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fhe Evergreen <br />cin oF <br />e�erett <br />259-8745 <br />"1 C�NSTRUCTIOiV � � <br />P��MIi <br />PERMIT NO. Z� � J U <br />❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />ON'NER MAILFO�FESS QTY ZIP PHONE <br />The H� Body Shoppe 7705 Evergreen Way Suite G-4 Exexgxa� Everett, WA 98203 353-1081 <br />ARCMRECTOROESIGNER lAAILAOORESS CITV 21P PHONE <br />GENEPALCONTRACTOR MAILAOORE55 CITY ZIP FN�NE LICENSEa <br />Ace ideon Signs 3512 Smith Everett, WA 98201 339-8585 ACENES1136B6 <br />RIECH�NICAICONTRAGTOR MAILAD�RESS CITV ZIP PHONE LICENSEv <br />PLUM9ING CONTRALTOR MAIL ADDRE55 �:TY ZIP PHONE L'CENSE � <br />yE1 NEW ❑ ADDITION <br />Vr1LUAT10N OF WOfiN <br />$ <br />Install channel letters <br />❑ ELECTRICITY ❑ GAS <br />LOT _ OLOCN <br />�Evergreen Way <br />PLUMBING <br />�� <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDFVTHAV <br />CLO1'HES WASHER <br />UHINAL <br />DflINKING FOUNTAIN <br />FLOORDRAIN <br />BACKFLOYVPREVENTERS <br />ROOP ��AINS — RAINLEf <br />SINK (SERVICE — BAR, E7 <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />TVPE OF CONST. � OCNPTNGY GfiOL1P <br />PLRNS CHELKE� OY <br />M.hi. <br />❑ ALTERATION ❑ REPAIR <br />❑ WOODSTOVE <br />� OEMOLITION <br />❑ OTHER <br />❑ BUILDING HELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRiJE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINU OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMAN¢T Of CONSTRUCTION. <br />9GNATIIPF.OFCCNTPACtrOA.AOTHDRREnAGENT.O�iOWNER DATE �. <br />X <br />MECHANICAL <br />FEE N0. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FI RED A.C. UNITS — BSL. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />W�LLHEATERS—B.T.U. M <br />UNIT HEf.TERS — B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />qADlGE HOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUA1P <br />GAS PIPING <br />EhHAUSTFAN <br />]YES ❑NO <br />NO OF O\VELLING UNITS <br />MFX.00C LO�iD <br />APPR PoR ISSIIANLE BY <br />Be <br />SUBTOTAL <br />PEflM1T <br />TO7ALFEE <br />PLAN CHECK <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICA: <br />INVESTIGATION FEE <br />STl�TE BUILDINCa SURCHARG <br />STA7C[NERGYSURCHARGE <br />�RIVEWAYPERMIT <br />5 z <br />Sec.304(e) <br />�' <br />FEE <br />12 100 � <br />TOTAL I I 12 I00 <br />PERMIT VALIDATION <br />IYHEN PROPERLV VALI�ATED �IN TFIIS SPACE) THIS IS YOUR PERMIT <br />� <br />L.CS <br />c— <br />r� <br />N <br />