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X <br />CITYNALl259�e745 PERMIi' PERMIT NO. �.2046 <br />RVERETT, WA 9&201 � COMBINATION [XD( BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEq MAIL FOOPESS CITY ZIP PHONE <br />RON SMITH 970C EVERGREEN WAY EVERETT WA 98204 355-4111 <br />AflCHITECTOR0E51GNER MAILqpORE55 CITY ZIP PMONE <br />GENEl1qLGONTPACTOR MAILApDRE55 CIiY 21P PMONE LICENSEI <br />Same <br />MECHANICAL CONTRACTOR MAIL ADDRE55 CITY 21P .�HONE LICENSE X <br />PLUMBING CONiRAGTON MAIL RDDR'i55 CIiY 21P PMONE LIGENSE M <br />O NEW ❑ ADDITION �r] ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WpOD STOVE/FIREPLACE INSERT <br />.IIATION OF WORK <br />54����.�� <br />iGfl19E WOHK <br />Tenant improvement - back room <br />Retail sales <br />LOT_BLOCN_OF <br />9700 Evergree <br />PLUMBING <br />NO. TYpE 0 <br />WATER CLOSET <br />BATHTUB <br />, LAVATORY�WAS <br />SHOWEfl <br />KITCHEN SINK & <br />FIXTURE OR ITEM <br />LAUN�RYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />UFINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />�.a <br />ROOF �RAINS — RAINLEADERS <br />SINK (SEflVICE — BAR, ETCJ <br />SUB TOTAL '> <br />PEflMIT 5 <br />TOTALFEE S <br />iD SETBACK STREETSETBACK REAR YARD SETBACK <br />E LOT AREA VACANT SITE <br />::YES �.'.NO <br />1. ENVIRONMENTAL CHECK LIST <br />2. fiUIL01NG PLANS <br />3. FIqE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GRADING <br />� <br />BY IAPPR. FI <br />DAB <br />I 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 WIL� BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING UF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTPUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAT OFCONTa� TORONf�UTMORIZE�RGENT DATE <br />X i/}y!% /// .zo.,.i, 6/6/83 <br />MECHANICAL <br />7YPE OF EOUIPMENT FEE <br />AIR CON�. UNITS — H.P. EA. <br />REFHIGERATION UNITS — H.P. EA. <br />BOILER:' - H.P. EA. <br />GAS FIf1ED P.C. UNITS — TONNAGE EA. <br />FOFICED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTIIATION FAN <br />RANGEHOOD <br />AIR HANDLING UNI' — C.F.M. <br />STOVE — WOO� <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />5118 TOTAL f <br />PERMIT S <br />TOTAL FEE S <br />IrEE I RECEIPT NO. <br />FEE5 VqLUATION FEE <br />Bl11LDING §4 O O —� � Q— <br />PLUM6ING <br />MECHAt11CAL <br />OTHER <br />PENALTY U.B.C. <br />SEO. 303 (a) <br />TOTAL 44 0 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIOATED (IN THIj SIIPA�C' THI51S�QUF� P��IT—_ � <br />a 4 +1 <br />O <br />N <br />YOUR RECEIPT� <br />?i1ANK Y�U <br />ADDREiS fILE <br />- 7 �� 83 <br />_.J <br />� <br />( <br />V <br />