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nc� L�rcrgreen <br />�,r� �, <br />everett <br />GTV MALL 259�B7d5 <br />^.ONSTRUCTIO�' <br />PERMIT PERMir No. 12319 <br />EVERETT.WA98201 � COMBINATION � BUILDING G MECHANICAL ❑ PLUMBING <br />OWNER NAILADaAE55 QTv 210 PNONE <br />ALLEN TRONDSON 8004 Broadway Everett WA 98203 353-0230 <br />�RGMREGi OR DESIGNER Mal� qDDAE55 GITY ZIO PNONE <br />GENERµCANiR�GTOR M�I��ODaESS qTY ZIP PMONE LIGENSE� <br />Self <br />MEGM4NIGAl CONTHAGTOR MAIL ADDRE55 GITY 21P PMONE LICENSE � <br />PLUMBING CANTP�GTOR MAiL ADDRE55 dTY 21P PNONE LICENSE � <br />SD�JEW ❑ ADDITION ❑ ALTEFATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSEFT <br />.CATION OF WORR <br />5120�.�� <br />onstruct backyard deck <br />C�Y[�I�7 <br />�or 4 BLOLN__OF Edwai'd5 Addn <br />f3'� <br />PLUMBING <br />TVPE OF FIXTURE OR <br />W ATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASH BP.SIN) <br />SHOWER <br />KITCHEN $I VK 8 DISP. <br />DISHWASMER <br />IAUNDRYTRAY <br />CLO7HE5 WASHER <br />WATER NEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUN,BREAKERS <br />ROOF DRA�NS — RAINLEADERS <br />SINK ISERVIGE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />NO. <br />APPROVALS <br />L ENVIRONMENTAL CHECK LIST <br />P BUILOING PLANS <br />9. FIRE HVDRANT <br />A. FIRE PROTECTION SVSTEM <br />5. GFADING <br />6. DRFINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. MEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CME <br />STG <br />FEE <br />�f <br />REAR <br />YES NO <br />MAX. <br />VES NO <br />IY DATE <br />FOHISSUANCE BV <br />DAB I DAB <br />I HEREBY CERTIFY THAT I HAVE REAp AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS 7YPE 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 STP.TE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION „ <br />X l/�� _� ( D/�.—.�- <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNIrS — H.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FINED A.C. UNITS — TONNAGE EA. <br />FORCEO AIR SYSTEMS — B.T,U. M EA. <br />WALL NEATENS — U.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORA�IVE GOOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />FANGEHO00 <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIflEPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FEE f <br />; NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECNANICAL <br />OTHEfl <br />PENALTV <br />s12�0.0� <br />30] <br />oatE <br />8/11/83 <br />FEE <br />RECEIPT NO. <br />FEE <br />TOTAL I I Z O � S O <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) 7M15 IS VOUR PERMIT <br />0410 5�20.50 -- 1 <br />Y��UR RECEIPT <br />� � a /�. (�� ;C Y ^v U <br />ADDRESS f I! L <br />I ! J:uu �' J <br />Z <br />0 <br />-� <br />CY <br />m <br />-� �t <br />N S <br />0 <br />m <br />m o <br />n <br />C 3 <br />m <br />_ -Z-1 <br />m <br />�O Z <br />c <br />a -+ <br />rx <br />--1 N <br />< <br />� <br />O .� <br />�y <br />-� m <br />2 <br />m� <br />N <br />O <br />or <br />�m <br />c tn <br />3 V� <br />m <br />Z ("f <br />�r <br />• m <br />a <br />A <br />-� <br />2 <br />a <br />z <br />--i <br />2 <br />�..� <br />N <br />Z <br />O <br />--1 <br />f� <br />m <br />