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FM EWF wn <br />GTY OF <br />everett <br />BUILDING DEPT. <br />259-8745 <br />)24,PPLICATION FOk'' <br />CONSTRUCTION <br />PERMIT P+ <br />TO BE COMPLETED IN BLACK INK- PLEASE PRINT <br />❑ COMBINATION ❑ BUILDING B-MECHANICAL B-PLUMBING ❑ SIGN <br />EVERETT RETAIL LTD. PTR. 640 Pearson St. Desplaines, Illinois <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAILADDRESS CITY ZIP PHONE LICENSE <br />United Western Construction P.O. Box 33428 Seattle WA G8133 367-3801 223-nl-43n62 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />Robinson Plumbing, Inc. 607 S. E. Everett Mall Way Everett 98208 355-6171 ROBINP*272C2 <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLANSERT ❑ BUILDING RELOCATION <br />VALUATION OF WORK (COST OF MATERIALS PLUS LASCR) <br />$31,087.50 <br />DESCRIBE WORK <br />lumbin <br />BUILDING <br />- etas <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP- <br />PLICATION AND KNOW THE SAMETO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWSAND ORDINANCES GOVERN ING THIS TYPE <br />LEGAL DESCRIPTION OF PROPER" (SHOWN BELOW OR ATTACH FOUR COPIES) <br />OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HERE- <br />LOT— BLOCK_ _ <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS Or <br />ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION <br />OR THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOR /ORRAAUTHORIZED AGENT DATE /1/160.% <br />X <br />PROJECT ADDRESS <br />APPLICANTS CITY BUSINESS LICENSE NO. <br />305 SE Everett Mall Way, Greentree Plaza Shop A <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE <br />WATER CLOSET TOILE <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />AIR COND. UNITS-H.P, EA <br />FEE <br />BATHTUB <br />REFRIGERATION UNITS-H.P. EA. <br />LAVATORY WASH BASIN <br />100.00 <br />BOILERS-H.P. EA. <br />SHOWER <br />GAS FIRED A.C. UNITS -TONNAGE EA <br />KITCHEN SINK& DISP. <br />FORCED AIR SYSTEMS-B.T.U. M EA. <br />180 <br />DISHWASHER <br />WALL HEATERS-B.T.U. M <br />LAUNDRY TRAY <br />UNIT HEATERS-B.T.U. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />WATER HEATER <br />CLOTHES')RYF.RS <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 <br />7GOF DRAINS-RAINLEADERS <br />METAL FIREPLACE& CHIMNEY <br />WOODSTOV FIREPLACE IN ERT <br />SINK SERVICE -BAR ETC. <br />SUB TOTAL <br />SUBTOTAL s <br />I <br />t <br />PERMIT s <br />PERMIT S <br />TOTAL FEE s <br />1,1riq D <br />- <br />TOTALFEE S <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />PLAN <br />FEE <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />VALUATION <br />BUILDING <br />S <br />TYPE OF CONST. <br />OCCUQANC'YGROUP <br />i <br />NO. OF DWELLING UNITS <br />S2E OF SLOG, <br />NO. OF STORIES <br />MAX OCC. LOAD <br />PLUMBING <br />5 <br />Cid <br />FIRE SPRINKLERS REQUIRED ❑YES ❑ NO <br />MECHANICAL <br />aC <br />J <br />O( <br />OTHER <br />PENALTY <br />APPLICATION ACC. BY <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />TOTAL <br />C 2 <br />FiY <br />