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lhe Evergreen <br />CITV OF <br />everett <br />259-8745 <br />C''�NSTFtUCTIOIV <br />P�RMI�' <br />PERMIT NO. � U��2 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />p�yry�q MAILAODRE55 CITV ZIP PHONE <br />MARSnNNE SKOTDAL 6908 Evergreen Way Everett WA 98203 355-3494 <br />APCHITEGTOR�ESIGNEP MAILAODRE55 CITY ZIP GMONE <br />GENEPALCONTRACTOR MAILAODPE55 QTY ZIP PHONE IICENSEe <br />CITY SIGN SERVICE PO BOX 2217 EVERETT WA 98203 339-2644 CITYSSI158UK <br />MECHANICNICONTli�CTOA MAILADDPESS CITY ZIP PHONE LILENSE� <br />MAIL ADD^E55 <br />L,kNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />CITY ZIP <br />❑ DEMOLITION <br />LICENSE x <br />❑ BUILDING RELOC.4TION <br />g 458.00 — <br />OESCPIDE K'ORK � <br />Move existing illwninated sign from east wall to south wall <br />HenTsouAce <br />❑ EiECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Motorcycle dealer <br />LEGAL OESCRIFiION OF PROPE3TY �51 <br />LOT _ OLOCN _ OF_ <br />6408 �ve <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWEfl <br />KITCHEN SINK S DISP. <br />�ISHWASHER <br />LAUN�7VTRAY <br />CLOTHES WASHEH <br />URINAL <br />ORINKING FOUNTAIN <br />FIOOR ORAIN <br />BACNFLOW PREVENI'ERS <br />ROOF DR�INS - RAINLEAOERS <br />SINK (SERVICE - BAR, FTC.) <br />TYPE <br />SIZE Of OLOG <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />OCCUPANCY GPOl1P <br />FIRE SPRINKLERS REOUIRED CJ YES ❑ NO <br />APPLICATION /.JC. DY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECl. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK �:"LL BE COMPLIED WITH <br />V,�HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PEFAIIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />`:IOL4TE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA'!-E OR LOCAL LAW REGULATING CONSTRUCTION OR <br />l Hc PERF.QRMANCE OF CONASTRUCTION. <br />AGENT.OR OWNER DATE <br />f� / 6/20/86 <br />.—�- <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFflIGERATION UNITS —H.P, EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATEPS — B.T.U. M <br />UNITHEATERS—B.T.U. M <br />E`/APORATIVE COOLERS <br />CLOTHES �RYERS <br />VENTILATION PAN _ <br />RANGEHOOD <br />VJhTER HEATER <br />WOODSTOVE <br />METPL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAl1ST FAN <br />� <br />5 <br />S <br />SI�E 3ETBACK <br />VAC�NT SITE <br />❑ YES ❑ NO <br />NO. OF pWELLING UNITS <br />MAX. OCG. LOAD <br />APPR <br />1C riV <br />�v <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />NUM�ER <br />BUILDING <br />PLUM1IBINCa <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />FEE <br />'EE FECEIPT NO. <br />VALUATION FEE <br />5 <br />6/20/86 il: OOORaDbOe #� <br />� <br />�i � <br />FJ RfF.304�e1 .pp <br />TOTAL I I <br />PEf'l1T VALIDATION <br />WHEN PROPERLV VALIDATED �IN THIS SPACE� THIS IS YOUR PEfih11T <br />� 11 <br />z <br />0 <br />� <br />-. <br />n <br />m <br />-i �7 <br />..� <br />tn x <br />v <br />m <br />c o <br />mo <br />�c <br />O 3 <br />m <br />s -z-� <br />m <br />A Z <br />c <br />rn- i <br />—1 N <br />� <br />�l <br />on <br />3 <br />-i m <br />2 <br />m� <br />N <br />0 <br />or <br />c� m <br />C :n <br />3 tn <br />m <br />z n <br />�m <br />a <br />� <br />--I <br />2 <br />y <br />Z <br />--I <br />2 <br />N <br />Z <br />O <br />--I <br />f") <br />m <br />� <br />