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`h� `,`�,r�`.�� ; - GONSTRUCTIO .`' <br /> everett P�RMIT PERMIT NO. �-65� 7 <br /> GTY HALL 259�tlld5 <br /> EVERE7T,WA98201 ❑ COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUMBING <br /> OWNER MAIL A�ORE55 CITY ZIP PNONE <br /> ���&��� 10121 Everareen Wav Everett WA 98204 824-7950 <br /> pp � G MAIL ApORESS CIiV ZIP PNONE <br /> GENEflAL CONI'RAGTOP MAIL ADOFE55 CITV 21P PHONE LIGENSE� <br /> LUMIN ART 1118 - A St SE Auburn WA 98002 852-7800 LUMINA5217MA <br /> MECHANICAL CONTPAGTOR MAIL ApORE55 CITY ZIP PMONE LICENSE M <br /> PLUMBING CONTRRCTOR MAIL AOOfiE55 CITY ZIP <br /> PNONE 4CENFEM <br /> C1A55 OF WOPN <br /> C�NEW ❑ AD�ITION O AL7EFATION ❑REPAIR C DEMOLITION ❑ fENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSFRT <br /> YALUATION OF VlORK <br /> _ � �JO�.�� <br /> DESCRIBE WORN <br /> Install 1 3' x 11 ' single Face illuminai:ed sign <br /> PROPOSE�USE OF B111L01NG <br /> Commercial I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> - APPLICATIOh AND KNOW THE SAME TO BE fRUE AND <br /> LEGaL DF.;tCRIPTI�N OF PROPERTV�SHOtY DELOW OR AiTAGH FOUF GOPIES� CORFECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_010CN_Oi GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING OF A <br /> PERMIT DOES NOT PHESUME TO GIVE AUTHORITY TO V�OLATE <br /> OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br /> LOCAL LAW REGULATING CGNSTRUCTION OR THE <br /> ORMANCE OF CONSTRUCTION. <br /> JOB PDDRE55 ' � ATU OF QpTRALTOH OR AUTHO ZED A�i � OATE <br /> 10121 Evergreen Way Suite 10 X � � �, ; � � ���<—. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE QF EOUIPMENT FEE <br /> WA7ERCLOSET(TOILEn AIR COND. UNITS - HJ�. EA. <br /> BATHTUB REfRIGERATiON UNI75- H.P.EA. <br /> LAVATORY�WASHBASIN) P.u1LEAS - H.P. EA. <br /> SHOWER GAS FIRE�4.C.UNITS-TONNAGE EA. <br /> KITCHEN SINK 8 DISP. FORCED AIR�VSTEMS- B.7.U. M EA. <br /> OISHWASHER WALL NEATERS- B.T.U. M <br /> LAUNOfiY TRAY UNIT HEATERS- B.T.U. M <br /> GLOTHES WASHER EVAPORATIVE COOLER� <br /> WATER HEATER CLO7HES DRVERS <br /> URINAL VENTILATION FAN <br /> DRINKING FOUNTAIN RANGE HOOD <br /> FLOOR DRAIN AIF HAN[7LING UNI7— QF.M. <br /> VACUUM BREAKERS STOVE—WOOD <br /> ROOF DRAINS— RAINLEAIJERS METAL FIREPLACE 8 CHIMNEY <br /> SINK(SEFVICE— BAR,ETC.) FIREPLACEINSERT <br /> HEAT PUMP <br /> SUB TOTAL S SUB TOTAL S <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTAL FEE S <br /> SIOE YARD SETBACK S7REET SETBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE <br /> FEE RECEIPT NO. <br /> USE ZONE LOT AREA VACANT SITE <br /> :-:YES �.:NO FEES VALUATICN FEE <br /> TYPE OF CONS7. OCCUPANCY GROUP NO.OF D�YELLING UNITS <br /> BUILDING �rjOO O <br /> SIZE OF BLDG. NO.OF STOP.IES MA%.OCC. LOAD <br /> PWMBIN� <br /> fIREZONE BASEMEN7 FIRE SPRINKLERS MECHANICAL <br /> REOUIRED <br /> ���VE3 f�NO <br /> APPROVALS B'/ DA7E O7HER <br /> 1.ENVIRONMENTAL CHECK LI51" pENAL7Y U.B.C. <br /> SEC.303(a) <br /> 2.BUILDING PLANS 9 0 <br /> 3.FIFE HYORAN7 <br /> TOTAL <br /> 4.FIRE PROTECTION SYSTEM PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS V�OU0R PEFMIT !�— <br /> 6.DRAWAGE �' '. = I r� i� l/ /. U U —_. `�� <br /> 7.ENVIRONMENTALIIdPACTSTATEMENT (Q <br /> 8.HEALTH�ISTRICT . � <br /> APPUCATION ACC. BY PLANS CHECKED BY APPR.FOH ISSUANCE 9Y . . , , � - �� � '� '� <br /> t� � <br /> , • .,' U <br /> ADDRESS FILE I � l ` �' <br />