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"1e�"��� '�' C�NSTRUCTION � '`�� ' <br />ev�rett P�RI��T �PERMITIVO. _ 26J'�� � <br />7_59-8810 I <br />D DEMOLITION ❑ COMBINATlON ❑ HUILDING ❑ MECHANICAL C�.I F�UMBING ❑ SIGN ; <br />OWNEP MAILAG�BE55 CITY ZIP PHQNE <br />Underhill`s 6020 Evergreen Way �verett WA 98203 355-1960 <br />TENANT —�— MAILADDR[55 CITY ZIP PMONE ��. <br />APCHITEGTORDESIGNER MHILAODRE55 CITV Z�P PNQNE II <br />��ENERALCONTRACTOF MAILA�DPE55 CITV 21P PHONE LIGENSE• <br />Lund Construction Co 4010 Smith Everett WA 98201 <br />MEC,iANICALLQNTqFCTOP MAILPOORE55 CITY 21P PHONE LICENSEM <br />PLlIN61N(iCONTRACTOR MnILAOpflESS CITY 21P PMONE LICE.NSEM <br />Daves Servies Plumbing 3411 Kromer Everett SdA 98201 259-2980 D�IVESSP165JB <br />CLAS:i OF WORK I <br />❑ NEW ❑ ADDITION �¢ ALTERATION ❑ REPAIR ❑ nEMOLITtON ❑ BUILDING RELOCATION <br />CONTACT PERSON FND PHONE NO. IF OTHER THnN NdOVG <br />CONTRACT PRICE OF WORK: �y <br />DESCRIBEWOHNANUSOUAREFOOTAGEiNYOIVEJ <br />RHk P1umUing for reta�.l te.nant improvement <br />PROPOEED USE OF BUIL�ING <br />Retail <br />I.EGAL OESCNIPTION OF PROPEflTY �SHOW EELOW OR ATTACH FOUF COilES) <br />LOT — BLOCN�_ OF - — <br />JOB AC�RC55 <br />6020 Evergreen Way <br />PLUMBINC; <br />NO. TYPE OF FIXTUHE OR ITEM <br />�YATER CLOSEi (TOILET) <br />9ATHTUB <br />, KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />�' CLOTiiES WASHER <br />� URINAL <br />J� �RINKING FOUNTAIN <br />� FLOOR DRAIN <br />BACKFLOW FREVEN7E <br />ROG' CriA!NS — RAINI <br />" SMt: BEFiVICC — BAR, <br />USEZONE <br />iYPEOFCONSIBOCiION TLLOWF9lE <br />SIZE OF BLCG <br />OCCUPANCYLOAD <br />REASON ,'Oq SPF!l:KLEriS <br />APPLICATIOI: ACC. BY <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />� A/C — A/HNDLG UNITS — H.P. <br />FORCED Fiq SVSTEMS — B.T.U. M EA. <br />S OO UNITHEA7ERS-6.T.U. M <br />CLOTHES ORYEFS <br />VENTILATION FAN <br />RANGEHOOD <br />W�TER IIEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIM ��• <br />FIREPLACEINSERT <br />HEAT PUMP �� <br />GAS PIPING <br />E%HPUSTFAN ` <br />SUBTOTAL 5 1U.UU <br />PERMI7 S <br />TOTpLFEE S � <br />p[AR SETpACK SI�E SETBACK <br />LOTAREA VACFNTSITE <br />❑ YES ❑ NO <br />NO. OF STORI[5 <br />FIRE SPRINKLERS PEO'D <br />❑ VES ❑ NO <br />PLAN CHECN NUMBER <br />r•ees <br />SUBTO7AL <br />PERMIT <br />FEE <br />FEE <br />� <br />S <br />S <br />RECEIPT NO. <br />� �p�� no.arowtwr+curvirs BUiLDWG 5 <br />PLUM�ING <br />BASEMENT <br />❑ YES ❑ NO MECHANICAL <br />MEIGMTLIMITATION OTHER <br />STATE BUILDING SURCHARGE <br />SI��TEENERGYSURCHAflGE <br />CITY OF EVERE"I'T pUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS TOTAL <br />3105 WHEN PROPERLY VALIUATED THIS IS <br />PERMITS EXPIRE IF WORK IS NOT COMMENCED WITHIN AOURESS flLL 2 6;1 7� <br />180 DAYS OR CEASES FOR MORE THAN 180 DAYS. <br />