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r <br />L <br />�he C rergreen <br />��.��� <br />everett <br />GTY HALL 259�B7�5 <br />� ':OIVSTRIlCTIOR' <br />PERMIT PERMIT NO. 1460� <br />EVERETT,WA98201 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OYlNER MAIL AppRESS CITY ZIP PNONE <br />Tire And Wheel Inc. 9515 Evergreen Way Everett <br />AFGHITELT OR pE51GNER A�AIL AOORESS CIiY ZIP PHONE <br />GENERAL CONiRACTOR MAIL ADDRESS CITY ZIP PNONE LICENSE � <br />Tube Art Signs 2719 Maple Street Everett 98201 TUBEASI161*BM <br />ME�HANICAL CONTRACTOR MAIL ADDRE55 CITY 21P PHONE LICENSE � <br />PLUMBING CONTPACTOR MAIL AOORE55 CITV 2�^ PNOYE LiCFNSE / <br />O NEW ❑ ADDI710N O ALTtRATION ❑ qEPAIR ❑ DEMOLI710N ❑ FENCE �SIGN � WOOD STOVFJFIREPLACE INSEHT <br />5 2700.00 <br />OESCFIPE WORK <br />install illuminated sign <br />LOT_BLOCK_OF <br />�doe nooness <br />g515 Gl'I <br />PLUMBING <br />I HEREBY CERTIFY THAT I HAVE READ A�D EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />OHATTACHFUUHGUPIES� 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 AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULA7ING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR OR AUTNOR12ED AGENT LATE <br />TYPE OF FIXTURE OR ITEM <br />WATER C�OSET�TOILEn <br />�ATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWEF <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLO7HES WASHER <br />'NATER HEATER <br />URINAL <br />DRINKING FOUIJTAIN <br />FLOOR CRAIN <br />ROOF DRAINS — RAINLEADENS <br />SINK (SERVICE — 6AF, E7C 1 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />SIDE VARD <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />A. FIRE PROTEC7ION SYSTEM <br />5. G(iADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAI <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BYT PLAi <br />FEE <br />i <br />S <br />S <br />:.YES ,-;NO <br />-.'.YES �.�NO <br />NV/LC <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGE(iATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — 9.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYE(iS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDL�NG UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEA7 PUMP <br />BUILDING <br />PUIMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUB TOTAL S <br />PERMI7 5 <br />TOTAL FEE S <br />PLAN CI <br />FEE <br />VALUATION <br />t 2700.00 <br />U.B.C. <br />SEC. 303 lal <br />FEE <br />flECEIPT NO. <br />FEE <br />12 100 <br />TOTAL I I 12 IOO <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPAGE) THIS IS YtlUq PER�AIT— � <br />I t O <br />Sign to be all on Private Property. � <br />- - �' <br />ii I c-i <br />ADDRESS FILE <br />, <br />� <br />.h <br />