/A <br />REAR YARD SETBACK <br />N/A <br />PLAN CHECK NUMBER <br />85/14769 <br />PLAN <br />FEE 103.03 <br />CHECK FEE <br />RECEIPT NO. <br />76070 <br />USE ZONE <br />C-1 <br />LOT AREA <br />N/A <br />VACANT SITE <br />DYES }W <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />V-1 Hr. <br />OCCUPANCY GROUP <br />A-3 <br />NO. OF DWELLING UNITS <br />O <br />BUILDING <br />$25,000. <br />158 <br />50 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />1 <br />MAX. OCC. LOAD <br />111 <br />PLUMBING See Perm <br />t #14790 <br />,j <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES ONO <br />MECHANICAL <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />00 <br />2. BUILDING PLANS <br />TOTAL <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 11 IS YOUR PERMIT �C1 <br />I <br />5.GRADING ' <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT ' <br />APPLICATION ACC. BY <br />STG <br />1,_,PLANS CHECKED BY <br />JEF <br />APPR. FOR ISSUANCE BY <br />LC <br />z <br />O <br />C) <br />rn <br />H --I -nm <br />... -I <br />Nm <br />co <br />mCD <br />-I c <br />O 3 <br />Hz <br />m� <br />O Z <br />C <br />rx <br />1-y M-I <br />�y <br />T <br />O A <br />-n a <br />3 <br />-H m <br />S <br />m H� <br />N <br />Or <br />n m <br />C N <br />3 N <br />m <br />zn <br />it <br />. rn <br />a <br />A <br />-I <br />S <br />a <br />2 <br />S <br />N <br />Z <br />O <br />r <br />n <br />m <br />I <br />-1 <br />ADDRESS FILE <br />) <br />