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rhe £irr,�reen <br />riTv OF <br />eVe�eit <br />CITY HALL 259�8745 <br />r� -�CONSTRUCTIO" <br />PERMIT <br />�ERMir Na. 13253 <br />EVERETT,WA98201 ❑ COMBINATION �1 BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNER MAILApOFESS CITY ZIP t"iONE <br />� Parker Paints 5930 Evergreen Wav Everett 98203 '�3+�-m�n � <br />� ARCNITECTORDESIGNER MAILApOFE55 CITV ZIP PHONE � <br />GENEflAL LONTfiACTOR MAIL ADORE55 CRY 21P PHONE LICENSE 1 <br />Same <br />MECHANIGAL CONTRACTOfl MAIL ADORF.SS CITY ZIP PMONE LICENSE A' <br />PLUMAING CONTRACTOfl MAIL ADDRESS CITY 21P PNONE UCENSE N <br />❑ NEW ❑ AD�ITION }� AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLl+CE INSERT <br />f 2,000.00 <br />retail sales <br />L0T_BLOGN_OF <br />5930 Evergreen Way <br />PLUMBING <br />OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATGSV(WASH3ASIN) <br />SHOWEP <br />KITCHEN SINK 8 DISP. <br />DISHWASIIER <br />LAUNDRYTRAY <br />CLOTHES WASHEP <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAH, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TOTAI FEE <br />ZONE <br />1. ENVIRONMENr..� CHECK LIS7 <br />2. BUILOIN , PLANS <br />3. FIRE HYDRANT <br />4. FIRE PRO7ECTION SYS7EM _ <br />5. GRADING <br />5. �RAINAGE <br />7.ENVIRONMEN7ALIMPACISTATEA <br />8. HEALTH DISTRICT <br />OPPIJCATION ACC. B'f PLANS <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 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 llOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CAMCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LR��AW REGULATING CONSTRUCTION OR THE <br />RF ANCE OF CONSTRUCTIOiv. <br />Slf, uRE AON41i��'bfi OR AUTMOR2E0 AGENT DATE <br />MECNANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />AIR CCND. UNITS — H.P. EA. <br />(iEFRIGERA710N UMITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS PIRED A.C. UNI7S — TUNNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATER� — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOR.171VE COOLERS <br />CLOTHES DRYERS <br />VEN7ILATION FAN <br />RANGE HOOD <br />AIR HA.NDLIN� UNIT — C.F.M. <br />STOVE — W�OD <br />METAL FIREPLqCE 8 CHIMNEY <br />FIPEPLAGEINSERS <br />HEAT PUMP <br />S <br />S <br />S <br />VACANT SITE <br />❑YES CNO <br />MAX. OCC. <br />i� NO <br />ISSUANCE AY <br />SUB TOTAL 5 <br />PERMIT 5 <br />TOTALFEE S <br />INUMBER PLAN C <br />FEE <br />FEES VALUAiION <br />BUILDING <br />PLUMBING <br />IdECHANICAL <br />O1HEF <br />PENn�T': <br />b <br />RECEIPT NO. <br />FEE <br />32 <br />TOTAL I I 32 I SO <br />PEHMIT VALIOATION I <br />WHEN PROPEHLV VAIIDATED (IN TH�6o R46E! THI$�191YpUj7 RERRdIT I C�, <br />�� u U J L J U <br />ADDRE55 fILE <br />i i <br />(' p r7 <br />. �l I::::��:�1 T w--e <br />� �•.�.1\t� 1��,-U <br />I / ���� Uti <br />