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� <br />dre £�'crxrcen <br />��,� oF <br />eyerett <br />CITY HALL 259�8745 <br />EVERETT, WA 98201 <br />� ��NSTRIU�CT�OP' <br />PERlVIIT <br />L� COMBINATION �xi{ BUILDING ❑ MECHANICAL <br />PERMIT N0. 154 � 3 <br />❑ PLUMB!NG <br />OYJNER MAR AODFE55 CItY ZIP PHONE <br />Booker Realty 1321 S.E. Everett. Mall Wa� Everett _ <br />APCMiiF.JT OR D[SIGNER IAAIl. FODRE55 CITY 21P PHONF. <br />GENERAL CONTRFCTOR MAiL ADDRE55 CIiY ZIP PHONE LICENSE M <br />Tube Art Signs 2719 Maple Street Everett 98206 252-0086 <br />MECHANICAL CONTRACTOR MAIL ADORESS CITY ZIP PHONE UCENSE x <br />TUBEASI1618N <br />PWMBING CONTRACTOR MAIL ADOPE55 CITY ZIP PHGNE LIGENSE N <br />jQNEW ❑ ADDITION ❑ ALTERATION ❑ RCPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />Install two single face signs- <br />�nr _ e�or.K _oF <br />1321 S.E. Everett Mall Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />WATER CLOSEi (TOiLEn <br />BhTHTUB <br />LHVATORV�WASH BASIN) <br />SHOWER <br />N�TCHEN 5!NK 8 OISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />N.'ATER HEATER <br />URINAL <br />ORRJKIMG FOUNTAIN <br />FLOOR DRAIN <br />VAGUUM BP.EAKERS <br />ROOF DRAINS - FAINLF.ADERS <br />SI�K (SERVICE - BAR, ETC.) <br />SUB TOTAL <br />TOTAL FEE <br />1. ENVIRONMENTAL CMCCK LIST <br />2. BUILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PfiOTEC7lON SYSTEM <br />5. GRADING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEFIENT <br />8. HEALTH DISTRICT <br />APPUCATION ACC. DY PLANS CHE <br />I HEREBY CERTIFY THAT I HAVE R[AD AND EXAtv11NED THIS <br />COPIES� APPLICATION AND KNOW THE SAME TU BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HERGIN OR NOT. THE GRANTING OF A <br />PERMI? DOES NOT PRESUME TO GIVE AUT1iORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY O�HER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />S�GNATIIRE O�F /CONi/flAC�'TO�R,..O�R �AU�TH RRED AGENT Dl+iE <br />x ` ..!f-� I//..1'rr//?r�...-- `'/����� -_ <br />FEE <br />� <br />S <br />5 <br />REAR YARD SETBACK <br />VACANT SITE <br />�.YES �.::NO <br />NO. OF DWELLING UN <br />MA%.00G LOAD <br />FIRE SPHIt:KLERS <br />flEQUIRED <br />..YES :�.NO <br />BV DATE <br />APPFi. FOR i55UANCE BY <br />rrv/Lc <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />RBFRIGERATION UNITS - FLP. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIfl SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLAGE & CMIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB 70TAL S <br />PERMIT S <br />707AL FEE S <br />; NUMBFR PLAN CI <br />FEE <br />FEES VALUA710N <br />BUILDING <br />PLUM6ING <br />MECHANICAL <br />O7HER <br />PEI�A! TV <br />70TAL <br />5 2200. <br />U.B.C. <br />SEC. 303 (a) <br />RECEIPT NO. <br />FEE <br />12 <br />12 <br />PERMIT VALIOA710N <br />WHEN PROPERLY VALIDATED pN TW$SRApE) THI�I�j Y�lfl f%€f�1fv11T � <br />bgii tl L UU <br />ADDRESS FIL[ <br />�' <br />In <br />�,�o�; ; :;cc:cir�� �-- <br />iFi,`�.f!K YOU <br />I 3 s�r 8 y <br />z <br />0 <br />.-�n <br />� <br />m <br />�� <br />N 2 <br />m <br />O <br />co <br />m� <br />--i c <br />om <br />-1 z <br />x -i <br />m <br />O Z <br />C <br />a -i <br />r x <br />-a vi <br />< <br />�'I <br />O A <br />�a <br />3 <br />�m <br />x <br />m .-� <br />� <br />O <br />or <br />c� m <br />C N <br />3 V1 <br />m <br />2 C) <br />—1 r <br />• m <br />n <br />A <br />� <br />2 <br />a <br />z <br />-� <br />s <br />� <br />z <br />0 <br />.�. <br />n <br />m <br />� <br />