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i <br /> � 1 <br /> drrE�•("m�en � �ONS i'RUCTIOi�• <br /> everett P�RMIT PERMIT N0. 1Z15Z <br /> CITY MALL 259�8745 <br /> EVEFETT,WA9B201 � C6MBINATION �t BUIL�ING ❑ MECHANICAL � PLUMBING <br />� OWNER MAILADDRE55 CITV ZIP PHONE <br />' Hudson Oil Co. P.O. Box 3100 Kansas City Kansas 1 <br /> AflGNITEGi OR OESIGNER ILAIL AD�PE55 CITV 21P PMONE <br /> GENERPL CONTPAGtOR MAIL ApDRE55 GITY ZIP PMONE LIGENSE� <br />� C.A.B. Const. Co. P.O. Box 1024 Bothell 98011 481-0346 <br /> MECHANiCRL'10NTPtCTOR MAIL ADDRE55 ��TY 21P PNONE LIGENSE� <br />' CAHASCC lA0 U2 <br />� — <br /> , PLUMBING LONiRAGTOA MAIL AOORESS CiTY ZIP PHONE LICENSE M � <br /> C�ASS OF\YORN <br /> ❑ NEW ❑ADDITION XjC ALTERATION O 9EPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE�NSEFT <br /> I _ <br /> VPLUATION OF WORK <br /> I S BQ77. <br /> OESCRI�E 1YORN <br /> tenant improvement <br /> PP�POSEO USEOF pU1LDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />� retail sales APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAlDESCRIPTIONOFVPOPERTY(SMOWDELOWO+iATT�GHFOURGOPIES� �ORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> I 17 ,18, 19 305 Everett Div. N GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> I LOi_._BLOLN_OF WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br />� Parcel B Lot 23 , 24, 25, Block 317 pERMITDOESNOTPRESUMETOGIVEAUTHORITYTOVIOLATE <br />� OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br /> LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ��3� PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRE55 SIGF TUR�OF CONTPACTOR 0 AUiNORIZ AGENT OATE <br /> � Broadway X — <br />� PWMBING M HANICAL <br />�` N0. TYPE OF FIXTURE OR ITEM FEE 0. TYPE OF EOUIPMENT FEE — <br /> I _ WATERCLOSET�TOILEn AIR COND. UNITS- H.P.EA. - <br /> BATHTUB REFRIGERATION UNITS- H.P. EA. <br /> LAVATORY�VJASH BASIN) DOILERS- H.P.EA. <br />( SHOWER GAS FIRED A.C.UNIiS-TONNAGE EA __ <br /> IKITCHEN SINK fl DISP. FORCED AIR SYSTEMS- B.T.U. M EA. <br /> I DISHWASHER WALL HEATERS- O.T.U. M <br /> LAUNDRY TRAY UNIT HEATERS- B.T.U. M <br /> CLOTHESVJASHER EVAPORATIVE COOLERS <br /> ]. WATER HEA'iER CLOTMES�RYERS <br /> URINAL VENTILATION FAN <br /> 1 DflINKING FOUNTAIN NANGE HOOD <br /> 2 FLOOR ORAIN AIH MANDLING UNIT- C.F.M. <br /> VACUUM OREAKERS STOVE-W000 <br /> ROQF DRFINS- HAINLEADERS NE7AL FIPEPLACE 8 CHIMNEY <br /> SINK(SERVICE- BAR,ETC.) I°IREPLACE WSERT <br /> � HEAT PUMP _ <br /> SUB TOTAL � P 00 SUB TOTAL S <br /> PERMIT 5 PEflM17 S <br /> 'OTAL FEE S $ OC TOTAL FEE S <br /> SIDE YARD SETBACK Sl'REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> 83�12152 FEEq8. 43 RECEIPTNO. <br /> USE ZONE I.OT AREA VACANT SITE FEES VALUATION FEE <br /> ;-:YES �:KO <br /> TYPE OF CONST. OCCUPANCY GROUF N0.OF DWELLING UNITS <br /> \I-j.J Alter. B-1 � BUILDING S 80�� . �4 $0 <br /> SIZE OF RLDG. NO.Of S70RIES MA%.OCC. LOAD 8 00 <br /> LZOO SQ. Ft. ], 'J PLUMBING <br /> • FIREZONE BASEMENT qE0U5RED KLERS MECHANICAL <br /> .-VES '�..MO: <br /> APPNOVALS BY DATE <br /> OTHER <br /> 7.ENVIRONMENTAL CMECK UST PENALTV UA.C. <br /> SEC.3031a) <br /> 2BUIL�INGPLANS � <br /> TOTAL 8 2 S 0 <br /> 3.FIREMYDRANT w <br /> d.FIFiEPRJT TIONSYSi�#1 PERMITVALIOATION <br /> � WMEN PROPERLY VALI�ATED(IN TMI o z t�THI$�^xOL�R�PEpt✓�T`�(�j <br /> � 5.GRADINQ (� _ � �.� D U I �f 7 U ii� ' <br /> �6.DRAINAGE G � �f <br /> '� 7.ENVIR� MQQALIMP/iGASTATEMENT N <br /> �P PLI�..ilONp16CTBY • PI-ANS CHECKED BY APPR. FOR ISSUANCE BY YO U R �REC E I PTr+ <br /> � THANK YOU <br /> "'' QS� HWM <br /> C =a <br /> w � q ,�u. 8 3 <br /> ADDRESS RLE <br />