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dre Erergreen <br />��,, �: <br />�vere�t <br />CITV HALL 259-87d5 <br />EVERETT, WA 98207 <br />� �^OI��TRUCTIOP" <br />PE��I1" <br />❑ COMBINATION �'XI BUILDING ❑ MECHANICAL <br />PERMIT NO. �- �' � � 3 <br />❑ PLUMBING <br />OYJNER MAI�AOfJFE55 CITY ZiP PMONE <br />National Video 1321 Everett Mall Way Evex�ett 98204 <br />APGMITEGT OR pESIGNEP ldAIL AOOFEGS CiTY Z�P PHONE <br />GENERAL CONTRAGTOR MAIL ADDPESS CITY ZIP PHONE LiCENSE • <br />Doolittle & Plumbing Sign 5838 South Adarns Tacoma 98401 474-6702 <br />MECMANICAL LONTflACiOR MAIL A�DRE55 GITV IIP FMONE UCENSE M <br />DOOLIC 158 YZ <br />PLUMpiNG CONTRACTOR MAIL AODHE55 CITV pIP PMONE LICENSE / <br />❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE }Q�j SIGN ❑ WOOD SrOVEIFIREPLqCE INSEAT <br />s 1950 <br />Install @ibLK wall signs-illuminated <br />PFOPOSEO USE OF BWLDING <br />LEGAL �ESLRIPiION OF pROPERTY �SHOW BELOW Ofl ATfACM F <br />LOT_p�OCN_OF <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET�TOILEn <br />BATHTU9 <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />GISHWASHER _ <br />IAUNDRYTRAV <br />CLOTHES WASHER <br />WATER HEATEfl <br />URINAL <br />DRINKING F(IUNTAIN <br />FLOOR DRAIN <br />VACUUM 6REAKERd <br />FOOF DRAINS — RAINLEA�ERS <br />SINK (SERVICE — BAR, ETC.) <br />PEflMIT <br />TOTAL F!E <br />APPROVALS <br />7. ENVIqONMENTAL CHECK L!ST <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROTECTION SVSTEM <br />5. GRADING <br />6. DE4INAGE <br />7.ENVIRONMENTALINPACTSTATEMENT <br />8. HEALTH OISTRICT <br />APPLICATIOtJ ACC. BY f�LANS CHECKED 8V <br />S <br />5 <br />5 <br />4CAN7 SITE <br />YES NO <br />i. FOri ISSUANCE BY <br />NV-LNC 10/17, <br />I FIcREBY CERTIFY THAT I HAVt READ AND EXAMINED THIS <br />APPLICATION AND KNOW THF SAME TO BE TRUE ANG <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPFCIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DC)ES NOT PR�=SUME TO GIVE.4UTHORITY TO VIOLATE <br />OR CANCtL PRUVISIONS ANY O HEP STATE OR <br />LOCAL ���.� / LAT� 0 S�ION OP, THE <br />PERFOR (I OF CON <br />SIGNFTUFE FC FACT�qORA DATE <br />MEG'FIkN CAL / <br />N0. YPE OF E�UIPMENT <br />AIR CON�NITS — H.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED i11R SYSTEMS — B.T.U. M EA. <br />WAIL HEATEflS — B.T.U. PA <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIF HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />METAL FIREPLACE 8 CHRdNEV <br />FIREPLACE INSER' <br />HEAT PUMP <br />SUB T07AL S <br />PERMIT S <br />TOTAL FEE 5 <br />< NUMBER PLAN CI <br />FEE <br />FEES VALUATION <br />BUILDING <br />PLUMRING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />g 1950.00 <br />U.B.C. <br />$FC. 90J �a) <br />FEE <br />RECEIPT NO. <br />FEE <br />E <br />'0 <br />PERIAIT VALIDRTION <br />WHEN PliOPERLY VALIDATED QN THIS SPACE� THI sl OyOU/ PO O iT � <br />�13i) 3 <br />� <br />�� <br />�. .�., .�' i r' �_ r,-� r'. <br />t �...,�:li <br />35 ,. �� ! � i� <br />ADDRESS FIL'c <br />z <br />0 <br />� <br />� <br />m <br />«. .. <br />-a 'n <br />.. -� <br />N S <br />a <br />m <br />c v <br />mo <br />� <br />O 3 <br />m <br />S -z-I <br />m <br />A Z <br />C <br />D —1 <br />r x <br />�+ �-. <br />-�i N <br />< <br />O .Z <br />T 3 <br />�m <br />2 <br />Prl N <br />O <br />o r <br />�m <br />C N <br />f3r1 N <br />Z ('� <br />�r <br />. m <br />D <br />A <br />� <br />2 <br />D <br />z <br />..� <br />x <br />N <br />z <br />O <br />� <br />r-� <br />n <br />m <br />