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the Evergreen <br />CIN OF <br />everett <br />259-8745 <br />r� <br />C'�NSTRUCTION <br />PERMIT <br />� <br />PERMIT NO. � � J � 0 <br />❑ DEh70LITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />OWNER <br />IAMLADDPE55 CITY ZIP PMONE <br />Frederick & Nelson 7601 Evergreen Way Everett, WA 98203 <br />ARCM17ECT OR DESIGNEFI <br />MAILAO�fiE55 GITY ZIP PHONE <br />GENENALCONTRACTOfi <br />MAIL�ODPESS CITY 21P PMONE LICENSE� <br />N.W. Neon S15 8th St. Kirkland, WA 98033 NORTHNP25402 <br />MECMANICRLCONTHAGTOR <br />AIA�LA�DRE55 CITY 21P PHONE LIC[N56+ <br />PLUMOING CONTRACTOR <br />MAILA�DRESS CITY ZIP Pt �',NE ��CENSE � <br />CLA55 Oi WORK <br />[� NEW ❑ ADDITION <br />VR�UFTION OF WORK <br />s 4500.00 <br />❑ ALTERATION ❑ HEPAIR <br />Man,�facture and install and maintain new <br />❑ DEMOLITION <br />elec. sign. <br />iCAT50URCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Retail <br />LOT _ BLOCK _ <br />7601 <br />PLUMBING <br />❑ BUILOING HELOCATION <br />1 HEREBY CERTIFY THAT I HAVE FEAD AND EXAMwtu � nm <br />APPLICATION AND 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 />WHETHEFi SPECIFIED HEREIN OR tJOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO CIVE AUTHORITY TO <br />VIOLATE OA CANCEL THE PROV1510�S OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PER FORMANCE OF CONSTRUCTION. <br />........�.�...J..c�nnironr�nnauTHORIZBbAGENT,OROWNER OATE <br />reen Way RHXBAfX� #D I X <br />TYPE OF FIXTURE <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORVIWASHBASIN) <br />SHOWEFt <br />NITCHEN SINK fl OISP. <br />LAUNDRVTFAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN � <br />BACKFLOW PREVENTERS <br />ROOF �RAINS — RAINLEA�E <br />SINK (SERNCE — BAfi. E"fC.) <br />OF CONST. <br />SI2E OF <br />APPLICATION <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />GROUP <br />OY <br />FEE NO. TYPE OF EOUIP! <br />A/C — A�HNDLG UNITS — H.P. <br />REFRIGERATION UNITS —H.P. E <br />BOILERS — B T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATEflS — B.T.U. <br />EVAPORATIVECOOLEHS <br />CLO7HESDRYFRS <br />VENTILATION FAN <br />RqNGEHOOD <br />WATER HEATEF <br />WOODSTOVE <br />METAL PIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />� <br />S <br />5 <br />5i'JE SETBaLN <br />VACANT SITE <br />❑VES ❑NO <br />NO OF �VlELLING 11NITS <br />Mn% OCQ LOAD <br />APPR FOR ISSl1ANC[ OV <br />I B.E. <br />M EA, <br />M <br />M <br />SUBTOTAL 5 <br />PF.HMIT 5 <br />TOTAIFEE <br />�LAN CHECK NUMBER FEE RECEIPT NO. <br />FEES VALUATION FEE <br />BUILDING 5 4500.00 18 00 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec. 304��e) . <br />STATE BUILDING SURCHARGE - � <br />STATE ENEtiGY SURCHAPGE <br />DRIVEWAV PERMIT <br />TOTAL 18 00 <br />PERMIT VALIDATION <br />\VHEN PROPEFLV VALIDATED �IN TNIS SPACE) TNIS IS VOUR PERMIT � <br />�� <br />Ln <br />Q7 <br />�� <br />i�.�.'...iL. , � �.i.f_ <br />