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„1e�"Pr�leP° - ,oNsr�ucrior <br />cirv oF � �_� , 'r 1^ � <br />������� ���MI� PERMIT N0. 16421 <br />CITY HALL 259�tl745 <br />EVERETT, WA 98201 � COMBINATION �] BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MFII q�DRE55 CITY ZIP PHONE <br />Carlson Jewelers 6829 Evergreen �verett 252-6213 <br />ARCMITECi Ofl OESIGNEF MAIL AOORESS CITY ZIP PHONE <br />GENERaL CONTRACTOR MAI� AODRESS CITY ZIP PMONE LICENSE N <br />Tube Art Signs P.O. Box 9012 F.verett, WA 98206 8& 252-0086 TUBEASI1618M <br />MECHANICAL CONTRACTOF MqIL ADDFESS CITV 21P PMONE IICEN$E a <br />PlUM81NG CONTRACTOR MAIL AOORESS CITY 21P PMONE LICENSE N <br />(11� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />.UATION OF WORN <br />s 5900.00 <br />Install illuminated awning <br />Retail jeweler <br />LOT _BLOCK _OF <br />V�^u6829 Evergreen <br />PLUM9ING <br />TYPE OF FIXTURE OF <br />WATER CLOSET (701LET) <br />6ATHTUB <br />L4VATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHE: WA�HER <br />WAT[R HEATCR <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR OFAIN <br />VACUUM BREAKERS <br />FOOF �RAINS — RAINLEADERS <br />SINK 1SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />5 <br />S <br />5 <br />FEE <br />USE ZONE LOT AREA VAGANT SITE <br />i�YES X:NO <br />7YPE OF CONST. OGCUPANCY GROUP NR OF OWC! LII <br />B-2 <br />S17E OF BLDG. NO. OF STORIES MA%. OCC. LOAI <br />FIRE ZONE BASEIAENT FIRE SPRINKLEF <br />REOUIRED <br />i:YES C:NO <br />APPflOVALS BY D/ <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRO7ECTION SYSTEM _ <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTN DISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPF. FOR ISSU <br />JEF L.C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE GOMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCEOFCONSTRUCTION. <br />SIGNATUiSF.BF CONTfiACTOR�.AUTHOR�$EO AGENT � / _ DAjE� � <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. 11N1T5 — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIREO A.C. UNITS — TONNA3E EA. <br />FORCED AIR SYS7EMS — 6.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — e.T.11. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION PAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />FEE <br />SUB TOTAL S <br />°EHMIT 5 <br />70TAL FEE 5 <br />PLAN CHECK fEE <br />FEE I RECEIPT NO. <br />FEES I VALUATION I FEE <br />{— <br />oUILDING S 5900.(10 56.50 � �� <br />PLUMBING <br />MECHANICAL <br />OTHEF <br />PENALTY U.B.C. <br />SEC. 30� (a) <br />rorni 56 50 <br />PEfiMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS Spf1CFj THIS I�S Y UR PER� T_ <br />2 S .� � . IPJ G. :� , -'1 <br />(f', <br />. � �� _. <br />ADDRESS FIL'e <br />� � ,_�,. �.� <br />