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I;N! Ever„ev" CONSTR UCTi7N <br />CITY UP a PERMIT <br />everett <br />CITY HALL 2508745 <br />EVERETT. WA 88201 COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />DWNER MAIL Farmers Garden Center 3826 Rucker ADDRESS tir 252P!M <br />ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. <br />GENERAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />Anne <br />MECHANICAL CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />PLUMBING CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />m <br />D <br />� <br />C <br />W <br />L; m <br />G• :0 <br />0- <br />f -' <br />PERMIT <br />❑COMBINATION <br />1113UILDING ❑PLUMBING ❑MECHANICAL <br />CLASS OF WORK <br />❑NEW ❑ADDITION [ALTERATION ❑REPAIR <br />VALUATION OF WORK <br />$ 1500.00 <br />❑DEMOLISH ❑FENCE ❑..IGN ❑SWIMMING POOL <br />DESCRIBE WORK <br />Interior Remodel <br />PROPOSED USE <br />Commercial <br />MECHANICAL <br />TYPE OF CNERGY <br />❑GAS ❑ELEC. <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOW OR ATTACH <br />FOUR COPIES) <br />LOT BLOCK —OF <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />AIR COND. UNITS-H.P. EA. <br />S I <br />REFRIGERATION UNITS H.P. EA. <br />i <br />BOILERS - H.P. EA. <br />I <br />— <br />— <br />FORCED AIR SYSTEMS-B.T.0 MEA. <br />— <br />I <br />J08 ADDRESS <br />3826 Rucker Avenue <br />SPACE & WALL HEATERS - B.T.U. <br />UNIT HEATERS-B.T.U. <br />I <br />PLUMBING <br />_ <br />EVAPORATIVE COOLERS <br />I <br />CLOTL.SORYERS <br />_ <br />VENTILATION FAN <br />�— <br />RANGE HOOD <br />I <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />AIR HANDLING UNIT- C.F.M. <br />BATH IUBS <br />S <br />CLOTHES WASHER <br />I <br />WATER HEATER <br />DISH WASHERS <br />I <br />- <br />FAC. BUILT FIREPLACE &CHIMNEY <br />— <br />1 <br />DRINKING FOUNTAINS <br />I <br />FLOOR DRAINS <br />1 <br />OAS. SV STE M: NO OP OUTLETS <br />KITCHEN SINKS & DISP. <br />SUBTOTAL S <br />1 <br />BAR SINKS <br />PERMIT S <br />ROOF DRAINS - RAIN LEADERS <br />TOTAL FEE S <br />I <br />SHOWER BATHS <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC <br />TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF <br />CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A <br />PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP - <br />PLICATI ON AND KNOW THE SAME TO BE TRUE /.ND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES COVER'IING THIS TYPE <br />OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN <br />OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OT13ER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />X <br />SIGNATURE OF CONTRACTOROR AUTH. AGENT DATE <br />SERVICE SINKS <br />SUMPS - SEWAGE PUMP <br />I <br />URINALS <br />WATER CLOSETS <br />I <br />WATER HEATERS -ELECTRIC <br />1 <br />WASH BA-ANS <br />—j <br />LAUNDRY TRAYS <br />— <br />I <br />SUB TOTAL <br />PERMIT <br />S <br />TOTAL FEE <br />WATER SERVICE SIZE BLDG. SUPPLY <br />SIZE <br />SIDE YARD SETBACK <br />STREETSETOACK <br />REAR YAROSETBACK <br />PLAN CHECK NUMBER <br />79/192 <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />9.75 37527 <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP NO. <br />UNITS <br />OF DWELLING <br />I <br />BUILDING <br />$ 3.500.00 <br />15 1 00 <br />SIZE OF BLDG. <br />NO, OF STnRIFS <br />MAX. OCC. LOAD <br />PLUMBING <br />I <br />FIRE ZONE <br />BASEMENT FIRESPRINKLERS <br />REOUIRED <br />OYES ONO <br />MECHANICAL <br />1 <br />SPECIAL CONDITIONS: <br />OTHER <br />I <br />I <br />PENALTY <br />SEC. 3031d <br />— <br />TOTAL <br />15 100 <br />PERMIT VALIDATION <br />WIIFN PROPERLY VALIDAI'1!D (ItJ 711155PACE� 0111- 011 P=_Ii Ail <br />�Llpi)Y7 [J 1 <br />YOUR RI♦ Ky"In <br />THANK,YO� CDj <br />t y <br />-- ----- <br />W ALICATIGN ACCEPTED NY: <br />MIANSURLXtIII1V. PPP <br />HM <br />ROVI T1 p1AWA PY. <br />NryS <br />1 <br />DRESS FILE <br />