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I <br />the £veCITYGF I CONSTRUCTeen'I®�, <br />evereft PERMIT PERMIT No. 13437 <br />CITY HALL 259 8745 <br />EVERETT, WA 98201 ❑ COMBINATION ER BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL ADDRESS CITY Z'P PHONE <br />Fredrick Body Wear 1402 S.E. Everett Mall Everett 90204 It <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE # <br />Berry Neon Co. Inc. <br />21027 61st NXXX West. <br />Lynnwood <br />98036 <br />776-8835 <br />MECHANICAL CONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE# <br />BERRY14247LD <br />PLUMBING CCNTRACTOR <br />a <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE LICENSE # n <br />� <br />11» Vr 1--0 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE 7RSIGN ❑ WOOD STOVEIFIREPLACE INSERT <br />VALUATION OF W <br />s 1385. <br />G1 CliL 111LL1111114 LGU <br />PROPOSED USE OF BUILDING <br />- <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 />PERMIT DOES NOT PRESUME TO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CO STRUC ION. <br />SIGNA(/Jf,E OF CONT�Rp/�TOR 0 UFHORIZ AGENT Lr� DATE p <br />X `�/� <br />LEGAL DESCRIPTION OF PROPERTY (SHCW BELOW OR ATTACH FOUR COPIES) <br />LOT--BLOCK-OF <br />JOB ADDRESS <br />1402 S.E. Everett Mall Wa <br />PLUMBING <br />MECHANICAL <br />NO. TYPE OF EQUIPMENT _ FEE <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />WATERCLOSET(TOILET) <br />AIR COND. UNITS - H.P. EA. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS - TONNAGE EA. <br />KITCHEN SINK G DISP. <br />FORCED AIR SYSTEInS - 6.T.U. M EA. <br />DISHWASHER <br />WALL HEATERS - B.T.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS - B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES DRYERS <br />URINAL <br />VENTILATION FAN <br />DRINKING FOUNTAIN <br />RANGE HOOD <br />FLOOR DRAIN <br />AIR HANDLING UNIT - C.F.M. <br />VACUUM BREAKERS <br />STOVE - WOOD <br />ROOF DRAINS - RAINLEADERS <br />METAL FIREPLACE & CHIMNEY <br />SINK (SERVICE - BAR, ETC.) <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUBTOTAL <br />5 <br />SUB TOTAL $ <br />PERMIT <br />S <br />PERMIT $ <br />TOTAL FEE <br />6 <br />TOTAL FEE $ <br />SIDE YARD SETBACK <br />STREET SETBACK <br />REAR YARD SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />i�YES ENO <br />FEES <br />VALUATION <br />FEE <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DWELLING UNITS <br />BUILDING <br />5 1385. <br />9 <br />00 <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 />-YES nNO <br />MECHANICAL <br />- <br />OTHER <br />APPROVALS <br />BY <br />DATE <br />1. ENVIRONMENTAL CHECK LIST <br />PENALTY <br />U.B.C. <br />SEC. 303 IG) <br />2. BUILDING PLANS <br />TOTAL <br />9 <br />00 <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5.GRADING <br />PERMIT VALIDATION p <br />WHEN PROPERLY VALIDATED (IN THIS lPpC,EI THI ezi YQU9 T POTI <br />4 I UU 77 <br />(V) <br />''. `_} J R R (; C 1 1 f Ip_ ,--I <br />i 1ANK YOU <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STATEMENT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />RIF <br />APPR. FOR ISSUANCE BY <br />NV <br />J <br />- I :im $ 4 <br />ADDRESS FILE .4 <br />