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4he Ebergreen <br />��rY�F �� �"�NSTRU�iION �� �� cry <br />everett PER�h011T PERMeTN(2:' � �U`�� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ Bl11LOING � MECHANICAL 'O PLUMBING O SIGN <br />OWNEP �dNIADDBE55 QTY ZIP PHCNE <br />Sunrise Investment 4831 Lirergreen Way Everett, WA 90203 258-G777 <br />ANLHiTECTOROF.SIGNER IAAILAODlIESS CITY ZIP PHONE <br />pENER�I CONTRACTOR AIAIL AD�BESS CITY ZIP FMONE �ICENSE • <br />MECMANICAL CONTRALTOP MRII ADORE55 CITV ZIP PMONE UCENSE � <br />�ergreen State Sheet Metal 3411 Hayr_s Everett, WA 98.''.O1 252-3114 EVERGS5302DS <br />PLUMBINGCCNTRACTOR MAILApDRE55 CIIY ZIP PMONE LICENSE� <br />CLa55 OF WO(IK <br />� NEW ❑ ADOITION <br />VALU.ITION OF N'OfiN <br />$ <br />Listall 2 7 }fY$ 1/2 <br />❑ ELECTRIC�TY <br />'ROPOSED USE JF CUILOM� <br />rffice. <br />LOT _ OLOCR _ <br />6320 <br />PLUMBING <br />❑ GA5 <br />I73 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATIOf2 <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILFT� <br />BATHTUB <br />IAVATORY(WASHBAS!N) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�RYTRAV <br />URINAL <br />DHINKING FOUNTAIN <br />FLOOR DRAIN <br />6ACKFLOW PREVENTERS <br />ROOF DRAINS — PAINLEADERS <br />SINK (SERVICE — BAR. ETC.) <br />USEZONE <br />iVPE OF CONST. <br />SIZE OF OLOG. <br />FIRE SPRINHLERS F <br />APPLICATIONACC BY <br />S.H. <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />REARSETBACK <br />1 OT AREA <br />OC W PANCY GROUf <br />NO OF STORIES <br />7 [] VES ❑ NO <br />PI.ANS,^,H[CNEO BV <br />and 2 3 ton A/C units. <br />❑ WOOOSTOVE � OTHEfl <br />FEE <br />� <br />SIOE SET�ACK <br />VAC/NT SITE <br />❑YES ❑NO <br />NO OF DWELLI <br />M1eAX. OCC. LOAD <br />APPF <br />I HEREBY CERTlFY THAT I FiAVE READ AND EXAMINED THIS <br />APPLICAIION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE CO�APLIED 4VI'fH <br />WHETHEq SPECIFIED HEREIN OR NOT. THE GRANTING OF N <br />PERMIT DOES NOT PRESUME TO GIVE AUTHURITY l-O <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUFEOFCONTFACTOR.AUTMORIZEOAG i.OROWNEB �RTE <br />� ,�z-��. 13. ..�� �-�. a� <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEE <br />A/C — AMNDLG UNITS — HP. <br />REFRIGEPATION UNITS — H.P. EA. <br />FlOILERS — B.T.U./H.P. <br />GAS FIRED AC. UNITS — B.T.U. <br />FORCE�AIRSVSTEMS—B.T.U. ME�. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION F�N <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />MEfAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />hIEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />70TAL FEE <br />PLAN CIiECK NUMOER FEE <br />�� <br />FEES I VALUATION I FEE <br />BUILDING S� ` � � � <br />PLUMBING � . � � <br />MECHANICAL . .'. <br />INVESTIGATION FEE Sec.:04(e) � <br />STATE BUILDING SURCHARGE <br />STATE ENEFiGY SURCHARGE <br />DRIVEWAY PERMIT <br />TOYAL <br />PEFMIT VALIDATIO� <br />WHEN PROPERLY VALIDATEO �IN THIS SPACE) THIS IS YO;:R PERMIT <br />'�D�RESS FILE <br />