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The Etergreen <br />CITY OF <br />everett <br />CITY HALL 259 8745 <br />EVERETT. WA 982C1 <br />�CONSTRUCTION'' <br />PERMIT <br />❑ COMBINATION Ix BUILDING MECHANICAL <br />PERMIT NO. 12656 <br />❑ PLUMBING <br />OWNER MAIL ADDRESS ( 1, ZIP PHONE <br />R. Rhoads Everett .1iiblic Market 2804 Grand Everett 98201 252-1089 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE 0 <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE A <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY 71P PHONE LICENSE 0 <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION 9C ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />S 1,000.00 <br />DESCRIBE WORK <br />tenant improvement <br />PROPOSED USE OF BUILDING <br />commercial -retail sales <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL;CATION AND KNOW THE .SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINA14CES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT OE OT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR C CEL HE VPROVIONS OF ANY OTHERSTATE OR <br />LOG LA REING CONSTRUCTION OR THE <br />PER ORM CE OTRU�TION. <br />SIGN F ONTSA HORIZ 6ADEN.LAIE <br />X ce./ 11/3/83 <br />LEGAL DESCRIPTION W PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />LOT_BLOCK__ -OF <br />JOB ADDRESS <br />2804 Grand Avenue <br />PLUMBING <br />MECHANICA <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNITS — H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY(WASH BASIN) <br />BOILERS — H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />KITCHEN SINK & DISP. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS — B.T.U. M <br />LAUNDRY TRAY <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 />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT — C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE 8 CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />5 <br />SUB TOTAL S <br />PERMIT <br />$ <br />PERMIT f <br />TOTAL FEE <br />$ <br />TOTAL FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />,..YES L'NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$1,000.00 <br />17 <br />50 <br />SIZE OF BLDG. <br />N0. OF STORIES <br />MA%. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REOUIRED <br />-'.YES : NO <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 />2. BUILDING PLANS <br />TOTAL <br />17 <br />50 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED ON THE P J C�EI TH1jItYfL,11Fj1,11 1T `, <br />L U <br />lv <br />YOUR. RECEIPT. <br />.:.,-?P.NK YOU <br />&GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B.HEALTH <br />ATIONDISTRICT <br />APPLICATION ACC, BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />- 7 la 83 <br />ADDRESS FILE <br />