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r <br />the C• verXreer� <br />aTr o� <br />e�erett <br />CITY HALL 259�8745 <br />EVERETT, V!A 98207 <br />r _ _�or��rRu�Tior� <br />PERMIi' <br />❑ COMBINATION � BUILDING C MECHANICAL <br />r_ <br />PERMIT N0. 1�495 <br />❑ PLUMBING <br />OLYNEF MAIL ADDRESS CITY ZIP PHONE <br />Vicki Ellen 620 S.E. Everett Mall Way Hverett 98206 347-2233 <br />AqCH1iECT OR DESIGNER MAIL AOOflESS CITY ZIP PHONE <br />6ENERAL CONTRFCTOR MAIL AODRESS CITY ZIP PHONE LICENSE N <br />Tube Art Sigrls 2'119 Map1C P,O, Hox68 Everett 98206 <br />MECHANICAL CONTflPGTOR MAIL ADDRESS CITY 21P PHONE LICENSE �l <br />T UBE ART 161� �i 8M <br />PLUM9INGCONTRACTOR MAILA�ORESS GITY 21P PHONE LICENSEM� <br />❑ NEW ❑ AODITIi)N ❑ AL7ERATION �❑ IIffP41R O DEMOLITION ❑ FENCE �[]]¢IGN O WCOD STOVFJFIREPLACE INSERi <br />VALUATION OF WOPK � <br />5 %SO.00 <br />erect wall sign <br />PFi0NSE0 USE OF BIIILJING <br />LEGAL OESGRIPTION OF PflOPERTY (SHOW BELOW OR PTTACH FOUR COPIF.�) <br />LOT_BLOGK_OF <br />�oo noonrss <br />620 S.E. Everett Mall Wap <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WA7ER C�OSET(TOILET� <br />BATHTUB <br />SHOWER <br />KITCHEN SINK fl DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLO7HES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />VACUUM BREAKEFS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — OAR, ETC.) <br />PEHMIT <br />TOTAL FEE <br />EETSETBACK <br />BLDG. I N0. <br />BASEMEflT <br />1. ENVIRONMENTAL CHECK LIST <br />2. �UILOING PLANS <br />3. FIRE H�DRANT <br />4. FiRE PROTECTION SYSTEM <br />5. GHADING <br />6.DRAINAGE � <br />7.ENVIRONMENTALIMPACTSTAT <br />B. HEAL7H DISTRICT <br />APPLICATION ACC. BY FIAi <br />�S <br />REAF YARD SETE <br />VACANT SITE <br />iiYES ❑NO <br />NO. Of DWELLIN <br />MAX.004 LOAD <br />FIRE SPRINKLEH: <br />REQUIRED <br />[7VES i]NO <br />FOR ISSUANCE BY <br />LC <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 />�VHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGNAjppE OF CONTPAQTqR Ofl AUTMORIZED AGENT DA'E <br />X <br />R9ECHANICAL <br />AIR CCND. UNITS -- H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />�OILERS — ii.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FOfiCED AIR SYSTEMS — B.T.U. M EA. <br />WA:L HEF7ER5 — B.7.U. M <br />UNIT HEATERS — B.T.U. M <br />EV�PORA7IVE CG�:FRS <br />CLOTHES DRYERS <br />VENTILATIO�� FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />TO7AL <br />SUB TOTAL 5 <br />PEFMI7 S <br />IOTAL FEE S <br />�T pLqN C� <br />FEE <br />VALUATION <br />5 7$0.00 <br />U.B.C. <br />SEC. 303 le1 <br />2/2 5/85 <br />PECEI?T N0. <br />FEE <br />6 00 <br />�t� � 1 <br />PERMIT YALIDATION <br />WHEN'90PERLY��ALIDATED(INTH�S�SPA�E�7HISdS�YOyHF�EF�jIT �^ <br />t , t — ��, <br />��U <br />G' <br />� �'�' � <br />. � � � I i I Y_...; <br />i i) <br />,., i _ <br />m�a��•r�nra <br />j ': 1k3 u'7 <br />� <br />'t?: <br />u'• <br />?;fi <br />��`' <br />,;�; ;;'': <br />;�:�.�. ;� � <br />�, <br />;;�[ <br />S,;z;r:;'. <br />�.':'.. i�: <br />»,: . <br />"`-�;. <br />�t <br />� <br />A <br />