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fhe Everpreen <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />(..;:� <br />APPLIC�i f10N �OR CONSTRI.'�:TION <br />PERMIT <br />TO BE COMPLETED IN INK— PLEASE PRINT <br />everetl <br />� <br />UWNER MAILA�ORE55 CIIY ZIP PHONE <br />Vyzis Company 3605 132�id Ave SE Suite 300 Bellavue {YA 98006 1-800-922-9311 <br />IENRNf MAI�ApDRE55 CIiY ZIP PIIONE <br />Graham Smith 1922 169t1i P1. SE Bothell, IVA 98012 361-3633 <br />ApGHIiECTOROESIGNEF MAILADONESS CRY ZIP PIIONE <br />The Dykeman Arc]iitects 1602 Hewitt Avenue Everett {YA 98'LO1 259-3161• <br />GENEIiRLCONIflAG10R RIAILAD�FlE55 CIN ZIP PIIONE UGENSE� <br />To Be Determined <br />MECNANICFLGONTRAGTOfl MRILAODHE55 CIIY 21V PIIONE , �ILENSE• <br />To Be Determined <br />PLUMBINUC^NTRACfOP MRILAODRE59 GRY 21P PIIONE LICCNSE� <br />To Be Determined <br />G1�550F WOPK <br />❑ NEW ❑ ADDI710N � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ :YOODSTOVE/FRPLINSER7 ❑ kiUILDINGREIOCATION <br />�� <br />CONTRRGT PPICE OF WORK <br />Installation of Partitions Ceiling 6 Finishes <br />Limited Menu Sandwich <br />LOT BLOCK OF <br />7601 Everg-zen Way Suite C <br />PLUMBING <br />NO. TYPEOFFIXTUREORITEM <br />WA7ERC�OSET(TOILEn <br />BATHTUB <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />ROOF DRAINS— RAINLEADERS <br />RINKI.SFRVI(:f-FAR FTf:I <br />/ ?/ <br />irreo coNsr. <br />AILOW�BLE/ACTURLTr . 1 <br />1� r� <br />$IZE Of OLDp. <br />888 3 F <br />� <br />FEE <br />❑ YES �(NO <br />JnCYQRDUP NO.OFOWELLINI <br />�J ' Z �' <br />fOflIES 65MT. OGGLOpO <br />f �N 31 <br />IIEIGHT L`Il'AItAtIC <br />..� i�� <br />Thompson-Dykeman Ar.chitects-259-3161 <br />I HEFiEBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS APPLICATION ANC� <br />KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND <br />OFDINANCES GOVERNING THIS NPE OF WORK WILL BE COMPLETED Wf(H <br />W HETHER SPECIFIED HEREIN OR NOT.THEGRANTING OFA PFRMIT DOES NOT <br />PRESUME TO GIVE AUTHORIN TO VIOLATE OR CANCEL THE PROVISIONS OF <br />ANY OTH ER STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE PER� <br />fORMAIvCE OF CONSTFUCiION. THAT I AM AUTHORIZED �Y THE OWNER OF <br />THIS PROPEFTY TO PERFOFiM THE WORK FOR WHICH APPLICATION IS MADE <br />AND I COMPLY WITH THE STATE CONTRACTORS LAW 1827 RCW AND <br />296.200 WAG <br />SIGNATUPEOFCUNifiACTOROBAUTHOPIZ[D4GEN� OATE <br />March 7, 1989 <br />a��a:n:�[a.n <br />NO. TYPE OF EOUIPMENT <br />!VC—AIHNDLG UNITS— H.P. <br />FORCED AIR SYSTEMS — B.T.U. M EA <br />UNIT HEATERS— B.T.U. M <br />CLOTHESDRYERS <br />WATER HEAiER <br />WOOD STOVE <br />MET.^.!. FIREPLF <br />FAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />C'i�L'IIbP.I� <br />STATE BUIL�ING SURCHARGE <br />STATE ENEFiGY SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />TOiAL <br />VALUATION <br />FEE <br />�� <br />FEE <br />