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u��een <br />CITY OF <br />everett <br />259-8745 <br />���� �NSTRUCTION �- ° <br />PERMIT <br />PERMIT NO. 17902 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MNILAD�PE55 CITY IP pHONE <br />Muffin Break 1405 S.E. Everett Mall Way Everett 982 1 <br />AflCHITECIOflDE51GNER M1IIdLADORESS CITV ZIP PHONE <br />GENERALCUNiRBCTON MAILA�ORESS CITY ZIP PHONE UCENSEM <br />MECHANICALCONTRAC�Ofl MAILA�DRE55 CITY ZIP pH N L SEF <br />Evergreen St. Sheet Metal P.O. Box 1508 Everett 98206 252-3114 E RG5531 <br />PWMBINGCOYTpACTOF MAILADDRE55 CITY 21P PHONE LICENSE/ <br />GLASS OF WORK <br />� NEW ❑ ADDITION ❑ ALTERATION ❑ flEPAIR <br />VALUATION OF WOHK <br />5 <br />DESCR�BE WOPN <br />Install one forced air system <br />HEATSOUHCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />LOT _ BLOCK <br />5 SE Everett Mall Way <br />PLUMBING <br />OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORY�WASH BASW) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNT4IN <br />FLOOR DRAIN ' <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RA W LEA <br />SINK �SERVICE — BAR, ET <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />CONST. <br />� <br />5 <br />S <br />S�OE SEl'DACR <br />YES ❑ NO <br />O DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDIlJANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLICD WITH <br />WHETHEfi SPECIFIED HEREIN OR NOT. THE GRANTING 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 CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�[URE OF CONTIiACTOR. AUTHORIZED AGENT, OH OWNER D TE <br />V, l .9 / f • � / ._ �.� <br />FEE NO. TVPEOFEOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRE� A�C. UNITS — B.T.U. <br />FORCED AIR SY'STEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATEHS—B.T.U. M <br />EVAPOflATIVECOOLERS <br />CLOTHESORYERS <br />VFVTIL:TIGN FAIJ <br />RANGEHOCD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SR[ OF BL�G. I NO.OF STORIES I MA%. OCC. LOFD <br />pPPLICFTION ACG. BY I P�ANS LHECNEO BY <br />S.H. <br />APPfl.FOFI55UNNCEBY <br />SUBTOTAL <br />PEqMIT <br />TOTALFEE <br />NUMBER FEE <br />BUILDING S <br />PLUM8ING <br />MECHANICAL <br />INVESTIGATION FEE � <br />STATE BUILDING SURCHAFG <br />STA7EENERGVSURCHARGE <br />DRIVf WAV PERMIT <br />TOTAI <br />�i���17�1�? <br />RECEIPT NO. <br />FEE <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERAIIT <br />ABDRESS Fli e <br />N <br />O <br />O7 <br />N <br />� <br />