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�hr Ll•er�rern <br />��,� a� <br />��verett <br />CITY HAIL 259�87�5 <br />�^ �ONSTRUCTION^ �"", <br />PERMIT PERMIT N0. 15543 <br />EVERETT, WA 98701 ❑ COMBINATION IX�c BUILDINO ❑ MECHANICAL ❑ PLUMBINQ <br />ONNER M�IL�ODRE55 CIiY ZiP PMONE <br />William Tackett 1010 Broadway Everett 98201 <br />�9GHITEGt OR DESIGNEN M�IL �DDRESS GITY 21P PHONE <br />UENER�L GONiPACTpR MAIL �ODRE55 CIiY 21P PMONE I.IGENSE I <br />Tube Art Siqna 2719 Maple Street Everett 98201 252-0086 <br />MECM�NIC�L CONTNACTOR MAIL �DORESS GItY 11P PMONE LIGENSE � <br />TUBEASI161BM <br />PWM91N0 WNTMGTOR MRIL �OOIIE55 CITY i1P PMONE LICENSE � <br />❑ NEW ❑ AD�ITION ❑ ALTERRTION ❑ REPAIH ❑ DEMOLITION ❑ FENCE �C41�N ❑ WOOD STOVFIFIHEPLACE INSERT <br />s 3500.00 <br />OESCRIBE WORIc <br />Install 3 Single Face S'.gns and Two Rowa of Neon <br />LOT __ BLOCK _OF <br />1010 Broadway <br />PLUMEINO <br />NO. TYPE 01 <br />SHOWER <br />KITCMEN uINK 6 <br />OISHWAS'iER <br />LAUN�RYTNAY <br />WATER MEATER <br />URINAL <br />DRINNIN6 FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRRINS — RAINLEADERS <br />SINN (SERVICE — BAR, ETC.� <br />SUB TOTAL <br />PERMIT <br />TOTAIFEE <br />SIZE OF BI�G. NO. OF STOR <br />FIRE ZONE BASEMENT <br />APPROVAlS <br />1. ENVIRONMENTAL CHECN LIST <br />1. BUILDING PLANS <br />J. FIRE HYDRANT <br />�. FIRE PROTECTION SVSTEM <br />5. GRADING <br />B. DRAINAOE <br />7. ENVIRONMENTAL IMPACT STATEMEN� <br />B. MEALTM OISTPICT <br />APPLICATION ACC. BY PLANS CHC <br />I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS <br />APPLICATION AND KNO'N 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 />WHETHEF 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 REGUTATIN(i CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />SIGN�TUREOFCONTRACTORORAUTHOR17lU/NNT D�TE i <br />MECHANICAL <br />FEE N0. TVPE OF EOUIPMENT <br />AIR COND. UNITS — M.P. EA. <br />REFRIGERATION UNITS — M.P. EA. <br />BOIIERS — H.P. EA. <br />6AS FIRED A.C. UNITS — TONNAOE EA. <br />FORCED AIH SYSTEMS — B.T.U. M EA. <br />WALL HEATEHS — B.T.LL M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANOEHOOD <br />AIR HANDLINO UNIT — C.F.M. <br />STOVE — WOOD <br />MEiAL FIREPLACE 8 CMIMNEY <br />FIREV'LACE INSERT <br />NF.4T PUMP <br />� <br />s <br />f <br />REAR YARD SEiI <br />VACANT SITE <br />YES NO <br />NO. OF UWELLIN <br />MAX.00C LORD <br />FIRE SPRINNLER', <br />REOUiREO <br />vES NO <br />BY APPR. FOR ISSUANCE BV <br />NV/LC 10/7/ <br />8UB TOTAL f <br />PERMIT f <br />TOTAL FEE f <br />( NUMBER PLRN CI <br />FEE <br />FEES V�lU11TI0N <br />eui�oiNo <br />PLUMBING <br />MECMANICAL <br />OTMER <br />PENALTV <br />s 3500. <br />FEE <br />FE^.EIPT NO. <br />FEE <br />TOTAL I I 15 I 00 <br />PERMIT VALIOATION <br />WMEN PflOPENLY VRLIORTE� (IN THI� BPPOE) THI��j10U8 P9MIL_ � <br />I u I J 0 U <br />ADDRESS FILE <br />� . <br />��. <br />� ; �;; rrr.rir�T. : <br />�� :����': ��V U <br />; I� U;;f u 7 <br />