7601 EVERGREEN WAY GREAT CLOTHES 2018-01-02 MF Import

Y'PPLICATION FOI-) evere0 Evergreenthe Cj"OF CONSTRUCTION CITY OF everett PERMIT BUILDING DEPARTMENT 259.8745 TO BE COMPLETED IN INK- PLEASE PRINT rT nF:MOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL 0"15'LUMBING ❑ SIGN GL-]. v. w�nn Iq NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPLANSERT 0 BUILDING RELOCATI N VALUATION OF WORK ICOST OF MATERIALS PLUS LABOIII LOT —BLOCK k I HEREBY CERTIFY THAT 1 HAVE F PLICATION AND KNOW THE SAMEI PROVISIONS OF LAWS AN D ORDIN OF WORK WILL BE COMPLETED WI IN OR NOT. THE GRANTING OFA PI GIVE AUTHORITY TO VIOLATE OR ANY OTHER STATE OR LOCAL LAW OR THE PERFORMANCE OF CON! -1ONATUII OF ONTR�!`R ORA OR12 EXAMINED THIS AP- ?ANDCORRECT.ALL NERNINGTHIS TYPE ER SPECIFIED HERE- :S NOT PRESUME TO HE PROVISIONS OF INGCONSTRUCTION AGENT DATE 7LG x-6 I MECHANICAL PLUMBING NO. TYPE OF FIXTURE FEE NO. TYPE OF EQUIPMENT FEE WATER CLOSET (TOILET). _ TC AIR COND. UNITS—H.P. EA REFRIGERATION UNITS—H.P. EA BATHTUB BOILERS—H.P. EA LAVATORY(WASH BASIN) SHOWER GAS FIRED A.C. UNITS —TONNAGE EA KITCHEN SINK& DISP. FORCED AIR SYSTEMS—B.T.U. M EA WALL HEATERS—B.T.U. M DISHWASHER — UNIT HEATERS—B.T.U. M LAUNDRYTRAY CLOTHES WASHER EVAPORATIVE COOLERS --�— CLOTHES DRYERS �. WATER HEATER--"` — — — VENTILATION FAN URINAL DRINKING FOUNTAIN — RANGE HOOD FLOOR DRAIN AIR HANDLING UNIT— C.F.M. VACUUM BREAKERS STOVE METAL FIREPLACE& CHIMNEY ROOF DRAINS—RAINLEADERS SINK (SERVICE —BAR. ETC. �- WOODSTOVE/FtUTPLAQEINSERT 1 SUB TOTAL SUBTOTAL S PERMIT S PERMIT 5 _ TOTALFEE s r TOTALFEE s THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL