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the Euergreen <br />ciTv oF <br />ever�tt <br />259-8745 <br />� �'�NSTRUCTION " <br />P�RMIT <br />�"" <br />PERMIT NQ: : � � � � � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL '� PLUMBING ❑ SIGN <br />OWhEB MNLADORESS CITV ZIP PMONE <br />Nonaest Financial Co. 3B� 1506 Pacific Ave Everett, WA 98201 259-7272 <br />AflGHITEGTOfl0E51GNEP MAILAODRE55 CITY ZIP PHONE <br />GENERALCONTRACTOR MAILApDRE55 CITV ZIP PHONE LICENSEx <br />MECMANICALCONTflACTOR MRILAOOPE55 CITY ZIP PHONE 4CENSEx <br />DEANDiPH132D0 <br />PWMOINGCONTFAGTOR h�NLADDFESS CITV 21P PHONE IICENSE• <br />Dean N,eyers Plwnbinr� and Heating 7105 - 196th SW Lynnwood, WA fl��8 9.'�036 773-4131 <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION J BUILDING RELOCATION <br />F9 <br />❑ ELECTflICITY O GAS ❑ WOODSTOYE ❑ OTHER <br />LOT �_ BLOGK _ <br />7815 Ever <br />PLUM6ING <br />Way 5uite #1 <br />TVPE OF FI%TU <br />WATER CLOSET (TOIL[T) <br />9ATHTUO <br />LAVATOFY (Wl.SH BASIN) <br />SHOWER <br />KITCHFN SINK 8 DISP. <br />OISHWASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOLINTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEP <br />SINK (SERVICE -- BAR. ET <br />I HEREBY CEFiTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PAOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GFlANTING 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 CONSTFUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNPTUFE OF CONTRACTO AUTH fiIZED AGENT.OR OWNER DATE�� <br />X ��'�i��l��l� � <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCEDAIflSYSTEMS—O.T.U. MEA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATEFS — B.T.U. M <br />EVAPOR�TIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL PIREPLACE 8 CHIMNEV <br />FIREPLACEINSEflT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL S <br />PENMIT 5 <br />TOTALFEE 5 <br />EtOACK NEARSETBACK SIDESETphCK <br />E IOTAREA VACnIJi51TE <br />❑YE$ ❑NO <br />f,ONST. OCLUPANCYGHOU❑ NO.OFDWELLINI <br />3LDG. NO.O� STOFiES MA%ACC. LJAD <br />APPLICATION <br />M.M. <br />PlANS CMECKED DY � APPR. FOR ISSUANCF OY <br />SUBTOTAL S b <br />PEflM1T 15 <br />TOTALFEE zl <br />'LAN CHECK NUMBEFi PEE RECEIPT NO. <br />FEES VALUA310N FEE <br />BUILDING S <br />P�urnairi� .10 <br />21 <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG'� <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />Sec.3W(e) � <br />';.: -:—�.' <br />TOTAL I I _ <br />PERMIT �ALIDATION <br />WHEN PROPERLY VALIDATED �1N THIS SPACE) 1HIS IS VOUR PEFMIT <br />noo�s�ss E i�t <br />�n <br />� <br />M <br />� <br />r <br />