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r ' f�iftN[I�I�t� � � . <br />. ��T�°F �?"'� r�ONSTRUCTIOl� � <br />��'���'� PERMIT PER9AIT N0. 1E�132 <br />GTY MALL 2SQ8715 <br />EVERETT,w�eesoi [] CqM81NATION X�) BUILDIN� ❑ MECHANICAL ❑ PLUGIBIN(i <br />MAIL A[IDRESS CITY 21P PHONE <br />��T,p�q��� a52o Fndnr:�t Everett WA 98203 2F�_a��� <br />. OFSqNER MNL�CURESS � CITY 21P pHONE <br />N fl M�ILAODRESS CITV ZIP Pf:ONE UCENBEI <br />Saaie <br />MECNIINICAI CANLRACTOR M�IL A�ORESS CIiY 21P PMONE L�CENSE 1 <br />PLUN! QplITq�CTOR M�IL �DDRESS CITY ZIP PNONE � LI^ENBE � <br />ClABB OF VYORN � <br />Q NEW ❑ ADI7ITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVfJFiREPLACE INSERT <br />VALUATON OF WORK <br />t.�%Q�.Q� <br />, Metal building <br />� PNOPOBEfI USE OF BUILAINO <br />Shop 1nd parking <br />? LEGAL OEBCRIPf10N OF PPOPeflTY ISHOIV BELOW OR <br />4 LOT�BLOCK�OF_ Y ��yQY''(� <br />� <br />t _ <br />F �JOB�OONESS <br />4529 Fedei,al <br />� PLUMBINO � <br />� N0. TYPE OF FI:(TURE OR ITEM <br />� - -- <br />WATERCLOSET�7pll*n <br />� BATNTUB <br />� LAYATORV(WASMBAuIN� <br />, SMOWER <br />p <br />t <br />c� <br />UUNORV TP.AV <br />CLOTMES WASHEH <br />WATEH HEATER <br />URINAL <br />DRINKIN6 FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — RAINI.EADERS <br />:i1NK (SERVICE — BAR, ETC.) <br />SU! TOTAL <br />20� <br />NO. OF STORIES <br />1. ENVIRONMENTAL CNECK LIST <br />2 BUILDING <br />3. FIRE HVDI <br />1. FIRE PR07 <br />5. GRADING <br />8. DMINAQF <br />7. ENVIRONI <br />sg <br />STATEMENT <br />FEE <br />� <br />i <br />f <br />REAR YARD <br />�n� <br />GYES 8iN0 <br />MAX. OCC. LOAD <br />BY � PLANS CHECKED BV � APPR. FOR ISSUANCE BY <br />sg <br />lc <br />I HEREBY CERTIFY THAT I HAVE READ AND �;AMINED THIS <br />APPLICATION AND KNOW THE SAME TO EIE TRUE AND <br />CORREC7. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE CUMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHOHITY TO VIOLATE <br />OR CANCS;L THE PROVISIONS OF ANY OTNER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION/1 <br />vGN�TI N jl/I , RACTOR OR <br />� /. <br />DATE <br />NOJ TYPE OF EOUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOFCED AIR SYSTEMS — B.T.U. M E <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAFORATIVE COOLERS <br />CLOTHES DRYERS <br />RANGEHOOD <br />AIR HANDLINQ UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE � CHIMNEY <br />FIFEPLACEINSEflT <br />HEAT PUMP <br />86/16132 <br />FEES <br />BL'IL�ING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAL7Y <br />TOTAL <br />C.F.M. <br />SU! TOTAL S <br />PERMIT i <br />TOTALFEE f <br />PLAN CNECK FEE <br />FEE 28 93 RECEIPT NO. <br />VALUITION FEE <br />U.B.C. <br />SEC.303 <br />PEflMIT VALIDR�ION <br />WHEN PROPERLY VAIIDATED (IN THI$,%l�F,) THIS �S j��IRIPF{RIyyT_� <br />Il ij I ��J � 7 U <br />� <br />i.o <br />, �..�.'�FI�`i� <br />-, , <br />' " i' (.' IJ <br />r_nn��.ti�yi�� <br />I I a� <br />1.:;.3 u u <br />