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The ET e.c,eeN <br />CIT)OF <br />everett <br />CITY HALL 259-8745 <br />EVERETT, WA 98201 <br />CO�.STRUCTION <br />!PERMIT <br />❑ COMBINATION C�xBUILDING ❑ MECHANICAL <br />PERMIT NO. 06882 <br />❑ PLUMBING <br />O LeRoy Anderson 2933 Rockefeller <br />98201ZP 252-4466 <br />ARCHITECT OR DESIGNER 4AIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Same <br />MECHANICAL EFN CTOR MAIL ADDRESS CITY ZIP PHONE LICENSE F <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />❑NEW XXADDITION ❑ALTERATION ❑REPAIR ❑DEMOLITION El FENCE ❑SIGN ❑GARAGE <br />.UATION OF WORK <br />$ 2,000.00 <br />Addition of Eight Booths <br />PROPOSED USE OF BUILDING <br />commercial <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP. <br />PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYFE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE NTING OF A PERMIT DOES NOT <br />PRESUME TO GIV ORIT TO VIOLATE OR CANCEL THE PRO <br />VISIONS OF AN STA E OR LOCAL LAW REGULATING <br />CO 10 E P RMANCE OF CONSTRUCTION, <br />SIG E PC 4 v AUTII 17 D AGENT DATE <br />10/26/79 <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH FOUR COPIES) <br />7-8 Everett Land Co.'s 1st <br />LOT —BLOCK - - - OF <br />JOB ADDRESS <br />2933 Rockefeller <br />PLUMBING <br />MECHA CAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TY <br />E OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />AIR COND. UNI <br />S — H P. EA. <br />BATHTUB <br />REFRIGERATION UNITS — N.P. EA <br />LAVATORY (WASH BASIN) <br />I 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 <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />SUB TOTAL $ <br />PERMIT S <br />PERMIT $ <br />TOTAL FEE $ <br />TOTAL <br />FEE S <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />79/6882 <br />PLAN CHECK <br />FEE 10. 00 <br />FEE <br />RECEIPT NO <br />44438 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />f -iYES ❑NO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CLNST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$2 F 000. 00 <br />20 <br />00 <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />❑YES ❑NO <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B C. <br />SEC. 303 (a) <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />20 <br />00 <br />4. FIRE PROTECTION SYSTEM <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS 15 YOUR <br />i. <br />;rra 8M S O O ACV <br />00 <br />YOUR RECEIPTC° <br />A' V V O U 0 <br />THANK <br />1' i V i� 1 I <br />5GRADING <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />B. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />HWM <br />APPR. FOR ISSUANCE BY <br />16 M7.19 <br />ADDRESS FILE <br />