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the Euergreen <br />CiTY OF <br />ever�ett <br />259-8745 <br />- C'-7N�TRULTIC�N - <br />PERMIT <br />PERMIi N0 _ f � � U � <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL 'O PLUMBING ❑ SIGN <br />UWNEfi AIAILAOORCSS CIiY ZIP PMONE <br />Norwest Financial P.O. Box 1470 Everett, 4IA 98206 259-7272 <br />AflCHIT[CrOfi0E51GNER MNLADDR[SS QtY ZiP P110NE <br />GENERALCONtRAC'iOR MAILADDfiESS ptY ZIP PHON[ LICENSE• <br />Norwest Financial 1506 Pacific Everett, 47A 98201 259-7272 <br />MECMANICALCONTMCTOR R�PILADDRE55 CITY ZIP PMJhE UCENSE� <br />PWMFIINGLONTNACTOR MAll�00RE55 QTY ZIP PHONE IICENSE� <br />CLASS OF K'ORK <br />❑ NEW CI AUDITION [� ALTERf.TION ❑ REPAIR ❑ DEMOLITION U UUILDING RELOCATION <br />VPWATION OF WORH <br />5 �.%�rJO�.�� <br />OESCfiIpE WORY <br />Do interior of office in new bldg. <br />❑ ELECTRICITY C] GAS ❑ WOOOSTOVE ❑ OTHER <br />office <br />lOT _ fLOCK _ <br />7815 <br />PLUMBING <br />Suite ] <br />NO. TYPE OF FIXTUflE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUO <br />LAVATORV(WASH BASW) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHESY'JASHEfl <br />URINAL <br />DRIIlKING FOUNTAIN <br />FLOOR Di7AIN <br />BACHFLOW PqEVENiERS <br />ROOF �HAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.� <br />SUBTOTAL S <br />PEFlMIT 5 <br />TOTALFEE S <br />pACN REnHSET�ACK SIOESETpACK <br />�or anEn <br />VACANT SITE <br />C-1 ❑YES XJNO <br />TYPE OF LONST <br />III-N <br />SIZE OF PLOG. <br />1155 <br />FIRE SPRINNLERS F <br />narucnnoHncC.ov <br />S.H. <br />OCCUPANCYGROUP <br />$�2 <br />ND OFSTORiES <br />1 <br />PLANS CHECK[D �V <br />B.�. <br />FEE <br />NO OF DWELLING UNiTS <br />0 <br />!d�% OCC LOAD <br />15 <br />�PPR V"OR ISSUANCE �V <br />L.C. <br />i HEREBI' CERTIFY THAT 1 HAVE READ AND EX�MINED THIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GR�NTING OF A <br />PERMIT DOES NOT PRESUME TO GIV[ AUTHORITY TO <br />VIOLATE OR CANCEL ThiE PROVISIONS OF ANY OTHER <br />STATE OR LOCHL LAW HEGULATING CONSTRUCTION OR <br />THE PERF.ORM�NCE OF CONSTRUCTION. <br />� <br />MECHANICAL <br />OR OIVNER �ATE <br />i�/�� i�� <br />NO. TYPE OF EQUIPMENT <br />A/C - A%HNOLG UNI15 - H P. <br />REFfiIGEFATION UNITS - HP. Eh. <br />BOILERS - B.T.U.MP. <br />GAS FIRED A.C. UNITS - BSL <br />FORCEDAIRSVSTEMS-B.T.U. MEA. <br />WALLHEATERS-�B.T.U. M <br />UNITHEATERS- 3T.U. h1 <br />EVAPORATIVE COOLEFS <br />CLOiHES�RVERS <br />VENTILATION FAN <br />RAIJGE HOOD <br />WATER HEATEP � <br />w00DSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />87/19283 t22.85 <br />FEES VALUATION <br />BUILOING $ 17 500 <br />PLUM�ING <br />AIECHANICAL . - <br />INVESTIGATION FEE Sec. 30a�e) <br />FEE <br />PT NO. <br />9sana <br />189.0 <br />STATE BUILDING SURCHARGE <br />STA7E ENERGY SURCHAF,GE <br />DRIV�WAY PERMIT <br />TOTAL 192.50 <br />PEflM1T VALIDATION <br />IVHEN PROPEHLY VALI�ATED IIN THIS SPACE) THIS IS'/OUR FERMIT <br />{'� <br />� <br />N <br />07 <br />� <br />