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the £trrxreeii <br />��,Yo� <br />everett <br />CITV HALL 259�67t5 <br />� CONSTRUCTIf'�1 <br />PERMIT PERMIT N0. 1 �7�3 <br />EVERETT, WA 90201 [] COMBINATION � BUILDING � MECHANICAL ❑ PL�.iMBING <br />OWNER IdqIL AODRESS CITY LIP PHONE <br />6fAILBOXES USA 1321 SE EVERETT MALL WAY EVERETT WA 98204{ <br />ARGHITECi OR DESIGNER MAIL ADORE£5 CIiY LIP PMONE <br />GENEFAL GONTPACTOR MAIL AD�FE55 GITY ZIP PHONE LIGENSE � <br />NATIONAL SIGN CORP 1255 WESTLAKE NORTH SEATTLE WA 98198 282-0700 CCCJC7 <br />MCCHANICAL CONiRACiOfl MAIL ADORE55 CITY 21P NATL0�0 6 MS LICENSE � <br />PLUMBING CONTRACiOR MAIL ADORE55 GITY ZIP PMONE LICENEE / <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ UEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STO� EIFIREPLACE INSERT <br />VALUATION OF WOPK <br />s i9oo.o0 <br />OESCPIBE WORK <br />install and maintain siyn on building facade <br />LOT_BLOLK_OF <br />SE Everett Mall Way Suite C <br />PLUMBING <br />NO. <br />W ATER CLOSET (TOI LEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADE <br />SINK (SERVICE — BAF, ETQ) <br />SIDE <br />SIZE OF BLDG. <br />OR ITEM <br />SUBTOTAL <br />PEFMIT <br />TOTALFEE <br />APPHOVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2.0UILDING PLANS <br />3. FIRE HVDRANT <br />4. FIRE PRO i ECTION SYSTEM <br />5. GRAOING <br />6.DRAINAGE <br />7.ENVIRONMEN7ALIMPAC7STAT <br />B.HEALTH DISTRICT <br />FEE <br />� <br />S <br />S <br />REAR YARD SETBA <br />VACANT SITE <br />�..YES :-.NO <br />NO. OF OWELLING <br />MA%.00C.LOAD <br />FIRE SPRINKLERS <br />REOUIRED <br />YES ;.NO <br />BY DATE <br />FOR ISSUANCE BY <br />I HEREBY CERTIFY THHT I HAVE READ AND EXAMINED THIS <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 />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 REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR Oil AUTMOFIZED AGENi DATE <br />X 12/4/85 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR CON�. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNI�S — TONNAGE EA. <br />FORCED AIR SVSTEMS — 6.T.U. M EA. <br />WALL HEATERS — B.T U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORnTWE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIRF.PLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />CH <br />SUB TOTAL S <br />PERMIT f <br />TOTAL FEE 5 <br />FEE I RECEIPT NO. <br />FEES � VA�UATION � FEE <br />BUILDING I S1JOO.00 <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY U.B.C. <br />SEC.303 <br />TOTAL I I 9 I �� <br />PEflM1T VALIDATION <br />WHEN PROPERIY VALIDATED �IN THIS SPACE) THIS ^IS VOUR PEflMp1T (?' <br />�� %� � ;lO oO.O / —it,'� <br />ADDRCS$ RL[ <br />i _' <br />i r'� <br />. �. �.. ..� �� 1 � <br />i . �tJ <br />- . �.., �.) <br />z <br />0 <br />-� <br />� <br />m <br />-i � <br />.. .-� <br />cn x <br />m <br />4 <br />C O <br />m� <br />-i c <br />om <br />_ -Z-i <br />m <br />.-� <br />A Z <br />C <br />D � <br />r x <br />.. .-� <br />-i V� <br />< <br />�'I <br />O A <br />�a <br />3 <br />�m <br />x <br />m �-. <br />N <br />0 <br />o r <br />�m <br />c �n <br />3 N <br />m <br />2 C') <br />-i r <br />• m <br />a <br />� <br />--1 <br />2 <br />n <br />z <br />� <br />x <br />N <br />z <br />0 <br />.�. <br />C'1 <br />m <br />