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�- <br />. <br />t <br />�he Ecer,�reen <br />e�erett � %�NSTRl1CTIOn� <br />PERMlT PERMIT NO. 1231U <br />CITY HALL 259�8745 <br />EVERETT,�^1Ag8201 ❑ COMBINATION � BUILUiNG ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAIL Ap�RESS <br />CITY ZIF PHONE <br />John Balda Colony Park Lynnwood 98036 <br />ARCHITECT OR DE:iIGNER MAIL ADDRE55 CITY ZIP PHONE <br />GFYEFAL CONTRAGTOR MAIL AD�RESS CITY ZIP PMONE LICENSE M <br />Michael Effler and Assoc. Winslocv 98110 842-4635 <br />MECMANICAL CONTAACTOR MAIL ADDRESS GTV ZIP PHONE LICENSE M <br />PLUMBING WNTRACiOR MAIL AD�RE55 GITY 21P PMONE LIGENSE M <br />❑ NEW ❑ qDDITION f(]{qLTERATION ❑ REPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WpOD STOVEIFIREPLACE INSER7 <br />.UATION OF WpqK <br />$ ZJr���O.�� <br />tenant improvement <br />FOUR COPIES� <br />LOT_6�OCN _OF <br />�� <br />S.E. Everett Mall Way <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WKfER CLOSET(701LEn <br />BATHTUB <br />LAVA70RY�WASH BASIN� <br />SHOWER <br />KI7CHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLGTHES WASHER <br />WATER HEATER <br />URINAL <br />DR'NK'NG FOUNiAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />fi00F DRAINS — RAINLEAdE <br />:iINK (SEFiVICE — BAR, ETG) <br />SUB TOTAL <br />PERMI7 <br />TOTAL FEE <br />USE <br />FIFE <br />1. ENVIRONh1ENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />�. FIFE PROTECTION SVSTEM <br />5. GRACiNG <br />6. ORAINAGE <br />7.ENVIRONMENTALIMPA�..TSTATEMENT <br />8. HEAL' ^1 DISTRICT <br />APPLICA710N ACC. BV PLANS CME <br />� <br />I HEREBY CEF�TIFY THAT. I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISICNS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF bVORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIf! OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME "i O GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING NSTRUCTION OR THE <br />MA F CONST � ON. <br />SIGNATIIRE ' A Ofl OR i� T pATE <br />X � DiJ 8/9/83 <br />FEE N0. TY �� OF E�UI�IENT <br />AIR C D. UI I7S — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — N.P. EA. <br />GAS FIREO A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.7.U. M <br />UNI7 HEATERS -- B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />HIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACcINSERT <br />HEAT PUMP <br />S <br />E <br />REAR yqRD SETBACK <br />f:YES : NO <br />:.--.YES -'NO <br />FOR ISSUANCE [Y <br />DAB <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />fEES VALUATION <br />S <br />5 <br />S <br />FEE <br />FECEIPT NO. <br />FEE <br />BUILDING 5],S � OOO. ZZO SO <br />PLl1MBING � <br />MECHANICAI <br />OTHER <br />PENALTV U.B.C. <br />SEC. 903 (a� <br />707AL 110 5 0 <br />PERMI7 VALIDATION <br />WHEN PFiOPERLV VALIDA7ED (IN TW$${;4%E) THI�I� V�l��t �f�t1T �j <br />OJJ p � <br />:•,DDRESS fILE <br />1'OUR RECEIPT � � <br />THANK YOU <br />I 0 n� 8 3 <br />-- — - - - '.� <br />