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I/IC Y. � �'[K/NCq <br />� �„ �F <br />everett <br />CITY HALL 259�8745 <br />� ('*JNSTRUCTION <br />PERMIT <br />PERMIT NO. 1�6�3 <br />EVERET7,WA98201 ❑ COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYJNER MAILADDRE55 ' CITY ZIP PHONE <br />Smart Size 1512 Broadway Space 102 Everett <br />ARCHITECT OR DESIGNEfl MAIL AOOPE55 CITY ZIP PHOYE <br />GENEBAL CONTRAGTOP MAII ADOflE55 GTY ZIP PHONE LICENSE M <br />Tube-Art Signs 2719 Maple Street Everett 252-0086 TUBEAS21618M <br />MECHANICAL WNTRACTOfl MAIL A��PE55 CITY 21P PHONE LICENSE I <br />PLUM9ING WNTRACiOfl MAIL ADORE55 CITY ZIP PHONE UCENSE M <br />❑ NcW ❑ ADDITION ❑ ALTERATION i� REPAIR ❑ DEMOLITION ❑ FENCE �' [SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />f 2100.00 <br />Install illuminated letters <br />l0T_BLOCK_OF <br />FOUR <br />S.E. Everetf Mall Way Space <br />PLUMBIN� <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILE'� <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRY7RAY <br />l 7THE5 WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TOTAL FEE <br />SIZE OF BLOG. NO. OF STORIt� <br />FIRE ZONE BASEMENT <br />APPfl0VAL5 <br />1. ENVIRONMEN7AL GHECK LIST <br />2. BUILDING PLANS <br />3, fIRE HYDRANT <br />4, FIPE PROTECTION SYSTEM <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />aPPLICA710N ACC, BY PLANS CHECKED BY <br />I HEflEBY CERTIFY THAT I HAVE REAU 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 COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT� CONTRACTOR OR A THORIZED AGENT DATE <br />4/3/85 <br />X ���/-^.s;1i� <br />MECHANICAL ' <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFFiIGERATION UNITS — H.P. EA. <br />801LER5 — H.P. EA. <br />GAS FIREO A.G. UNITS — TONNAGE EA. <br />FORCED AIP SYSTEMS — B.T.U. M EA. <br />WAL.L HEATERS — B.T.U. M <br />U!JI7 HEA7ERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M, <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />S <br />S <br />REAR YARD SETBACK PLAN <br />VACANT SITE <br />JYES !�NO <br />MAX. <br />FIRE <br />BY <br />FORISSUANCE <br />NV/LC <br />SI19 TOTAL <br />PEHMIT <br />TO7AL FEE <br />FEE <br />FEES � VALUATION <br />BUILDING S 2100. <br />PLUMBING <br />MECHANICAL <br />OTHER <br />rcc <br />� <br />S <br />5 <br />�HECK FEE <br />RECEIPT NO. <br />FEE <br />12 <br />PENALTV SEC. 303 (a) <br />12 00 <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR �EAM,T ,� M <br />% . C i �"' <br />CD <br />d' <br />;� <br />� i <br />ADDRL55 fILC <br />0 <br />