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rhr !i ^erxrern <br />evere'tt <br />CITY MALL 259�87d5 <br />� coNs-rRucTior� <br />PERMIT <br />PERMIT N0. 1�g��- <br />EVERETT,WA9B201 [] COMBINATION �a'� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MPIL AD�RES'i GITY Ti� PHONE <br />William Cable 7414 Beverly Blvd. Everett 98203 355-4890 <br />ARCHITEGi OP �ESIGNF.H MAIL ADOPE55 L�LV LF PNONE <br />GENERRL CONTRAGTON MAIL AGORESS CITY 21P PNONE LILENSf. � <br />5ame <br />MECNANIf.RL GONTRACTOR MRIL ADORESS GIiY 21P PHONE L�L[NSE � <br />PLUMBING CONTMLTOR MAIL RDORE55 GITY 21P PMOIIE LICENSF � <br />❑ NEW ❑ ADDITION ❑ ALTERhTION �REPAIF ❑ DF.MOLITICN ❑ FENCE ❑ SIGN ❑ WO00 SfOVE/FIREPLACE IN£ERT <br />.U�TION OF WOPK <br />S 1�0�.00 <br />re-roof back half of <br />L01_�LOCK_OF <br />7414 Beverly Blvd. <br />PLUMBIN6 <br />TYPE OF FIXTURE OR ITEM <br />WAi ER CLOSET �701LEn <br />anrHrue <br />LAVATORY�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASMER <br />LAUN�RYTRAY <br />CLOTHES WASMER <br />WATER MEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOF DRAIN <br />VACUUM BREANERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERM�T <br />TOTAL FEE <br />NO.OF <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />6.DRAINAGE <br />7. EYVIRONMENTAL IMPACT STATEMENT <br />0. HEALTH 01STRICT <br />APPLICATION ACC. BV T PLANS CHE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVIS!ONS OF LAWS AND ORDINANCE-5 <br />GOVERNING THIS TYPE GF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THc GRAN7ING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AU'i HORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF AN'� OTHER S�ATE OR <br />LOCAL LAW fiEGULATING CONSTRUCTION OR THE <br />PERFjORMANCE OF COJdSTRUCTION. <br />SIGNRILRE OFAONTArI'IAOR O�RdTdORIZED FGENT � DRTE <br />N0. TYPE OF EOUIPMENT FEE <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGI: EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATEHS — B.TL. M <br />UNIf HEATERS— B.T.U. M <br />EVAPORATIVF:COOLERS <br />CLOTHES DRYERS <br />VENTIL�:fION FAN _ _ <br />RPNGEHOOD <br />AIR HANDLING UNIT — G.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE M1 CHIMNEY <br />FIREPLACE INSEfiT <br />HEAT PUMP <br />s -� — � SUB707AL S <br />s PERMIT S <br />: TO7AL FEE f <br />FAR YARD SETBACK PL/�N CNECK NUMBER PLAN C <br />1CANT SITE <br />VES NO <br />NO <br />DATE <br />FORISSUANCE <br />FEE I RECEIPT NO. <br />VALUA710N I FEE <br />BJILDING I f Z�OOO. I 1% I SO <br />PLUMBING <br />MECHANICAL <br />OTHEH <br />PENAITY U.B C. <br />SEC.30J <br />TOTAL I I 17 I SO <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIOATED �IN TH�yr,S�j�QE) TNI�I�Y�IUjt f�f�11T— -r,y <br />1 <br />�� � <br />. . . . - ' '" I . � �17 <br />. . . . . - 1. I i . . <br />. �:. ,'� :1 <br />ADDRE55 PIIF <br />(�.���:i <br />z <br />0 <br />-a <br />«. <br />� <br />m <br />1� <br />r-� �-'� <br />N 2 <br />0 <br />m <br />co <br />mo <br />c� <br />O 3 <br />—1 2 <br />m� <br />O 2 <br />a -� <br />..r-� <br />...� <br />� N <br />O P <br />'*1 > <br />3 <br />-i m <br />x <br />m �+ <br />N <br />or <br />C VI <br />m N <br />� r <br />• m <br />A <br />--1 <br />S <br />? <br />Z <br />�-I <br />S <br />N <br />Z <br />O <br />-i <br />f') <br />m <br />