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the Evergreen <br />_. *' O N ST R U CT I O N <br />CITY OF <br />+ <br />everett <br />PERMIT <br />PERMIT NO.10301 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 <br />❑ COFABINATION 1XI BUILDING 0 MECHANICAL <br />.1 PLUMBING <br />OWNER <br />MAIL AUORES.9 , IY <br />I'll, <br />PHONE <br />BRYCE KOONTZ <br />2804 Grand Everett <br />98201 <br />258-6281 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />28 <br />GENERAL CONTRACTOR MAIL ADDRESS CITY 71P PHONE LICENSE III <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE IF <br />CLASS OF WORK ❑� <br />NEW ❑ADDITION {(]ALTERATION ryLREPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />s 15,000.00 <br />DESCRIBE WORK <br />Tnhnri nr ro'nnAPT and ronair--CnnnnA c+nry <br />PROPOSED USE OE BUILDING <br />Public Market <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 1 HIS AP - <br />PLICATION AND KNOW THE SAME TO BE TRUE AND 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 CF A PERMIT DOES NOT <br />PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRC- <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFO ANCE OF CONSTRUCTION. <br />SIGNA URE OF CONTRACTOR OKRAUTHORIZED A ENT D6 � g 2ATE <br />X <br />LEGAL DESCRIrTION OF PROPERTY(SHCW BELOW OR ATTACH FOUR COMES) <br />29-Q(, 556 Everett <br />LOT SLO(1K_OF _ <br />JOB ADDRESS <br />04 Grand <br />PLUMBING <br />CHA ICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />0. <br />TYPE OF EQUIPMENT <br />FEE <br />4 <br />1 WATER CLOSET (TOILET) <br />8 <br />00 <br />AIR CONE. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H P. EA <br />3 1 LAVATORY (WASH BASIN) <br />6 <br />00 <br />BOILERS — H.P. EA. <br />_ <br />I SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />4 <br />KITCHEN SINK 8 BIER <br />8 <br />no <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />1 <br />DISHWASHER <br />00 <br />WALL HEATERS — B.T.U. M <br />LIUYDRY TRAY <br />UNIT HEATERS — B.T.U. M <br />_ <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />I CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />nn <br />3 <br />1 <br />VENTILATION FAN <br />RANCE HOOD <br />_ <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />I <br />STOVE <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />1 <br />SINK (SERVICE — BAR, ETC) <br />- <br />SUB TOTAL <br />2A <br />00 <br />SUBTOTAL S <br />PERMIT <br />S <br />PERMIT s <br />TOTAL FEE <br />s <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />82/10301 <br />PLAN CHECK <br />FEE 71.83 <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. - <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />s15 , 000. <br />110 <br />50— <br />SIZE OF BLDG. <br />FIRE ZONE <br />N0, OF STORIES <br />BASEMENT <br />MAX. OCC, LOAD <br />FIRE SPRINKLERS <br />REQUIRED <br />CIYES LINO <br />PLUMBING <br />MECHANICAL <br />28 <br />18 <br />00 <br />00 <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.BC <br />SEC. 303(e) <br />2. BUILDING PLANS — <br />TOTAL <br />156 <br />50 <br />wi <br />3. FIRE HYDRANT 00 <br />4. FIRE PROTERON SYST" <br />�5. GRADING '-_) <br />PERMIT VALIDATION <br />WHENPROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />2 8. U U 3 15 8 2 �' 10.50 <br />C <br />,� YOUR RECEIPT <br />RECEIPT T <br />G I <br />i.11' 1 V <br />l O � I I �L 1,.� � YOU <br />�§. DRAINAGE <br />. ENVIRONMENTAL IMPAG"TATEMENT <br />. HEALTH dISfji)CT <br />;•�I•, <br />�PPLICATIOTI Orr BY <br />(( <br />EB`, .b <br />NS CHECKED BY <br />I KC <br />APPR. FOR ISSUANC,EI " <br />KC <br />AD E <br />��55APRI51FILE 224PRS2 <br />