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�hi• c�•erXrren I ._ � <br />����°� �� �C►NSTRUCTIOP'~ �' � � - � <br />everett PERMIT � PERM�T �. 1s1�3s � <br />GTV HALL 259�B7d5 � - <br />EVER'ciT, WA 90201 L COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING �� � --- <br />OWNER a.ow-Western #501 Fulton's M� ADDPESS CI Y, Zl? o� PMOHE' <br />�ossing Limited Partners�ip <br />�'�00 — 11¢ h A� S F C� 't 7f16� nnl lnvnn�_y7p__qg004 r, � d53_Qp ;,_'L_ <br />ARCHITEGt OR DES!GNER MFIL AL_ 1E55 Gtt ZIP <br />p PHONE <br />Same As Owner <br />MECHANICAL CONTRACIOR MAIL qDDP`SS CITY ZIP PMON A=p' • E$E SO � <br />PLUM6ING CONTPACTOq MAIL AD�RESS CITY 21P PHONE UCENSE • <br />�(� NEW ❑ ADDITION ❑ A�TERATION ❑ REPAIR � DEMOLITION ❑ FENCE ❑ SIGIJ O WO00 STOVEIFIREPLACE INSERT <br />VALUATIDN OF WORN <br />s23%�5��.0� <br />UE GNIBE WORK <br />����. �.wn�rin.n �r rnvrcnix �JnpW pELOW OR �TTACH FOIIR GOPIES) <br />�o�arce���19 oF2ntercity addition, Div. #1 <br />in Vol. II of <br />9 records of Snohomish Oo., WA; Parcel "B" E <br />%�'E�bsf NE quarter of Section 24, Twn. 28, R4 <br />Snnhnmich [q,jGhin¢tpn <br />PLUMBING 120 S.E. Everett Mall Way - Bldg. 1 <br />N�• TYPE OF FIXTURE Oq ITEM FEE <br />WATER C�OSET (TOIIEn <br />;Z BATHTUB �� �, <br />LAVATORY�WqSH BASIN) <br />SHOWE(7 <br />KITCHEN SINK & OISP. <br />DISHWASHER <br />LAUNDRVTAAY <br />C�OTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS�hOSE` }7 <br />ROOF DRAINS — RAINLEADERS <br />SINK (SrFVICE — BAR, ETQ) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />SIDE YARD SETBACK STqEET SETBAi <br />USE ZONE LOT AREA <br />TYPE OF CONST. OCCUPANCY GI <br />V-N R-1 <br />SIZE OF BLDG. NO. OF STORIE: <br />17,888 SF 2 <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING P�ANS � <br />3. FIqE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />—G. DRAINAGE . .� <br />'�7.ENVIRONMENTALIMPACT9TATEMENT <br />; 6, HEAL7H DISTRICT � ' <br />APPLICATION ACC. BY � LANS�p BY <br />� <br />�. n <br />JEF <br />' 3 8 <br />S <br />S <br />REAR YARD SETBACK <br />VACANT SITE <br />}(YES ;.'.NO <br />VO, OF OWELLING UN <br />16 <br />NAX.00C.LOAD <br />LC <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS UF LAWS AND ORDINANCES <br />GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR' O�Fy ONTAqCTO�R O�R uTMORIIED AGENT OATE <br />X �%l� � ' �l1.!/�.� Z/�'S i �'6 <br />MECMANICAL <br />TYPE OF EOUIPMENT <br />AIH COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS ��- H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.7.U. M EA. <br />WALL HEA7ERS — B.7.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD_ Vept1�SS <br />AIR HAN�LING UNIT — C.F.M. <br />STOVE — INOOD <br />METAL fIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />YLAN CMECK NUMBER <br />85/�9335 1G138 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OATE � O7F.cR <br />PENALTY <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE11493. 95 <br />VALIIATION <br />S <br />U.B.C. <br />SEC.303 <br />FEE <br />= 240 OC <br />5 <br />5 24 <br />�HECK FEE <br />RECEIP7 NO. <br />A 9��— <br />FEE <br />776 75 <br />306 00 <br />240 00 <br />TOTAL I I 1324 I75 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDAiED pN THI i SPl�CFI THIS,IS � O�IF} PEAh11T _.�� <br />� / � �1. i .7 _ <br />BY <br />i�G')Fr ,:!i FII i� <br />