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u,e �apre� <br />cin oF <br />everett <br />259-8745 <br />-� t"7NSTR�U�TION - <br />P��hA1T <br />PERMIT NO. � 8 4 � 2 <br />G DFMOLITION ❑ COM131NA1'ION ❑ BUILDING u PfiECHANICAL ❑ PLUMBING • ❑ SIGN <br />OWNEF MAILAUDflE55 CITY � 21P PHONE <br />Keeney's Office Products 1405 SE Everett Mall Way Everett 98206 <br />APCMITECT OF DESIGNER MAIL ADDPE55 CITV 21P PHONE <br />GENE(iRL GONTRACTOR MAI� AD�RESS flT'/ ZIP PMONE LILENSE M <br />MECMFNICALCCNTRACTOR MAILAD�RE55 CITY 21P PNONE L'LENSE� <br />Evergreen State Sheet dtetal Inc. 34I1 Hayes Everett 98201 252-3114 Rd88RP¢ <br />PLUMBINGWNTRAC70R MPILAODRESS CITY ZIP PHONc LICENSE/ <br />EVERGSS315R, <br />CLASS OF WORK <br />❑ NEW � ADDITION � ALTEHATION <br />VpLUATION OF WORN <br />5 <br />❑ R�?AIR ❑ DEMOLITION ❑ BIJILDING flELOCATION <br />7tao Heat Pumps 3 1/2 s 4 ton <br />VEFTSOURCE <br />❑ ELECTHICITY L7 GAS ❑ WOODSTOVE ❑ OTHER <br />Retail <br />LOT _ BLOCK _ <br />1405 SE Everett Mall Wa�y <br />PIUMBiNG <br />' WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASNBASIN� <br />SHOWEF <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR CRAIN ' <br />BACNf-LOW PREVENTERS <br />nuvr unNirva — nHini <br />S�NK �SERVICE — BAR, <br />USEZOYE <br />TYFE OP CONS <br />SIZE OF BLOG. <br />S.H. <br />OR ITEM <br />SUB70TAL <br />PERMIT <br />70TALFEE <br />l0T <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED �fH15 <br />APPLICATION 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 GRAPJTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOI.ATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OF LOCAL LAYJ REGULATING CONSTRUC:TION OR <br />THE PERFOFMANCE OF CONSTRUCTION. <br />51cNnwRE OF CONTMCTOR. AUTHORI2ED AGENT. OR ONT:Efl . JATE <br />FEE NO. TYPE OF EOUIPMENT <br />A/C - A/HNOLG UNITS - H.P. <br />REFRIGERATION UNITS - H P. EA. <br />BOILEHS - B.T.U./H.P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCED AIR SVSTEMS - �.T.U. M EA. <br />WALLHEATERS-G.T.U. M <br />UNITHEATERS-H.1�.U. M <br />EVAPOFATIVECOOLF.RS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEfl HEATER <br />WOOD STOVE <br />WETAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSER7 <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF OWELIING UNITS <br />NO. OF STOfilES � MA%. OCC. LOAD <br />BY <br />B.E. <br />Bv <br />SUBTOTAL <br />PEflMIT <br />TOTALFE� <br />PLAN CHECK NUMBER FEE <br />FEES VALUAT <br />BUILDING S <br />PLUMBING O(�� -�/'� <br />MECHANICAL � <br />RECEIPT NO. <br />FEE <br />INVESTIGATIONFEE �`S�C'304�e) ,�-,�,0� <br />STATEBUILOIMGSURCHARGE L'NGCfI `i•:.'.OU <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIJATED (IN THIS SPACE) TI115IS YOU� PERIA�T <br />qpt ;�LS: 111L <br />331 00 <br />Cv <br />� <br />ct- <br />� <br />� <br />