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rhe Llrr,Grcen <br />GTY OF <br />everett <br />� - � CONSTRUCTIC''V <br />PERMIT <br />PERMIT NO. �264� <br />CITY HALL 259�8745 <br />EVERE77,WA982�7 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />- � OWNER MAILAD�RESS GITV ZIP PHONE <br />Union Oil Co. P.O. Box 76 Seattle 98111 223-7546 <br />ARCMITECT OR DESIGNER MAIL AO�RESS CITY ZIP PNONE <br />GENEflFL GONTBACTOfl MAIL ADORE55 CIiY 21P PHONE IILENSE X <br />S. & S. Sign Company 13190 Stone Avenue North Seattle 98111 365-0242 <br />MECHANICAL CONTFACTOR MAIL AODFESS CITY ZIP PHONE LICENSE X <br />SSSIGC*274GA <br />PLUMOING CONTRAGTOfl MAIL A�DRESS CITY 21P PHONE LICENSE N <br />❑ NEW O ADDITION ❑ ALTERA710N ❑ REPAIR ❑ DEMOLITION ❑ FENCE X�SIGN ❑ WOOD STOVFJFIREPLACE INSER7 <br />E 7,000.00 <br />Install illuminated <br />LOT_BLOCK�OF <br />1ss63^South East Everett Mall <br />PLUMBING <br />NO. TYPE OF PIXTURE OR ITEM <br />WATER CLOSET (TOILEf1 <br />BATHTUB <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUN7AIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADE <br />SINK ISERVICE — BAR, ETC.) <br />PEHMIT <br />TOTALI <br />APPROVALS <br />i. ENVIPONMEN7AL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE �ROTECTION SYSTEM <br />5. GRA�ING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEAITH DISTRIGT <br />noPl ICeTION ACC. BY PLANS GHE <br />� <br />�S <br />REAR YARD SETE <br />VACANT SITE <br />GYES _:NO <br />NO. OF DWELLIN <br />MAX. OCC. LOAD <br />['YES ❑NO <br />BY <br />� <br />� 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 COMPLIED WITH <br />WHETHER SPECIFIED HERE�N OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIO�ATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATIN CONSTRUCTION OF THE <br />PER RMANCj:'�]F CO 7 ON. <br />_._..��..�.....�jde�.RoA ocner. T DATE <br />X� �.�i��yUC� y.�./� <br />MECHANICAL <br />N0. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERA710N UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. 11NITS — TONNAG[ EA. <br />FORCEI) AIR SYSTEMS — B.T.U. M EA. <br />WALL F EATERS — e.T.U. M <br />UNIT HE�.ATERS — B.T.U. M <br />EVAPOFATIVE COOLERS <br />CLOTHES DRYERS <br />RANGEI100D <br />AIR HAN7LING UNIT — <br />STOVE — WOOD <br />METAL FIFlEPLAGE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP _ <br />C.F.M. <br />SUBTOTAL 5 <br />PERMIT E <br />TOTAL FEE 3 <br />: NUMBER PLAN C� <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />S �,aeo.00 <br />U.B.C. <br />SEC. 909 (a) <br />FEE <br />RECEIPT NO. <br />FEE <br />'l4 �00 <br />TOTAL I 24 IOO <br />PERMIT VALIDATION .. <br />WHENPROPEFLYVALIDATED�1NTHIS�Pf��F,1,THISI��QU(ifE¢1f�1Jy �.�_� <br />ij 7 U L'4 l) U <br />L� <br />(; `.1 <br />1'�":'UR RECEtPT.--. <br />;;;P,^dK YGU <br />- 1; ��OV 3 3 <br />ADDRESS f-ILE <br />F- ' <br />� <br />