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�he Ecergreen <br />C17Y OF <br />everett <br />CI7Y HALL 259�B745 <br />EVERETT. WA 98207 <br />�'� -�ONS�'F�UCTIO�'' <br />PE�MIT <br />❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />PERMIT N0. 15 3 G$ <br />p� PLUMBING <br />OWNEfl MAILAOORESS CITY 21P PNONE <br />Larrv Hillis 6920 Fisher Road Edmonds 98020 <br />ARCMIiECT OR D.aIGNEfl IAAIL ADOFES$ CITY ZIP PMONE <br />GENERAL CONTflACTOF MAIL ADDFESS CITV ZIP PHONE LICENSE N <br />MECHANICAL CONTRACTOH MAIL ADOflE55 CITY ZIP PMONE LICENSE � <br />PLUMBING CANTRACTOR MAIL ADDRE55 CITY ZIP PHONE LICENSE N <br />Robinson Plumbina 607 S.E �•�+-A** Mall Way Everett <br />98204 RO BI NP 272C2 <br />CLA55 OF WOPK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />f <br />OESCRIBE WORK <br />RESTAURANT <br />LOT <br />620 S.E. Everett Mall <br />PLUMBING <br />NO. I TYPE OF FIXTUHE OR ITEM <br />BATHTUB <br />LAVATORY(WASHBA: <br />SHOWEIt <br />KITCHE'J SINK 8 DISP. <br />DISHWASHER <br />LAUN DFiY TRAY <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISFRVICE — FAR ETC1 <br />SUd TOTAL <br />PEAMI7' <br />TOTAL FEE <br />SIZE OF BLDG. NO. UF <br />FIRE ZONE BASEM <br />APPROVALS <br />7. ENVIRONMENTAL CHECK LIST <br />2. DUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PflOTECT10N SYSTEM <br />S.GRADING <br />6. DRAINAGE <br />7. ENVIflONMENTAL IMPACT STATI <br />8. HEALTH DISTRIGT <br />FEE <br />S <br />S <br />S <br />VACANT SI7E <br />CYES L''�NO <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 PRESUMETO GIVEAUTHORITYTO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTON ON FUTHORIZEO AGENT OATE <br />X Check #97155 9/9/85 <br />MECHANICAL <br />AIR COND. UNITS — H.P. EA. <br />REFRIGEFATION UNITS — 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 />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />N,ETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />CHECK NUMBER <br />FEE <br />TOTAL S <br />MIT S <br />AL FEE 5 <br />PLAN CHECK FEE <br />FEE � RECEIPT NO. <br />FEES I VALUATION I FEE <br />Bl11LDING S <br />IAX. OCQ LOAD <br />PLUMBING <br />IHESPRINKLERS MECHANICAL <br />E�UIRED <br />YES CNO <br />BY DATE OTHER <br />PLANSCHECKE�BY IAPPR.FOR <br />PENALTY SECV3031a) <br />rora� 69 �0 <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDA7ED (IN THI6�SFA�E) THI�Ia Ypl�(i q�jl�.�llT � <br />C4� Ilb7 IJU <br />M <br />u-i <br />��7UR F[CEIP'T � <br />T,-I^,P1K YOU <br />ADDRESS FILE <br />- 9 SEP $ 5 <br />