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�hr6lrrKrern , ^ONSTRUCTIOii' <br />��,� �, � <br />everett PERMIT PERMIT N0. 1310 � <br />QTV MALL 259-974'_ <br />EVERETT,WA9B1�1 � COMBINATION ❑ BUILDING %X MECHANICAL ❑ PLUMBING <br />OWNEP MAILPD�PG55 QTY Z!P PNONE <br />Craig W. VanSant 9223 South 3rd Everett 98203 258-6814 <br />�NCNITEGL OP DESIGNER MPIL AODPE55 GITY ZIP PNONE <br />GENENPL CONiRNGLOR MAIL /.ODRE55 GIiY ZIP PMOHE UCENSE � <br />MECHNNILRL GONTRAGTOR MAII ADDRE55 GIiY 21P PMONE LICENS[ � <br />5ame <br />PLUMBING GONTPAGiOP MAIL PODPE55 QiY ZIP P�iONE 4CENSE 1 <br />O NEW ❑ AODITION ❑ ALTEFATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />3 <br />ior_siocK_or <br />�oe nooaess <br />A223 South 3rd <br />PLUMBING <br />NO. TYPE OF FIX71 <br />WATER CLOSEilTOILET) <br />�ATMTUB <br />SHOWER <br />HITCMEN SINK d DISP. <br />LAUNDFYTRAV <br />CLOTMES WASMER <br />WATER hFATCR <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 Ll+WS 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 VIOLATE <br />OR CANCEL THE PROVIS ONS OF ANY OTHER STATE OR <br />LOCAL REGU ING. NSTRUCTION OR THE <br />PE MANCE OF NST TION. <br />�5 ATU�c�'q ONTP OROR MO %fOAGENi OAiC <br />//�/ Q /� � 1 i.--- %XBX 3/13/84 <br />I7EM FEE NO. � TYPE �£OUIPMENT FEE <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILEFS — HP EA. <br />GAS FIRED A.C. 11N1T5 — TONNAGE EA. <br />FORCED AIR SVSiEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOPATIVE COOLERS <br />CLOTMESDNVERS <br />DRINK!NG �OUNTAIN <br />FIOOR OPAIN <br />VACUI'N OREAKEPS <br />ROOF DFAINS — RAINLEADEflS <br />SINK �SEPVICE — BAR, ETC� <br />SUBTOTAL f <br />PEPMIi S <br />TOTAL FEE S <br />R� SETBAGN STREETSETBACK REARYARD SETBACK P�AN <br />Jf. LOi AREA VACANT SITE <br />YES NO <br />L LNVIRONMENTAL CHECK LIST <br />2. BUILOING PLANS <br />3. FIRE NYDRANT <br />a, FIRE PROTECTION SVSTEM <br />S.GRADING __ <br />6. DRAINAGE <br />].ENVIRONMENTALIMPACTSTATEMENi <br />B. MEALTY OISTFiCT <br />APPLICATION ACG BY <br />HPNGEMOOD <br />Alfl MANDLING UNIT — GF.M. <br />STOVE — WOOD <br />METAL PIREPLAGE ft CHIMNEV <br />NEAT PUMP <br />Gas Lir <br />SUB TOTAL f <br />PERMIi f <br />TOTALFEE S <br />FEE RECEIPT NO. <br />FEES YALUATION FEE <br />BUILDING f <br />MAx OCG IOAD <br />PI.IIMBING <br />FIPE SPRINKLERS MECHANICAL ZZ <br />�EauinEo <br />VES NO <br />BY DATE OTMER <br />FENALiY U.B.0 <br />SEC. 307 �al <br />TOTAL LZ <br />FOR <br />WHEN PROJEflLY VALIDATED pN TH�6 &flAGE) THI�`I$IYQU41 RERMIT j A <br />U � J ll I L U ll �J <br />s-'i <br />m <br />,, ,� . I PT �i <br />.. � <br />I � <br />� �'� <br />A,CDRF.`,S Yill: <br />