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�he E��er,�reen <br />��T� oF <br />ever�it <br />CITY HALL 259�8'd5 <br />EVERETT, WA 98207 <br />�''� ' ;ONSTRUCTIO�'� <br />PERMIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT NO. 16626 <br />CX, PLUMBING <br />OWNER MAILADDRE55 CITY 21P PHONE <br />Larry Hillis <br />ARCMITECi OR DESIGNER MAIL RDDRE55 CITY ZIP PMONE <br />GENERAL GONTRAGTOR MAIL ADDRESS CITY ZIP PMONE LICEYSE M <br />MECHANICAL CONTflAGTOfi MAIL ADDfiE55 CITY ZIP PMONE LICENSE N <br />PLUMBING CONTRACTOR MAIL ADDRE55 GITY ZIP PMONE LICENSE M <br />Robinson Plumbing 607 SE Everett Mall kTay Everett, SVA 98209 355-6171 ROSINP272C2 <br />CLASS OF WOflN <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />f <br />OESCRIOE WORK <br />tenant improvemant <br />L0T_BLOCK_OF <br />620 SE Everett Mall Way, Suite 210 <br />PLUMBIfJG <br />NO. TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET (TOILEf) <br />BATHTUB <br />LAVATORV(WASH6ASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISIiWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />1 WATEF HEATER <br />URINAL <br />DRINKING FOUhT:.IN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAIt1LEADERS <br />SIIIK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />USE ZONE <br />APPflOVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SYSTEM <br />5. G9AOING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTAT <br />8. HEALTH DISTRICT <br />APPLICATION ACC. BY PLAI <br />M.M. <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />P.PPLICATION 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 PRESUMETO GIVEAUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTAUCTION. <br />SIGNAT E OF CONTRACTOR OR AUTNORIZED AGENT �ATE <br />X y�i ����^� 5/29/86 <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. ��NITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFIS — B.T.U. M <br />EVAPOPATIVE COOLERS <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — <br />aiuve — w�uu <br />METAL fIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />a 8.00 $ fl� <br />S 3 00 <br />S 11 00 <br />REAR YARD SETBACK PLAN CHE� <br />VACANT SITE <br />uYES GNO <br />NO. OF DWLLLING UNITS <br />BUILDING <br />MAX.00C.LOAD <br />PLUMBING <br />BY <br />APPR. FOR <br />0.F.M. <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S _� <br />( NUMBER PLAN CHECK FEE <br />FEE RECEIPT NO. <br />FEES VALUATION FEE <br />$ <br />11 00 <br />MECHANICAL <br />DATE OTHEii <br />r • <br />PENALTY <br />TOTAL Q��j s�,[� 11 00 <br />PERMIT VALIUATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT (,� <br />n� <br />cn <br />!�) <br />ri <br />ADDRESS FILE <br />