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theEuergreen C��������I�� <br />CITY OF <br />ever�tt ��RM!'T PERM�TNn. _ �,20�1 � <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEi1 RIFRAO�HE55 ❑TY ZIP Pi�ONE <br />Harmon & Assoc. 9725 3rd Ave. N� Seattle 98115 527-2085 <br />TENANT M1INlp00RE55 CITY )�P PMONE <br />Boeing 7710 Evergreen 47ay Everett 98203 <br />ARGHITECiOADESIGNER Mqi1,ADOBE55 CiTY _., PHONE <br />RIAILA�DRESS CITY ZIP PHONE LiC[NSE� <br />!d[CHANICnLCONTPACtOR h141LADDRESS CI1V ZIP PHONE LICENSE� <br />I•IacDonald Miller 7717 Detroit SW Seattle 98i06 753-9900 FSACDOPf248J9 <br />Pwti�oin�ceor�.��nera� n�nanoones, ei*v zi� v,ioue ueer+;e. <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITtON ❑ BUILDING RELOCATION <br />I CONT�CT PERSON AND FHON[ NO IF OiHER THpN ABOVE <br />COWTRACT PRICE OF WOFK: S <br />D: SG.I�E WORK ANDSOUFRe fUDTAGf iNVOLVED <br />ienant Im�rovement (HVAC) <br />PROP052U USE GF OUILOING <br />Office, Classroom <br />LFGAL OESCRIPTION OF PROPERTY �SNOW DELOW OR ATTACH FOIIR COPIES) <br />LOT- 3L0.^.K __ OF <br />JOO ADCRESS <br />PLUMBING <br />N� TYPE OF <br />BATHTUO <br />LAVATORV <br />SHOWEF <br />OISHWASHER <br />LAUN�RYTR4V <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRA�N <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK fSERVICE — BAR. E7C.1 <br />FflO1JT $ETBAGK <br />USEZONE <br />7YCE OF CONSiNpLi100 ALLOW4 <br />SIZE OF bt ]G. <br />OCCUP:,NCY LO/ � <br />REASONFORSPRINHLERS <br />APPLICATION ACC. BV <br />S.H. <br />SUBTOTAL S <br />PEflMIT S <br />TOTALFEE S <br />PEFR SETBACH 5 <br />LGT AREF <br />rva� oFcoa;raucnoriacruai <br />k0. OF STOfilES <br />FIRE S�'RINNLERS REQ'0 <br />❑ YES ❑ NO <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br /><j NC — A/HN�LG UNITS — H.P. <br />FORCED AIR SYSTEMS — B T.0 M EA. <br />UNI7 HEATERS -- B.7.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACcINSERT <br />NEAT PUMP <br />GAS PIPING <br />]. EXHAUSTPAN <br />C4NT SITE <br />YES ❑ NO <br />-;,';.,",'k`' k0 OF Ol5'ELLVIG <br />pA5E1dENT <br />❑ VES ❑ NO <br />HEIGHT Li�11TATION <br />4PPROVEDUY CITY OF EVERETT <br />LOCAL SALES <br />J.w. TAX CODE IS <br />3105 <br />SUBTOTAL <br />PEHMIT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />STATE BUILUING Sl1RCHARGE <br />S7ATEENERGYSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PERMITS EXPIRE IF WORK IS !aOT COMMENCED WITHIN AD�RESS fILE <br />180 DAYS OR CEASES FOR MORE THAN 180 DA1'S. <br />$C0022016 <br />fEE <br />5 <br />RECEIPT NO. <br />102 50 <br />PERMIT <br />