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d�eE'�cive0 � CjV'`V��1�V��0�1 <br />e�erett pE�MIT PtRMIT NO. 249g2 <br />CITY HALL 259�87d5 <br />EVERETT,\NA96201 ❑ COMBINATION C`�{BUILDING ❑ MECHANICAL ❑ PLUM8ING <br />OWNER MAIL AOORE55 CITY ZIP PHONE <br />The Premium Shop 1321 S?E? Everett Mall Wav Suite P Fv�z�tt_ 98209 <br />ARCHITECT OR OESIGNER MAIL ADDRE55 CIiY ZIP PMONE <br />GENERAL GONTRACiOR MAIL ADORE55 CITY ZIP PMONE LICENSE / <br />Tube Art Displays 808 Aloha Street 5�•attle 98109 TOBS Ao 311 Os _ <br />IdECNANICAL CONTRAGTOR IAAIL AODRE55 CITY ZIP PNONE UCENSE M <br />PLUMBING CONTFALTOF MAIL AO�FE55 CITY ZIP PMONE LICENSE M <br />❑ NEW ❑ AODITION ❑ AITERATION ❑ REPAIR 0 DEMOLITION O FENCE �,SIGN ❑ WOOD STOVCJFIREPLACE INSERT <br />VALUATION OF 19Unn <br />S 3��1i�. <br />LOT _ BLOCK _OF <br />doanonHess <br />132i S.E. Eberett Mall S4ay <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DflINKING FOL�NTAIN <br />FLOOR DRAIN <br />VACUUM 3REAKERS <br />ROOF DRAINS - RAINLEADERS <br />SINK (SERVICE - BAR, E7C.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />� <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTEG710N >YSTEM <br />5. GRADING <br />6. �RAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHECKEO BY <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURCOPIES� CORRECT. ALL PROVISIOhIS 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 AUTfiORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULj+ CONSTRUCTION OR THE <br />PERFORMANCE OF C�bNS CTION. <br />Suite P I X <br />FEE NO. TYPE OF EOUIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATEFS - O.T.U. M <br />EVAPOflATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />flANGEH00D <br />AIR HANDLING UNIT - C.F.M. <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />5 <br />5 <br />YES _��O <br />OCC. <br />NO <br />OATE <br />P7/V-LC <br />ISSUANCE <br />FEE <br />SUB TOTAL S <br />PEPMIT S <br />TOTAL FEE S <br />',NUMBER PLAN GHECK FEE <br />FEE flECEIPT NO. <br />FEES VALUA710N FEE <br />Bl11LDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />S <br />SEC. 303 (a1 <br />TOTAL I I 1' <br />?ERMI7 VFLIDA710N <br />WHEN PROPERLY VALIUATED (IN THIS SPACE� THIS IS YOUR PERMI7 <br />APPLICANT'S COPY <br />� <br />Z <br />0 <br />� <br />n <br />m <br />ry r-� <br />-i -� <br />.. -� <br />cn x <br />m <br />co <br />mo <br />--� c <br />0 3 <br />m <br />i� <br />m <br />... <br />A Z <br />C <br />D � <br />rx <br />-i � <br />< <br />�'I <br />on <br />3 <br />�m <br />2 <br />m� <br />�e <br />0 <br />o r <br />c� m <br />C N <br />3 N <br />m <br />z c"� <br />�r <br />. � <br />A <br />� <br />2 <br />a <br />Z <br />-i <br />x <br />N <br />Z <br />O <br />� <br />n <br />m <br />