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�he Grer�;reen , O N ST R U CT � O � - <br />��r� oF r ,�, r- <br />everetlt PERMIT PERMIT N0. 1.5g�%O <br />CITY HALL 259�87a5 <br />EVERETf, WA 982�1 � COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILApDRESS CITY Z�P PHONE <br />Melissa's Hallmazk 1321 S.E Everett Mall Yiay Everett 96204 <br />4RCHITECT OR OESIGNEF MAIL qDDRESS CITY ZIP PMONE <br />GE1lERAL GONTIIAGTOR MAIL FUDP.ESS GITY ZIP PHONE LILENSE � <br />Lumin-Art Siqn 1118 8 Street S.E. Auburn 98002 852-7800 <br />MECHANIGAL GONTRACTOR MAIL AODIlE55 GITY ZIP PMONE �iCENSE N <br />LUMINA5279MA <br />PWMBING CONTRPCiOR IAAIL ADORBSS CITY ZIP PHONE LICENSE � <br />❑ NEN' ❑ ADDITIO'J ❑ ALTERATION ❑ REPAIR ❑ DEM.OUTION ❑ FENCE � SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />VA.UATION OF WORK <br />S 4�0��.�0 <br />Install two sin <br />PROPOSED USE OF BI/1LOING <br />LOT BLOCK_OF <br />lP18 <br />face <br />PLUM8ING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET!TOILE7) <br />BATHTUB <br />LAVATOR'! (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK 15ERVICE — BAH, ETC.) <br />SUB TOTAL <br />PERMIT <br />707AL F�E <br />LOT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SFECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW FEGULATING CONSTRUCTION OR THE <br />___ PER�MANC�E OF CQNSJR4.�TION. <br />sicr+ u oF coN A�CTOAd� Ay�OQn2E0 AGENi� DATE <br />X h7A�.�%�� �✓ l�,//��'4 <br />S <br />S <br />5 <br />::;VES f!NO <br />APPNOVALS BV <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />d. FIRE PROTECTION SYSTEM <br />5. C RAOING <br />6. DRAINAGE <br />7.ENVIFONMENTALIMPACTSTATEMENT <br />8. HEALTH OISTRICT <br />APPLICATION ACC. BY PLANS CHECKED BY APPR. <br />LNC <br />TYPE OF EOUIPMENT <br />AIR COND. Uh175 — H.P. EA. � <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONN/aGE EA. <br />FORCED 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 DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR FiANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLAGE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />CHECKNUMBER <br />FEE <br />SUB TOTAL S� <br />PEflMIT 5 <br />TOTAL FEE S <br />PLAN CHECK FEE <br />FEE I RECEIPT NO. <br />FEES I VALUATION I fEE <br />BUILDING <br />PLUMBING <br />IAECHANICAL <br />OTHER <br />PENALTY <br />5 <br />U.B.C. <br />SEC. 303 (a) <br />TO7AL I I i <br />.� <br />PEPMI7 VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE� THIS IS YOUR PERMIT <br />BY <br />A°PLICANT'S COPY <br />� <br />z <br />0 <br />-.� <br />C"� <br />m <br />-�i -n <br />.� � <br />�n x <br />m <br />O <br />C O <br />mo <br />-� c <br />03 <br />-� z <br />x� <br />m <br />Q Z <br />C <br />r 2 <br />-1 N <br />� <br />'rl <br />on <br />3 <br />—1 m <br />2 <br />m� <br />N <br />O <br />or <br />c-� m <br />C N <br />3 � <br />m <br />Z c7 <br />—1 r <br />• m <br />n <br />A <br />-i <br />x <br />D <br />Z <br />� <br />2 <br />N <br />Z <br />O <br />1 <br />n <br />m <br />