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�, ,� , :� �ONSTRUCTI�J11� <br />, �-,� �: <br />everett ! 16 6 3 7 <br />PERMIT PERMIT NO. <br />CITV MALL 259�87d5 <br />EVERETT, 1NA 98201 � COMBINATION 7nt BUILDING ❑ MECHANICAL ❑ PLUMBING <br />01YNER MAIL AODRESS CiiY 21P PHONE <br />PALDfER DIATERN 722 Wetmore Avenue Everett t4A 98201 252-0648 <br />AIiCMrtECT OR OESIGNER MAIL AODRE55 CITY ZIP PMONE <br />GB�ERPLLONIqApiOR MAILADORESS CITY ZIP PMONE UCENSE� <br />Same <br />MECMAI.ICAL WNiRACTOR MAIL AODFE55 CITY 2iP PHCNE 1 iCENSE � <br />PLUMpING CONiRAGiOH MAIL AppRE55 CITY pIP PMOn6 LILENSE r <br />CLA55 OF IYORN <br />❑ NEW ❑ ADDITION ❑ A�TERATI^N �] qEPAIR O DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOV6'FIREP'_ACE INSERT <br />VRLUATION OF WOPK <br />s z600.00 <br />Reroof residence <br />�or_L <br />722 wetmore <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATEH CIOSET�TOILEn <br />BATHTUB <br />LAVATORY�WASH BAS!4) <br />SMOVJER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHEH <br />WAtER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF �RAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEFMIT <br />TOTAL FEE <br />SIZE OF BLDG. NO. OI <br />FIqE ZONE BASEh <br />APPflOVALS <br />1. ENVIROVMENTAL CHECK L15T <br />'. BUILDIt1G PLANS <br />: FIREF.VDRANT <br />4.1'IFE P70TECTION SYSTEM <br />5. GiiAOiNG <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B.HEALTM DISTRICT <br />APPLICATION ACC. BV <br />COPIESI <br />I HEREBY CERTIFY THAT � 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 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 WNiRACiOR OR AUTMORIZED AGENi , pATE <br />X �i�l�-..:/��J/I-�,(-L�.[Llj 6/4/86 <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />AIR COND. UNITS - H.P. EA. <br />REFRIGERATION UNITS - M.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIfiED A.C. UNITS - TONNAGE <br />FORCED AIR SV',TEMS - B.T.U. <br />WALL MEAIERS - B.T.II. <br />UNIT HEATERS - B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGLHOOD <br />AIR HANDLING UNIT - <br />STOVE - WOOD <br />METAL FIREPLACE 8 CHIMNcY <br />FIREPLACEINSERT <br />HEAT PUMP <br />S <br />5 <br />S <br />EAR YARD SETBACN PLAN CHECK NUA <br />ACANT SITE <br />.YES NO FEES <br />O. OF OWEL�ING UNITS <br />9UILDING <br />A%.00Q LOAD <br />PLUMBING <br />RC SPRINKLERS MECHANICAL <br />EouiaEo <br />vF5 NO <br />BY DATE OiHER Stdt^ <br />_ PENALTV <br />FOR ISSUANCE BY <br />EA. <br />M EA. <br />M <br />M <br />QF.M. <br />SUB TOTAL f <br />PERMIT f <br />TOTAL FEE E <br />PLAN CHECK FEE <br />FEE I RECEIPf NO. <br />S <br />VALUATION I �EE <br />000aua�z I ��x <br />TOTAL I C{�SH SJp.SO <br />c <br />PERMIT VALIDATION <br />WMEN PROPERLV VALIDATED (IN THIS SPACE� THIS IS VOUR PERMIT <br />P.DDRESS FILE <br />�� <br />� � <br />;"7 <br />'.D <br />(_ 1 <br />� —: <br />