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the Evergreen <br />CITY OF <br />everett <br />259-8745 <br />C"INSTRUCTION <br />PERMIT <br />PERMIT NO: 20049 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL '❑ PLUMBING ® SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Everett Mall 1402 SE Everett Mall S9av Everett, WA 98204 355-1771 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />Meyer Sign 512 1/2 Minor Ave. N. Seattle, WA 98109 624-4243 MEYERI219B6 <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSER <br />U.NEW ❑ ADDITION L7 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />S 15,000.00 <br />DESCRIBE WORK <br />dL'dlfKdLjCyCXBXPtfd�di4SX7(>gBXil(jFSMXM1ip8B1fXflX Install signs and neon border tubing. <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />P90POSED USE OF BUILDING <br />Shopping Mall <br />I HEREBY CERTIFY THAT 1 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 />TH RFORMANCE OF CONSTRUCTION. <br />SIGN TU E OF CONTRACTOR. AUTHORI-1k AGENT. OR OWNER DAT-- <br />X _.$a <br />LEGAL DESCRIPTION OF PROPERTY (SHOW BELOWOR ATTACH FOUR COPIES) <br />LOT_ BLOCK _ OF <br />JOB ADDRESS <br />1402 SE Everett Mall Way <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EQUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - -A/HNDLG UNITS —H.P. <br />BATHTUB <br />REFRIGERATION UNITS — H.P. EA. <br />LAVATORY ( WASH BASIN) <br />BOILERS — B T.U./H.P. <br />SHOWER <br />y AS FIRED A.C. UNITS — B.T.U. <br />KITCHEN SINK B DISP. <br />FORCED AIR SYSTEMS—B.T.U. MEA. <br />_ <br />DISHWASHER <br />WALL HEATERS —BT.U. M <br />LAUNDRYTRAY <br />UNIT HEATERS—B.T.U. NI <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />_ <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />_ <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE — BAP.. ETC.) <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />SUBTOTAL <br />$ <br />SUBTOTAL <br />PERMIT <br />$ <br />PERMIT <br />TOTALFEE <br />S <br />TOT J <br />n <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />400020049 <br />RECEIPT NO <br />USEZONE <br />LOTAREA <br />VACANT SITE <br />OYES ONO <br />FEES <br />ATION <br />FEE <br />BUILDING <br />SC 00. <br />48 <br />00 <br />TYPE OF CONST. <br />OCCUPANCY GROUP <br />NO. OF DMLL17GUNITS <br />PLUMBING <br />CHECK 4 <br />B.00 <br />SIZE OF BLDG <br />NO. OF STORIES <br />MAX. OCCAOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED OYES ONO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHECKED BY <br />APPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />TOTAL <br />4E <br />00 <br />PawwT VeI InAnnN <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />m <br />C) <br />CV <br />ADDRESS FILE <br />