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�he Ernrgreen <br />��,� oF <br />,- everett <br />CITY HALL 259�87d5 <br />EVERETT, WA 9820'! <br />; coNs-rr���r�c� <br />PERMIT <br />❑ COfv1BINATION ❑ BUILDING ,��,' MECHANICAL <br />PERM17 NO. �47� � <br />❑ PLUMBING <br />JWNER 1AAi� q0�RE55 CITY ZIP PHOlJE <br />Premium Shop 1321 S.E. Everett Mall Way Everett 98204 <br />ARCHITECT OR OESIGNEF MAIL AODRE55 CIiY IIP PhpNE <br />GENERNL GONTHACTOR IdAIL A�ORE55 CITY ZIP PHONE LICENSE Y <br />IdELHANICAL CONTFFGTOR MFIL ADDRE55 CITY Ilp PHONE �ICECSE � <br />Evergreen State Sheet Metal Inc. P.O Sox 1508 Everett 98206 252-3114 <br />PLUMBING CONTPAGTOF MAIL AD�RESS pTY ZIP PHONE LICEtISE • <br />EV ER GS 530DB <br />( V.SS OF WORK <br />- ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOUTION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VI WATION OF YlORK <br />S <br />�E;:RIBE WORK <br />PROP <br />LEGAL DE56 <br />LOi_BLOCK_ _OF <br />JOB ADDRESS <br />1321 S.E. Everett Mall Way <br />PLUMBING <br />TYPE OF FIXTURE OFi ITEM <br />W ATER CLOSET (TOI LEn <br />BATHTUB <br />SHOWER <br />KITCHEN SINK Z DISV. <br />DISHWASHER <br />LAUNDRY7RAV <br />CLOTHES WASH�C <br />WATER HEATER <br />UP.INAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />ROOFf7RFINS — RAIMLEADERS <br />SINK (SERVICE — BAR, ETC.� <br />PERMIT <br />TOTAL FEE <br />FIRE <br />APPHOVALS <br />I. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYORANT <br />4. FIRE PROTECLION SVSTEM <br />5. GRADING <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTH DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />FOURCOPIES� 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 COMPLI[D WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'lING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY �THER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNFTURE OF CONTRAGTOR OR AUTHORIZEO AGENi DATE <br />X .� • - - - ��r..�� 4/30/85 <br />FEE <br />i <br />S <br />a <br />VACANT SITE <br />-YES :,NO <br />LOAD <br />REOUIPED <br />YES NO <br />BY DATE <br />MECHANICAL <br />N0. TYP[ OF EQUIPMENT <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEFAT104 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 HEATERS — B.T.U. M <br />EVAPURAiIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />f1ANGE HOO� <br />AIR HAN�LING UNIT — C.F.M. <br />STOVE — WOOD <br />WETAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />� HEAT FUMP [} tcr <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />FEE <br />SUBTOTAL 5 7 <br />PEH7di7 5 <br />TO7AL FEE S <br />PLAN CHECK FEE <br />FEE hECEIPT NO. <br />VALUATION FEE <br />Fj <br />U.9.C. <br />SEC.90J <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN TH:S SPACE� THIS IS YOURPERMIT '"'� <br />' �. . . _ .". r.r� <br />i �- <br />`� <br />� <br />�Y APPR. FOR ISSUANCE BV �� � <br />+-'� <br />l�DDRE55 fIL� <br />2 <br />O <br />�--I <br />r-� <br />n <br />m <br />--� T <br />..� <br />N 2 <br />m <br />co <br />mo <br />c� <br />--� C <br />�m <br />�--i z <br />m� <br />oz <br />c <br />a -+ <br />r x <br />-� t/i <br />� <br />O .'a <br />TI ➢ <br />3 <br />--i m <br />2 <br />m� <br />N <br />O <br />or <br />c� m <br />c �n <br />3 � <br />m <br />z c� <br />-t r <br />• m <br />a <br />� <br />--i <br />2 <br />A <br />Z <br />� <br />2 <br />N <br />Z <br />O <br />-�i <br />C') <br />m <br />