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1 <br />the FYCTYOF <br />rKONSTRUCTION <br />everett <br />PERMIT <br />11221 <br />PERMIT NO. <br />CITY HALL 259.Bi,15 <br />EVERETT, WA 98201 <br />❑ COMBINATION (L�i BUILDING ❑ MECHANICAL <br />J PLUMBING <br />OWNER <br />NICHE <br />MAILAVDRL59 GRv <br />_�iP <br />George Schuh <br />Everett <br />98201 <br />259-0814 <br />ARCHITECT OR DESIGNER <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE <br />GENERAL CONTRACTOR <br />PHONE LICENSE <br />MAIL ADDRESS CITY <br />ZIP <br />Les White <br />Const. 308 73rd S.W. Everett <br />98203 355-9680 <br />r MECHANICAL CONTRACTOR <br />Mh, ADDRESS CITY <br />ZIP <br />PHONE LICENSE♦ <br />WH IT EL <br />L25509 <br />PLUMBING CONTRACTOR <br />MAIL ADDRESS CITY <br />ZIP <br />PHONE LICENSE♦ <br />L. <br />L <br />CLASS OF WORK <br />[)NEW ❑ADDITION aALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE ❑SIGN ❑GARAGE <br />VALUATION OF WORK <br />f 15,000.00 <br />tenant improvement <br />PROPOSED USE OF BUILDING <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 />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <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 CONSTRUCTION. <br />SIGNATURE Of ACTOR OR AUTHORIZED A FNT LITL <br />X I <br />LEGAL DESCRIPTION OFPROPERTY ISHOWBELOW ORATTACH FOUR COPIESI <br />3 thru 10 639 Mitchell Land Imp.lst <br />LOT BLOCK —OF <br />JOB ADDRESS <br />2701 Walnut <br />PLUMBING <br />MECHANICAL <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. [A. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA <br />LAVATORY (WASH BASIN) <br />DOILERS — H.P. EA, <br />SHOWER <br />GAS FIRED A . UNITS —TONNAGE EA. <br />KITCHEN SINK B DISP <br />FORCED AIR SYSTEMS—B.T.U. MEA. <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 />_ <br />WATER HEATER <br />I 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 B CHIMNEY <br />SINK (SERVICE — BAR. ETC) <br />SUBTOTAL <br />SUBTOTAL f <br />PERMIT f <br />PERMIT f <br />TOTAL FEE f <br />TOTAL <br />FEE f <br />SIDE YARD SETBACK <br />STREET SETBACK <br />HEAR YARD SETBACK <br />PLAN CHECK NUMBER <br />82/11221 <br />PLAN CHECK <br />FIE 71.83 <br />FEE <br />RECEIPT No. <br />�,ga..yq__ <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />LIVES LINO <br />FEES <br />VALUATION <br />---'FE <br />TYPE OF CLNST. <br />Alteration V- <br />OCCUPANCY GROUP <br />Hr. B-2 <br />W. OF DWELLING UNITS <br />BUILDING <br />f15,000• <br />110 <br />59 <br />SIZE OF BLDG. <br />NO, OF STORIES <br />1 <br />MAA. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE <br />REQUIRED <br />RYES <br />SPRINKLERS <br />(XM <br />MECHANICAL <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />I. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U B C, <br />SEC. 303(a) <br />2 BUILDING PLANS <br />3. FIRE HYDRANT <br />TOTAL <br />110 <br />50 <br />4. FIRE PROTECTION SYSTEM <br />5. CRADING <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACF� Tf11•$ 15 YOURITKITo• C O <br />u O i U i 1 J C\ <br />C\ <br />YQIf" RECE10 <br />J HM K Y p lr <br />6. DRAINAGE <br />7 ^. HONMENTAL IMPACT STATEMENT <br />8. H'•,LTH DISTRICT <br />APPLICATION ACC. BY <br />EB <br />PLANS CHECKED BY <br />HWM <br />APPH. FOR ISSUANCE BY <br />LC <br />ADDRESS FILE <br />II 6 NUT o L <br />T <br />J <br />L j <br />