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�he Ecergreen <br />GTV OF <br />►- �verett <br />CI7Y HALL 259�B7a5 <br />r- CONSTRUCTI(3'' <br />PERMIT <br />PERMIT N0. 15�74 <br />EVERETT, WA 9820/ ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWIIER MAILADDRE55 CITY ZIP FHONE <br />Armed Forces Recruiting 5920 Evergreen Way Unit A Eve+ett <br />ARCMITECT OR DESIGNER MAIL ADpiiE55 CITY � ZIP PMONE <br />GENERAL WNTRPGTOF MAIL A�ORE55 CIIY 21P PMONE LICENSE Y <br />Berry Neon Inc. P.O. Box 5269 Lynnwood 98046 776-8835 <br />MEGHANICAL CONTRALTOR MAIL ADOPE55 CRY 21P PHONE UCENSE 1I <br />BERRYN*247LD <br />PWMBING GONTRFGTOR MAIL AODRESS CI'Y Zip PMONE LICENSE � <br />C1A55 OF WOHY. <br />� NEW <br />f 1275.00 <br />� ADDITION ❑ ALTERA710N O REPAIR ❑ DEMOI.,TION ❑ FENCE ❑ SIGN C] WO00 S70VJFIREPLAGE IPISERT <br />LOT_BL6CN_OF <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />WATERCLOSET�TOILE'� <br />LAVATOR�(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />ClO7HES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />�LOOfi DRAIN <br />VACUUM BREAKEFS <br />ROOF DRAINS – RAINLEADERS <br />SINK (SERVICE – BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />NO. OF STORIES <br />BASEMENT <br />APPROVALS <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDIN3 PLANS <br />3. PIRE HYL1FiANT <br />4. FIRE PROTECTION SYSTcM <br />5. GRADI NG <br />6. DRAINAGE <br />7.ENVIRQNMENTALIMPACTSTATEMENT <br />8. HEAL7li DISTRICT <br />APPLICATION ACC. BY PLANS CHE <br />FEE <br />S <br />t <br />REAR YARD SETBACK <br />VACANT SITE <br />f7YES .:120 <br />NO. OF DWELLING UN <br />MAX.00G.LOAD <br />Nl'/LC <br />I HEREBY CERTIFY THAT 1 HAVE F EAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE l'RUE AN9 <br />CORRECT. ALL PROVISIONS OF L4WS AND ORDINANCFS <br />GUVERNING THIS TYPE OF WORK Vlli_L BE COMPL�ED WITH <br />WHETHER SPECIFiED HLREIN OR NC'T.l'HE GRANTING OF A <br />PERMIT DOES IVOT PRESUME TO GIVE.4UTHORITY TO VIOLATE <br />OR CANCEL THE PR�VISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW RF.GULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTIUN. <br />�SIGNATURE OF C'NTRACTOR OR AUTHOfl12E0 AGENT DATE <br />. C^�-�.-r---- 7�9 �8'S <br />MECHPNICAZ <br />NO. TYPF OM� E�UIPMENT FEC• <br />AIR COND. UNI75 — H.P. EA. -� <br />REFRIGEPATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEA7ERS — B.T.U. M <br />UNIT HEATERS — B:�.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />FIfiEPLACE INStRT <br />HEAT PUMP <br />SUB TOTAL S� I _ <br />PERMII' S� —T <br />TO7AL FEE S <br />FEE � RECEIPT N0. <br />FEES I VALUATION I FEE <br />BUILOING 31275. 9 00 <br />PLUM�ING <br />MECHANICAL <br />OTHER <br />PEN.4LTV U.B.C. <br />SEC. 303 (a1 <br />TOTAL I I 9 I 00 <br />PEHMIT VALIOATION <br />WHEN I'ROPERLY VALIDA7ED (IN THIS SPACE) THIS IS VOUR PERMIT d- <br />. � , r.'. , __– ��" <br />� <br />� <br />81' - � <br />AUDRESS FIL[ <br />L � . <br />�� <br />-i -ri <br />�� <br />N S <br />0 <br />m <br />ca <br />mo <br />�� <br />c m <br />s -Zi <br />m <br />o z <br />C <br />r 2 <br />H � <br />–1 N <br />< <br />�'1 <br />O :O <br />"�1 D <br />�rn <br />2 <br />m� <br />N <br />O <br />cr <br />c� m <br />C �n <br />3 fn <br />m <br />z n <br />-r r <br />. m <br />a <br />� <br />---I <br />2 <br />A <br />z <br />--I <br />2 <br />N <br />:C <br />O <br />-�i <br />n <br />m <br />� <br />