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� theEuergreen �,�'� <br />��TY�� � � rJN'STR! it;TI�N � ' , <br />everett P�`��IT RERMITNO. � 7`�`�U <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfi I.IqILA�DRE55 GIiY ZIP pHpry[ <br />EMBAR Eg[7ITIE5 1100 Virginia St Suite 210 SEatY.le WA 96101 223-9966 <br />4RCNi1'CiOiiDESiGN[R RL�ILAODRE55 CITY ZIP PIIONE <br />GENEP4LCONTRAGiOf1 MNLADOft[55 CITV 21P PMONE LICENSt� <br />MECIIANIf4LCONiRBCTOR MAILAO�R[S$ CITY ZIP PMONE LICENSF.� <br />` Careco 10199 hfain St. Bellewe WA 98004 ��54-8125 CARECI24GQQ <br />PIUAIONGGONTHACTOR �,IpIL�DDRESS CITY ZIP �NON[ LICENSE• <br />CLASS OF WORK <br />L7 NEW ❑ ADUITION <br />5 <br />❑ AL1'ERATION ❑ PEPAIfl ❑ DEMOLITION ❑ BUILL�ING' FELOCATION <br />( VL,y„1uc,yVr'"Install HVAC system; ductwcr)c and GRD's, gas piping in Building II <br />lMEnTSOU�tCE <br />� ❑ ELECTRICITY <br />Pnor'oSEo uSE or DuiLOINc <br />Office <br />LFGPL OESCRIPTION OF PRO <br />�or _ o�ocK _ <br />❑ GAS ❑ WnODSTOVE ❑ OTHER <br />7815 Evergreen Way <br />PLUMBING <br />TYPE OF FIXTUR[ Ofl ITEP1 <br />WATER CLUSET (TOILET� <br />BATHTUB <br />LAV4TORY �WASH BASIN) <br />SHCWER <br />KITCHEN SINK fl DISP. <br />DISHWASHER <br />LAUN�RYTR�V <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />PLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.� <br />USE20NE <br />TYPE OF <br />512E OF BLDG <br />suerora� <br />PEPMIT <br />TOTAL FEE <br />fiEAR 5[TOACK <br />LOT AREA <br />OLCUPANCYGROUP <br />uo OvsroeiEs <br />i ❑ VES ❑ NO <br />PLAN$ CHECK[D �Y <br />I HEREBY CERTIFY TFIAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIGNS OF LAWS AND ORDINANCES <br />GOVERNING THIS TVPE OF WORK WILL BE COMPLiED WITH <br />WHETHER SPECIFIFD HEREIN OR NOT. THE GAA�TING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TG <br />VIOLATE OR CANCEL THE PROVISIONS OF AN'i OTHER <br />STATE OR LOCAL LAW REGULAT�NG CONSTRUCTION OR <br />TH�PE,RyORMANCoE�OF CON$TRUCTION. <br />sic �rv(jfUFCONittACT V AUTHc�pybAGENi Of10WNER O.VE <br />X <br />FEE NO. TYPE OF EO �M.� <br />A�C—AiHNDLGUNITS—H �}{ <br />REFRIGEI7ATION UNITS — Hv ,Eh., <br />�OILERS — � T.U./H.P ��c <br />8 GASFIREDA�C UNITS—�S.0 <br />FORCEDAIflSYSTEMS—BT.U. MEA. <br />WALLHEATEFS—B.T.0 M <br />UNIT I'�ATERS — B.T.0 M <br />EVAPORATIVECOOLEr7S <br />CLOTHESDRVERS <br />VENTILATION FAN <br />FANGEHOOD <br />� WATER HEAT[R <br />WCODSTOVE <br />METAL FIREPLACE E CHIMNEY <br />FIREFLACEINSENT <br />F!EAT PUN.P <br />GAS PIPING <br />EXHAUSTFAN <br />VACANTSITE <br />❑YES ONO <br />NO OF 01VELLING <br />!AA% OGG �OAD <br />APPR fORt55UANCEpY <br />� SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLANCHECK NUMBFR FEE <br />11/19/BG <br />I.67 <br />FEE <br />auaoiuc 5 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec. 304�e) <br />STATE BUIL[71NG SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEINAV Pf:RM1T <br />TOTAL <br />PENMIT VALIDATION <br />PJIIEN PROPEf7LV VALIf7ATED PN THIS $PACE) THI515 VOl1Fi PEI7611T <br />� <br />m <br />