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. 1heEvCSveOF � COI�TRUCTION , _ � � <br />everet� PERMIT p�pMIT NQ. 06584 <br />CITY h:ALL 259�8745 - <br />EVEFETT. N!A 98201 ❑ COMBINATION ❑ BUILDING ❑ h1ECHANICAL ❑ PLUMBING <br />01VNER MARPU�RE55 CItY Z�P PHUNE <br />T Shirts Everett Mall <br />ARCNI7ECiOR�E5IGNGR MPILFDGRE55 CiiV ZIP PH01lF <br />GENERALCONTRAGiOR MFILADORE55 GTY ZIP � PMONE UGENSEI <br />Lin Inc. Tri—Holin Inc. P.O. Box 415 Lake Stevens, 98258 TR IB O 235JH <br />MEGHANICALCONiRoCTOH MAILF��PE55 CITY 21? PMONE LICENSEe <br />PLUTABIN6CONTPACTOP MAILFD�PE55 CITY ZIP PH01lE LICENSEI <br />❑NEW ❑ADDITION ❑ALTERATION ❑FEPAIR ❑DEMOUTION ❑FENCE ❑S!GN ❑GARAGE <br />.U4ilON OF Y/ORK <br />S 3��.�a <br />scaiee woarc <br />Panel front of existing store front <br />PROPOSED USE OP 6UIlDING <br />retail sales <br />DELJV! OR ATTACH FOUR GOPIES� <br />�or e�oc�oF <br />JD8E55 <br />1512 South Broadwav (T. Shirt Plus) <br />PLUMBING <br />N0. TYPE OF FIXTURE OR ITEM <br />WA7ER CLOSET (TOILET) <br />BATHTUB <br />LAVA70RY (WASH BASIN) <br />SHOWEF <br />KITCHEN SINK 8 DiSP. <br />' �ISHWASHER <br />� LFUNDRYTRAY <br />CLOTHES NJASHE9 <br />YlATEIi IiEATER <br />UFINAL <br />DRINKIN . FOUNTAIN <br />— FLOOR DRAIN — <br />VACUUM BREAKERS <br />ROOF DR�IN£ — RAINLEADERS <br />CIA�V ICFB\/IfF — RAf] FTf 1 <br />� PEIiMIT <br />TOTAL FEE <br />SIDE YARC SETBACK I STREET SETBACK <br />TYPE OF CONST <br />OF BLDG. <br />LOT AREA VACANT SITE <br />❑YES ❑NO <br />OCCUPANCY GROUP NO,OFDWEL <br />N0. OF STORIES MNc. OCC. LO <br />BASEMENT FlFE SPRINKL <br />fl[OUIRED <br />�YES ❑NO <br />APPROVALS BY DL <br />1. ENVIRONMENTAL C4ECK LIST <br />2 BUILCING PLANS <br />3. FIRE HYDRANT <br />a. FIRE PROTECTION SYSTEM <br />5. GRADING <br />fi. ORAINAGE <br />7. ENVIRONMEPITAL IMPACT STATEMENT <br />8. HBALTH DISTRICT <br />nPPLICATION ACC. �Y PtANS CHECKED BY I APPR. FOR ISSUANCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GI'JE AU iFiORITY TO VIOLATE OR CANCEL TFIE PRO� <br />VISICNS OF ANY OTHER STATE OR LOCAL LAW RECULATING <br />COIySTR�/UC�TION �O/R�T.��H�I=� P[RFORMANCE OF CONSTRUCTION. <br />$IGNN\L�WFI,CHTflAf/IUnN�GUlHpfiIZEDALyi pATE <br />X <br />MI <br />NICAL <br />' TYPE OF EQUIPMENT FEE <br />AIF COND. UNITS — HP. EA. <br />REFRIGERATICN UNIT3 — HP. EA <br />BOILEPS — H.R EA. <br />GAS FIRED A.C. UWTfi — TONNAGE EA. <br />FORCED Alfi SYSTEM$ — BT.U. Fd E�, <br />WALL HEATERS — U.T.U. M <br />UNITHEA7ER5—B.i.L'. M <br />EVAPORATIVE COOL[RS <br />CLOTHES DRYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />— GF.M. <br />PEFMIT <br />FEE I RLCEIPT N0. <br />FEES <br />LUING I$ 300.00 I S � 00 <br />U.B.C. <br />SEC. 303 (a) <br />TOTAL I I S I 00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS V UR PE b:l <br />I 3 t 4.. 0 Q. G�-:�rt ' <br />� <br />' � <br />YO U ft REGEbP o <br />xH�,v� �au <br />i ' <br />?3a!�7.9 _. <br />�nDf��_SS FILF . <br />