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rhee�crxrer�� -- �ONSTRt���IO I <br />aT� or i " A <br />e�e�.•��� pERl�l� PERMIT N0. 12359 <br />CRV HALL 259�0745 <br />EVERETT,WA98201 ❑ COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEF MAILAO�RESS CIiY ZIP PHONE <br />H& R Block 6520 Evergreen Way Everett <br />ARCHITEGT OF OESIGNER MAIL AD�FE55 Lli'I 21P PHONE <br />GENERAI CONTRAGTOR MAII ADOFESS GTY ZIP PHONE LICENSE � <br />Berry Neon Co. Inc. P.O. Box 5269 Lynnwood 98036 776-8835 <br />MECHANICAL WNTRAGTOR MPII AODRE55 LITY ZIP PHONE LICENSE M <br />BERRYN247LD <br />_...__.__ __..__.,._..., enAIL AD�RESS CITY ZIP PMONE LICENSE N <br />❑ IJEW ❑ ADDITION ❑ ALTERATION � REPAIR O OEMOLITION ❑ FENCE �51GN ❑ WOOD STOVEIFIREPLACE INSERT <br />s 380.00 <br />install illuminated sign <br />LOT__BLOCK_OF <br />6520 Evergreen Wa <br />PLUMBING <br />TYPF. OF FUCTURE OR ITEM <br />W ATER CLOSET (TOI LEn <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEP! SINK & DISP. <br />DISHWASHER <br />LAUN�RYTRAY <br />CLO7HE5 WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />VACUUM BREAKERS <br />fi00F DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />PEFMIT <br />TOTAL FEE <br />SIOE <br />1. ENVIRONMENTAL CHECK LIST <br />2. B111L�ING PLANS <br />3. FIRE HYDRANT <br />d, FIRE PROTECTION SYSTEM <br />5. GRADING <br />6. DflAINAGE <br />7.ENViRONV <br />B. NEALTH DI <br />RF <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAA4E TO BE TRUE AND <br />COPIES) 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR ANCE OF CONSTRUCTION. <br />X NATI/ F ON ,CiO$OR A�TMOR�ZEO AGENT �/� DfTE� <br />t C✓ /O~ <br />FEE <br />� <br />5 <br />S <br />REAR <br />�,�YES CiNO <br />LOAD <br />BY <br />APPR.FOR <br />NV <br />N0. TYPE OF EOUIPMEN7 <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED dIR SYSTEMS — B.T.U. �A EA. <br />WALL HEATERS — B.T.U. ti1 <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING U�IT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SUB TOTAL <br />PERMIT _ <br />TOTALFEE <br />;NUMBER F <br />FEE <br />FEES VALUA710N <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />S <br />303 <br />� <br />S <br />5 <br />CHECK FEE <br />RECEIPT NO. <br />FEE <br />TOTAL I I 3 I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED QN THIS SPACE) THIS IS YOUR PERMIT <br />(�t37 $003.00— <br />t'i <br />l`! <br />BY 1'OUR RECEIPT ' ` <br />Tf IAP�K YOU <br />- 7 sEP o 3 <br />ADDRESS FILI: <br />, <br />