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fheEuergrcen � �7�STRUCTION ����-- �� C <br />CITY OF • <br />everett PERMI'T PERMIT NQ: _� S`�� � <br />259-8745 <br />❑ DEMOIITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER A1AIL�OO(IES'v CITY ZIP PHONE <br />Age Investments P.O. IIox 2678 ESt�1S��8 Everett 98203 348-1234 <br />ARCHITELTOROESIGNEP M1IAILAOORE55 Cliv ZIP PHONE <br />Dlike McCann 12821 49th Dr. SE Everett 98208 742-0861 <br />GENEf1ALCONiR�CTOR MAILADDRESS QtY ZiP �HONE LILENSE� <br />Kieffer Construction inc 21428 High Rock Rd. Monroe flM 98272 794-4095 <br />MECHFNICALCONTfi�CTOR IAAILAOORESS CITY 21P PiIONE LICENSE� <br />KSS➢[ KIEFFEI163C7 <br />niiwaivarnuit�acTOR AtA1LA�DRE55 CITY ZiP PNONE UCENSE• <br />;LASS OF tV0liN <br />❑ NEW ❑ ADDITION <br />rnwnnoru or wonK <br />S 7500.00 <br />❑ ALTERATION � HEPAIFi ❑ DEMOLITION ❑ BUILDING RELOCATION <br />ORK <br />Install aia�a shear walls, support post�, and CMU firewall only. <br />❑ ELECTRICITY ❑ GAS ❑ WOO�STOVE ❑ OTHER <br />Ftetail <br />lDi __ OLOCN _ <br />St. Vincent DePaul <br />JOB ADOFESS <br />6500 Evergreen Way <br />PLUMBING <br />MO. TYPE OF FIXTURE O <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV(WASH9ASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISNVJASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DFAIN:. :..�INLEAOERS <br />SINK �SERVICE — BAR. EiC.) <br />on <br />I HEREBY CERTIFY THAT I HAVE READ AND EXRMI�IED THIS <br />APPLICATION AM1ID 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 SPEC�FIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STAT OR LO��/EGULATING CONSTRUCTION OR <br />TH E R C CONSTRUCTION. <br />SIG . y�� �`� RIZEO�GENT.OROYINEt� __ I/— y� <br />�� <br />U <br />ITEM FEE NO. ' TYPE OF EOUIPMENT <br />AiC — A/HN�LG UNITS — H P. <br />REFRIGERATION UNITS — H.P. EA. <br />�OILERS — B.TL /HP. <br />GAS FIRED A.C. UNITS— B.T.U. <br />FORCEDAIflSVSTEMS—BT.U. MEA. <br />WALLREATERS-87U. M <br />UNITHEATERS-87.U. M <br />EVAPOFATIVECOOIERS <br />CLOTNESDRVERS <br />VENTILATION FAN <br />flANGEHOOD <br />WATER HEATEF � <br />WOOD STOVE <br />METAL FIREPLACE & CHIMNEV <br />FIREPLACEINSERI <br />HEAT PUMP <br />GAS PIPING <br />E%h1AUST FAN <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />FPOYTSETOhCK NEARSETDACK <br />N�p N/i� <br />USEZONE IAtPREA <br />$—Z �.�018�� <br />TYPIi OF GONST OCCUP4NGY GR <br />V-N <br />SIZE OF BLDG <br />N/A <br />FIRF: SPRINNLERS R <br />APPLICATIOq ACC OY <br />S.H. <br />B-2 <br />q0 OF STORIES <br />2 <br />SIOE SET(iAGH <br />N/A <br />VALNNi SITE <br />❑ YES j(}Q�O <br />NO OF DPIELLIM <br />� <br />M4X OCC L04D <br />N/A <br />;KED [3Y I �PPR FOR ISSU4NCE OY <br />B.E. L.C. <br />SI18 TOTAL <br />PERMIT <br />TOTALFEE <br />CHECK NUMBER FEE <br />87/18511 64.35 <br />FEES VALJATU <br />FEE <br />90503 <br />9UILDING S 99 00 <br />PLUM11BWG ., ... , .'. - .. . _ ,. . � <br />MGCHANICAL � <br />INVESTIGATION FEE SeC. 904(c) - �� <br />STA7E BUILDING SUFiCHARGE . - <br />STATEEN[RGYSURCHARGE <br />DRIVEWAV PERtd1T <br />TOTAL 102 50 <br />PEflM1T VALIDATION <br />WHEN PROPERLV VAIIDATED (IN THIS SPACE� THIS IS YOL)Fi PERA7IT <br />r� <br />l� <br />i..r.�� <br />� <br />� <br />