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rhp !i 1�PrGrePrt <br />��:.�: <br />ever�tt <br />CITY HALL 259-8745 <br />EVERET7. WA 98207 <br />corv�T�ucTi�� <br />PERMI�' <br />❑ COMBINATION � BUILDING ❑ MECHANICAL <br />P�RMIT NO. 1524� <br />❑ PLUMBING <br />OWNER MAIL A�DRE55 LITY ZiP PHONE <br />Everett Mall Plaza 1305 Everett Mall Way Everett 98204 <br />AFCHITECT OR DESIGNER MAIL ApDRE55 CITV ZIP pHONE <br />GeNERAL COHTRAQOfl MAIL ApDPE55 CITV Z�p � PHONE I.ICENSE x <br />Tube Art Displays 808 Aloha Seattle 9F3109 562-2854 <br />MECHANICAL WNTRAGTOR MAIL ADDRE55 CIiV Z�p PMONE LICENSE M <br />TUBEAD*311QS <br />PLUMBING CONTFACTOR MAIL A�ORESS CITV TIP PIIOI�E UCENSE x <br />❑ NEW ❑ ADDI710N ❑ AL7ERATION ❑ REPAIR ❑ DEMOLI710N O FE��CE {{};SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />E 3,000.00 <br />JESCRIBE LNORK <br />Install flag poles <br />LOT_BLOCK_OF <br />1305 Everett Ma11 Way <br />XM� (Nor.-Illuminated) <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />�PINKING FOUNTAIN <br />FLWR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETQ) <br />�UB 70TAL <br />PERMIT. <br />TOTAL FEE <br />EET SE7DACK <br />SI2E OF 6LDG. N0. OF STORIES <br />FIRE ZONE BASEME�IT <br />APPROVALS <br />L ENVIRONMEN7AL CHECK UST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5.GRADING <br />6.DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />8. HEALTH DISTRICT <br />FEF_ <br />S <br />S <br />S <br />VACANT SITE <br />�.-,YES -..NO <br />I HEREBY CERTIFY TFfAT I HAVE READ AND EXANIINED THIS <br />APPLICATION AND KNOW THE SAMC TO BE 7RUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OADINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITFI <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW RFGULATING CONSTRUCTION OR THE <br />PERFOp'y�',/'JANCE OF CANS�T�`AUCTION. <br />SIGNATUfjEyyCONiMq�IOwGRAU1M.'AI2EOAGENT ,OATE <br />X E�� <br />e — — <br />MECHANICAL <br />��0. TYPE OF EOUIPMENT <br />I AIR COND. UNITS — H.P. EA. <br />R�FRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORGED AIR SYS7EM5 — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOiHES DRVERS <br />VENTILATION FAN <br />flANGEHOOD <br />AIF HANDLING UNIT — C.F.M. <br />STOVE — WOUD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEA7 PUMP <br />PLAN CHECK NUMBER <br />FEES <br />BUILDING <br />PLUMBING <br />REQUIRED �� V MECHANICAL <br />I �.YES .::NO <br />CHECKED BY �APPR.FORISSUANCEBV <br />OTHER <br />PENALTY <br />SUB TOTAL <br />P�RMIT <br />70TAL FEE <br />FEE <br />FEE <br />� <br />5 <br />S <br />CHECK FEE <br />RECEIPT NO. <br />VALUATION I FEE <br />g 3,0.00. <br />U.B.C. <br />SEC. 303 <br />12 I 00 <br />TOTAL I I 12 <br />PERMIT VALIDATION <br />WHEN PROPERLV VAIIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />neeF=ss rii, <br />�"'� <br />�' <br />N <br />, : �'� <br />