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the Ekmwgrem <br />CITY OF CINSTRUCTIAN everett PERMIT PERMIT NQ:- 20555 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ® PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Premium Shop 305 SE Everett Mall Way Everett, WA 98208 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />United Western P.O. Box 33428 Seattle, WA 98133 367-3801 <br />MECHANICAL CONTRACTOR MAIL ACORESS CITY ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE IICENSER <br />Robinson Plumbing, Inc. 607 SE Everett Mall Way Everett, WA 98208 355-Cl71 ROBINP272C2 <br />73 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />$ 380.00 <br />7LSCRIBE WORK <br />Plumbing addition <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />)Wf ,f Retail <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 AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE 0,'"N12, TRACTOR. A4. UT RIZE D AGENT. OR OWNER DATE <br />J( <br />LEGAL DESCRIPTION OF PPOPER TY (SHOW BELOW OR AT EACH FOUR COPIES) <br />LOT _ BLOCK _ OF <br />JOB ADDRESS <br />30E SE Everett Mall Way, Unit 23 (B1dgA) <br />PLUMBING <br />MECHA CAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A,C - AIHNDLG UNITS - H P. <br />BATHTUB <br />REFRIGERATION UNITS - H P. EA. _ <br />LAVATORY (WASH BASIN) <br />BOILERS - B. T.UJH P. <br />SHOWER <br />GAS FIRED AD. UNITS - BTU _ <br />KITCHEN SINK A DISP. <br />FORCED AI9 SYSTEMS - B T.0 M El,. <br />DISHWAShER <br />WALL HEAT ERS-B1U M <br />LAUNDRYTRAY <br />UNIT HEATERS -BT.J. KI <br />CLOTHES WASP IE9 <br />EVAPCRATIVE COOLCRS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />1 <br />FLOOR DRAIN <br />5 <br />00 <br />RANGE HOOD <br />_ <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />1 <br />SINK (SERVICE - BAR. ETC.) <br />5 <br />0 <br />METAL FIREPLACE A CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />S 10,00 <br />SUB TOTAL <br />_ <br />PERMIT <br />$ 10 <br />00 <br />PERMIT <br />TOTAL FEE <br />S 20 <br />00 <br />TOTAL FEE <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO <br />USEZONE <br />LOT AREA VACANT <br />LIVES <br />SITE <br />ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />$ <br />TYPE OF CONST <br />OCCUPANCY CROUP <br />NO CF DWELLING UNITS <br />PLUMBING <br />20 <br />00 <br />SIZE OF BLOG <br />NO OF ETORIES <br />MAX OCC LOAO <br />MECHANICAL <br />2. <br />FIRE SPRINKLERS REOUIREO Q YES NO <br />INVESTIGATION FEE <br />I�t <br />STATE BUILDING SURCHARGE <br />PLw i <br />.00 <br />STATE ENERGY SURCHARGE <br />PLE6 $ <br />.00 <br />APPLICATION FCC BY <br />M. M. <br />PLANS CHECKED BY <br />APPR FOR ISSUANCE DY <br />DRIVEWAY PERMIT <br />, <br />-Drcit <br />TOTAL <br />20 <br />00 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Ln <br />Ln <br />L0 <br />t� <br />N <br />it <br />ADDRESS FILE <br />