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i' <br />die Erer�;reen <br />e�e�ett � �O��TRUCTIO��� <br />PERMIi' PERMIT NO. � �FLJ <br />CITV HALL 259-8745 <br />EVERETT,WA9B201 [� COMBINATION � BUILDING � MECHANICA!_ C� PLUMBING <br />OWNER MAIL FD�RE55 GITY ZIP PNONE <br />Mail Boxes ETC UEA Everett Mall Plaza Buildin4 8 _ <br />ARGNRECT OR pE51GNER M41L ADDRESS GfiY ZIP PHONE <br />GENERAL GONT9ACTOR MAIL AOORE55 CItY ZIP PMONE LICENSE M <br />Sno Valley Const. 4016 148th N.E. Redmond 98052 881-9225 <br />MECHAYICAL CONTflACTOR MAII ADORESS CRY 21P PHONE LICENSE k <br />SNOVA 122 FJ <br />PLUMB°:.. CO �.:!'IOR MAIL ADORE55 GITY ZIP PHONE LICENSE M <br />CV.;3 <br />� NEW ❑ ADDITION X�I ALTERAiION ❑ REPAIR ❑ OEMOL�TION ❑ FFNCE O SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />= 20,999.00 <br />�or <br />1321 S.E. Everett Piall Way <br />F'LUMBING <br />TYPE OF FIRTUHE OR <br />WATER CLOSET (TOILEn <br />9ATHTUB <br />LAVATURY�WASH BASIN) <br />SHOWER <br />GITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTpAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAI�JS - RAINLEADEriS <br />SINK (SERVICE - BAR, ETQ) <br />C-1 <br />V-N <br />1210 Sq. Ft. <br />FIRE ZON[ <br />SUB TO7AL <br />PEflMIT <br />TOTAL FEE <br />IEE' SETBACI <br />n��p <br />AREA <br />N/A <br />]UPANCY GR( <br />B-2 <br />OF STORIES <br />1 <br />APPflOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS `' <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTE7N' <br />5.GRADING � <br />YENVIRONMENTALIMPAGTSTATEMENT _ <br />cB:HEALTHDISTRICT v <br />APPLICATION ACC. BY • LANS CHECKI <br />Ca ,-� <br />V, EB�. ,.. .-> JEF <br />:� <br />FEE <br />5 i <br />Y <br />5� 8 � <br />REAF VO.i7D SETBACK <br />�..YES gx10 <br />0 <br />MAX.00Q LOAD <br />12 <br />�,.YES ..NO <br />BY DATE <br />I HFREBY CERTIFY THAT I HAVE READ AND EXANINFD 7HIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEA SPECIFIED HEREIN OR NCT. 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 FiEGULATING CONSTRUCTION OR THE <br />PERFORMA�CE,OF CONSTRUCTION. <br />SIGNATUAE OF GONTPACTOR ON AViHOR12ED AGENT DATE <br />Y C� d�'L':r--� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AIR COND. UNITE - H.P. EA. <br />REFRIGERATION UNI'iS - H.P. EA. <br />BOILERS - H.P. EA <br />GAS FIRED A.C. UNIT: - TO�NAGE EA. <br />FORCED AIR SYSTEMS - B.T.II. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDUNG UNIT - C.F.M. <br />STOVE - NlOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />BUILDING <br />PL11M01NG <br />MECHANICAL <br />OTHER <br />PENALTY <br />SUBTOTAL S <br />PtRMIT f <br />TOTAL FEE S <br />PLAN CI <br />FEE <br />VALUATION <br />5 I <br />RECEIPT NO. <br />i�� <br />FEE <br />196 50 <br />B 00 <br />3 00 <br />TOTAL I I LSi I SO <br />PERMIT VALIDAT�ON <br />wH��P(7Pq0'�RLY VAL�TEO QN THIS�SiAOE) THI� I i YOUF PER�MII' — �� <br />u l v� 0 1{ 6; <br />IS'oUANCE BV � . . .� I . i �, � I <br />•�i :�� <br />L(: <br />; � .t;l uJ <br />ADURC-SS =11 C <br />�i., � - �� <br />i'��)�. i. ���Cl�l li ' <br />I �'��. ���`ii. � J U <br />� � .�.I �J <br />� <br />z <br />0 <br />-.� <br />n <br />m <br />�� <br />..� <br />N 2 <br />ni <br />0 <br />�� <br />m� <br />r� <br />0 3 <br />m <br />-I z <br />m� <br />A 2 <br />C <br />n -� <br />�_ <br />.-� <br />-i N <br />< <br />� <br />O � <br />�a <br />3 <br />�m <br />x <br />m .-. <br />N <br />O <br />or <br />c� m <br />C (n <br />3 fn <br />m <br />z c'� <br />-i r <br />• m <br />a <br />A <br />-i <br />S <br />a <br />z <br />� <br />x <br />N <br />z <br />O <br />� <br />C') <br />m <br />