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r <br />L <br />I-IItt Y()F <br />eVereI '.;fJNS i RV CIO — <br />p CITY HALL 259d37d5 PERMIT PERMIT N0. 1'+1OS <br />EVERETT. WA 98201 ❑ COMBINATION L C� BUI DING _ h1ECHANICAL. ❑ PLUMBING <br />OWNER MAIL ADDRESS <br />LP PHONE <br />Extra Special Fashions 1402 S E Everett Mall Flay Everett ARCHITECT OR pESIGNEfl MAIL ADDRESS ­ _ <br />e:eyer <br />BI D 9240➢L Sian Co <br />CITY <br />512h Minor Avenue North Seattle <br />ZIP PHONE <br />98109 <br />LICENSE/ <br />MECHANICAL CONT( ACTOR <br />-CITY <br />624-4243 <br />MAIL ADDRESS <br />LP PHONE <br />LICENSEI <br />MEYER1219BO <br />PLUMBING CONTRACTOR <br />MAIL AODflESS <br />C�tp <br />ZIP PHONE <br />LICENSEI <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE X$ SIGN ❑ WOOD S70VE FIREPLACE INSERT <br />$ 2,000.00 <br />DESCRIBE WORK <br />install illuminated sign <br />LOT -BLOCK -OF <br />I HEREBY CERTIFY THAT 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 />Uvra Ivul rnt�Umt IU GIVEAUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />JOB ADD REss <br />1402 S.E. Everett Mall Way <br />SIGNATURE OF CONTRACTOR OR AUTHOR 2 D AGENT GATE <br />i <br />X <br />PLUMBING <br />MECHANICAL I' <br />No. TYPE OF FIXTURE OR ITEM FEE <br />NO. TYPE OF EQUIPMENT -- <br />WATER CLOSET (TOILET) <br />FEE <br />AIR CUND. UNITS — H.P. EA. <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />REFRIGERATION UNITS — H.P. EA. <br />BOILER4 — H.P. EA. <br />SHOWER <br />_ <br />KITCHEN SINK & DISP. <br />GAS F!PEL A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS —B.T.U. M EA. <br />DISHWASHER <br />WALI—'PIERS—B.T.U. M <br />_ <br />LAUNDRY TFPY <br />U,'D`4:-ATERS—B.T.U. M <br />- '- <br />CLOTHES WASHER <br />WATER HEATER <br />'cVA ..9njIVE COOLERS <br />CLOTHES DRYERS <br />URINAL <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />RANGE HOOD <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />AIR HANDLING UNIT — C.F.M. <br />--- <br />STOVE —WOOD <br />ROOF DRAINS — RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE •- BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />3 <br />SUB TOTAL = <br />PERMIT <br />TOTAL FEE <br />S <br />PERMIT <br />$ <br />REAR YARD SETBACK <br />s <br />TOTAL FEE S <br />PLAN CHECK NUMBER <br />SIDE YARD SETBACK <br />STREC; SETBACK <br />PLAN CHECK FEE <br />FEE RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SI"fE <br />OYES ONO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST, <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />$ 2,000. <br />9 <br />OO <br />SIZE OF BLDG. <br />NO. OF STORIES <br />MAX. OCC. LOAD <br />PLUMBING <br />FIRE ZONE <br />BASEMENT <br />FIRE SPRINKLERS <br />REQUIRED <br />MECHANICAL <br />OYES ONO <br />APPROVALS <br />BY <br />DATE <br />OTHER <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 (a) <br />2. BUILDING PLANS c-. <br />3. FIRE HYDRANT — <br />TOTAL <br />d. FIRE PROTECTIONSYSTEM <br />9 00 <br />PERMIT VALIDATION <br />T5. GRADING <br />18. DRAINAGE-'0 <br />WHEN PROPERLY VALIDATED (IN THIS SPAE) THIV�YBUA gER►117 <br />7.ENVIRCN— MENTAL IMPACu^STATEMENT <br />`• I � !.'I FTr-{ <br />8. HEALTH DISTRICT .q <br />'APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />RF <br />NV/LC <br />.. <br />T) <br />ADDRESS FILE <br />i I :.LI� <br />1 ` Y <br />-11 <br />1I <br />—1$ <br />