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d�e Llrre�een <br /> ��r,�, � �on� �-�R��rior� <br /> everett ��RN� �T PERMIT NO. 1� 1t� � <br /> CITY HALL 259�6745 <br /> EVERET.T,Wq98201 [� COMBINATION � BUILDING ❑ IVIECHANICAL x❑ PLUMBING <br /> OIVNER IdqlLAppFESS G�fY ZIP PHOHE <br /> Snfeway Inc. 11031 State Road R527 Everett <br /> ARCMITECi OR pESIGNER IAqIL AOORE55 CIiY' 21P PHONE <br /> GENERI+L GONTqqCTOR IdAIL ADDRE55 CIIY ZIP PMONE �ILENSE M <br /> Lull Ir.c. 4357 South 104th Plnce Seattle 723-1888 <br /> IdECMANICAL CJNTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE X <br /> LULL343Q1 <br /> PLUTAE3ING CONTqqGTOR MAIL ADDRESS CITV 21P PMONE LICENSE v <br /> CLASS OF WOfiN � <br /> ❑NEW ❑ ADDITION X�I ALTEFATION ❑qEPAIR ❑ DEMOLITION ❑ FENC'c ❑ SIGN ❑ WOO�STOVFJFIREPLACE INSEFT <br /> lFLJAiION UF WORK <br /> S 1rJ��a�.00 <br /> OESCRIBE WOFN <br /> Tenant improvement remodel <br /> z <br /> PROPOSEO USE OF BUILOING p <br /> retail store I HEREBY CERTIFY THAT I HAVE READ AND E�AMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE iRUE AND �� <br /> LEGAL DESCRIPTION OF PROPERTY�SHOW BELOW OR ATTACM FOUF COPIES� �'1 <br /> CORRECT. ALL PROVISlONS OF LAWS AND ORDINANCES • <br /> LOT_BLOCK,OF GOVERNING THIS TYPE OF W�JRK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN �R NOT.THE GRANTING UF A '" " <br /> � �i <br /> _ PERMIT UOES NOT PRESUME TO GIVr AUTHORITY TO VIOLATE r -I <br /> OR CANCEL THE PROV�SIONS OF ANY OTHER STATE OR <n �: <br /> LOCAL REGULATING CONSTRUCTION OR 7HE �`� <br /> PERFO MA O CONST CTION. c o <br /> JOB AODRESS S E ONiRnr,T R Of 0 ZED nGENi q E m C� <br /> 11031 19th S.E. � �.�� � t��� ��_ � � � ,��' <br /> L <br /> PLUMBING MECHANICAL � Z <br /> x -i <br /> NO. TYPE OF FIXTURE OR I7EM FEE NO. 'iYPE OF EOIiIPMEN7 FEE m,r <br /> WATERCLOSET�TOIIET) AIR CON�. U`JITS- H.P. EA. C �' <br /> BATFITUB � -i <br /> REFRIGERA710N UI�ITS- H.P. EA. � r �- <br /> o-r r. <br /> LAVATORY(WASH BASM) BOILERS- M.P. EA. � vi <br /> _ SHO�'JER G4S FIRED A.C. UNITS- TONNAGE EA. � '�l <br /> _ KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS- B.T.U. M EA. �y <br /> _ DISNWASMER _ N!�Ll HEATER$- B.T.U. M � �j <br /> LAUNDRYTRAV UNIT �'EpTERS- B.T.U. M (�7 �-- <br /> — V� <br /> CLOTHESWASHER ___ � EVAAGRATIVECOOLER$ p <br /> _ � WATER HEATER _ CLOTHES DRY[RS n m <br /> C �n <br /> UFINAL VENTILATION FAN 3 �n <br /> ORINKING FOUNTAIN __ RANGE HO00 Z (� <br /> FLOOR DRAIN _ AIR HANDLING UNIT- C.F'.M. .i IrT� <br /> _ VACl1UM BREAKEFS STOVE-WOOD ,pv <br /> ROOF�RAINS- qAINLEAJEFS METAL FIREPLACE 8 CHIMNEV -I <br /> SINK(SERVICE - BAR, E7C.) FIREPLP.CE INSERT � <br /> z <br /> _ HEAT PUMP <br /> --- -� <br /> 2 <br /> N <br /> —'— Z <br /> _ SUB TOTAL S SUB TOTAL S -1 <br /> PERMIT 5 PENMIT 5 C� <br /> m <br /> TOTAL FEE $ TOTAL FF': S <br /> SIDE YARD SETBACK STREET SET�ACK �REAR YARG SETBACH PLAN CHECN NUMBEA P;.4N CHECN FEE <br /> 84�1418� F�E71.83 I aEI,EIPT NO. <br /> USE ZONE LOT AFEA VACANT SITE �z611 <br /> : :YES �._NO FEES � VqLUATION FEE _ <br /> B-2 XX <br /> TYFE OF CONST. OCCUPANCV GROUP NO. OF DWELLING UNITS <br /> B-z BUILDING 5 tS�OOO. ].].O SO <br /> SIZE CF BLDG. N0.OF STORIES MAk.OCC. LOAD — <br /> 1 PLUMBING Q OO <br /> FIRE ZOI.'E BASEMENT FIRE SPRINNLERS MECIIANICAL <br /> REOUI�IED <br /> YES ;NO _ <br /> APPflOVALS BY DATE OTHER <br /> 1.ENVIRONM2NTAL CHECK LIST PENALTI' U.B.C. <br /> 2.BUILDING PLANS SEC.303(al <br /> 3.FIREHYDRANI' TOTAL 114 SO <br /> 4.FIRE PROTECTIUN SYSTEM PERMIT VALIDATION <br /> 5.GRADING WHEN PROPERLV VALi�ATED pN THIS SPACE)TMIS IS YOUg P�RMIT___ � <br /> 6.�RAINAGE . _ , I I.. � �: � <br /> 7.ENVIRONMENTALIM{'ACTSTATEMENT � <br /> B.HEALTH�ISTRICT _C}' <br /> APPLICAT!ON ACC. BY PLANS CHECKED BY IAPPR. POR ISuUAMCE BV � " � `� <br /> sT� �r I T�= � <br /> —�_ <br /> ADDRESS FILE <br />