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Ihe£rerRreert ^,pNSTRUCTlO�' �� �� <br />UTv OF � <br />����� �' everett PERN�IT PERMIT NO. 12396 <br />G7Y MALL 259�8745 <br />EVERETT, WA90207 ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />' ' OWNER MPILAppRESS GITY ZIP PHONE <br />Valley Propane 519 S.E. Everett Mall Wa Everett 98204 353-3535 <br />� �� � � ARCMITECT OR OESIGNER MAIL ADDRE55 GTY ZIP PHONE <br />� <br />� <br />GENERALCONTFPCiOfl MAILAODRESS CITY 21P PHONE LICENSEN <br />MECMANICALCONiRAGTOR MAILAODRESS CITY 21P PMONE LICENSEN <br />PLUMBING GONTFiACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE M <br />O NEW ❑ ADDITION }p( ALTEiiAT10N ❑ FiEPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />s 3,500.00 <br />tGpIBE WOHK <br />istall roof o <br />)POSE� USE OF BUILDING <br />dry storag� <br />LOT__BLOCK_OF <br />519 S.E. Everett Mall <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILEn <br />BATH7UB <br />I.AVATORY (WASH 6ASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />LAUNDRYTRAY <br />CLO7HES WASHER <br />WATER MEATER <br />URINAL <br />OFi1NKIMG FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEAOERS <br />SINK (SERVICE — BAR, ETC.) <br />TOTAL <br />FEE <br />SIZE OF BLDG. NO. OF STORI <br />FIRE ZONE BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. GHADING <br />6. DFAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENI <br />8. HEALTH OISTRICT <br />APPLICATION ACC. BY PLANS CHI <br />EB DAS <br />I HEREBY CERTIFY Ti1AT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOURGOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNIPJG THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMETO GIVE AUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCA A EGULAT G CONSTRUCTION OR THE <br />PERF F�7^ NCE O �RUCTION. �l <br />. c cnurancV� n oRIlFO HGENT A � �� i�) <br />FEE <br />S <br />S <br />::YES �.,��NO <br />NO. OF DWEL <br />MA%. OCQ LC <br />FIRE SPRWK� <br />REOUIPED <br />.-:YES :�NO <br />APPR. <br />�B <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNI7S — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALI HEA7ERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVHPORATIVE COOLERS <br />CLO7HES �RYERS <br />VENTILA710N FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — \N�OD <br />METAL FIREPIACE 8 CHIMNEY <br />FIREPLACEINSERT <br />SUB TOTAL <br />PEflMiT <br />70TAL FEE <br />83/12396 I FEE 28.93 <br />BUIL�ING <br />PLUMBING <br />MECHANICAI. <br />OTHER <br />PENALTY <br />$ <br />VALUA710N <br />� <br />5 <br />S <br />CHECK FEE <br />RECEIPT NO. <br />TOTAL I � I <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDATEO pN THI$ �/�C�) THIS��q_UF� P�Iy�1T_� � <br />� � 4 �i U <br />M <br />N <br />BY YOUP, RECEIPT� <br />i; �n�K You <br />ADDP.ESS FILE <br />� <br />r ..'P!:'�.4b`i�.-.11� <br />