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rnc ci�r.,z.een <br />� �rY �F <br />,- e�erett <br />GTY HALL 259�8745 <br />EVEFETT, WA 98201 <br />� corvs�r�ucr�o�� <br />PERIVIIT <br />❑ COMBINATION �j, BUILDING ❑ MECHANICA: <br />PERMIT NO. <br />❑ PLUMBING <br />OYlNER MAILAUDRESS CITY ZIP PMGNE <br />Franz Optical 12440 N.E. Rose Parkway Pc�tland 97230 <br />ARCHITECT OR OESIGNER MAIL ADORES� pTY ZIP PMONE <br />.` <br />GENERaL CONiFnCtOR MAIL AO�PE55 CITY ZIP PHONE LICENSE x <br />The Sictn Group 1120 Fairview Avenue North Seattle 98109 623-1364 <br />MECHANICAL CONTRAGTOR MAIL FDOFESS CITY ZIP PMONE LICFNSE x <br />PLUMOING CONTflACTOR MFIL AUDRESS CITV 2iP PHONE UCENSE a <br />� ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ PEPAIR ❑ �EMOLITION ❑ FENCE }�(` SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VFLUATiUN OF WGRK <br />5 1400.00 <br />DESCFIBE WqRK <br />instaZl illuminated sign _ <br />LOT _ BLOCK _OF <br />JOfl 4JDRE55 <br />1321 S.E. Everett Mall Way <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WA7ER GLOSET (TOI LEn <br />BATHTUB <br />LAVATORVIWASH BASIN) <br />SHOWER <br />KI7CHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETQ) <br />ZON <br />� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />EETSETBACK <br />1. ENVIRONMENTA� CHECK LIST <br />2. Bl!ILDING PLANS <br />3. FIRE HYDRANT <br />e, FIRE PROTECTION SYSTEM _ <br />5. GRADING <br />6. DRAINAGE <br />7. EIJV I RON M ENTAL I MPAGT S7ATEMENT <br />8. HEALTI{ DISTRICT <br />APPLICATIGN ACC. BY PLANS CHE <br />I HEREBY CERTIF'( THAT I HAVE READ AND EXAMINED THIS <br />APFLICATION AND KNOW THE SAME TO BE TRUE AN� <br />FOURCOPIES� COFRECT. AI.L PROVISIONS OF LAWS AND ORDINA��CES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEFiEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES ^lOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF AhY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORtAANCE OF CONSTRUCTION. <br />SIGNAT�P E OF CONTPACTOR OP AUTMOFIZE� AGGNT OATE <br />v_`I I. ,�_ � ,M „ _I .� . 7/3/as <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />AIR CONO. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BO:LERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCEO AIF SYS7EM5 - B.7.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR HAllDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIFEPLACEINSEFT <br />HEAT Pl1MP <br />� <br />S <br />S <br />REAR YARD SETBAI <br />VACANT SI7E <br />:-!YES --.NO <br />NO. OF DWELLING <br />MAX.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />�YES� NO <br />BY I �ATE <br />NV/LC <br />SUB TOTAL E <br />PERMIT S <br />10TAL FEE E <br />: NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PEIJALTV <br />5 1400. <br />703 <br />FEE <br />RECEIP7 NO. <br />FEE <br />� �� <br />TOTAL 9 QQ <br />PERMIT VALIDAiION I � <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS VOUR PERMIT � (�J <br />� <br />� <br />I � <br />� <br />ISSUANGE BY ' <br />ADDRESS FILE <br />z <br />0 <br />� <br />� <br />� <br />m <br />H F�1 <br />.�.� l� <br />.. -� <br />v� x <br />!*m <br />0 <br />c o <br />mo <br />n <br />-a c <br />os <br />m <br />-i z <br />x -i <br />m <br />Q � <br />r_ <br />D -1 <br />r s <br />--I cn <br />� �� <br />O .� <br />�l ➢ <br />3 <br />-i m <br />x <br />m� <br />N <br />O <br />or <br />c� m <br />C (/� <br />3 N <br />Z C'� <br />�m <br />a <br />� <br />--I <br />S <br />D <br />Z <br />--I <br />2 <br />N <br />Z <br />O <br />� <br />c'� <br />m <br />� <br />