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r� Eo�green <br />cirv oF <br />everett <br />259-8745 <br />"`�� taONSTRUGTION - '� <br />PERMIT PERMIT NQ _ � 7J03 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C� MECHANICAL ❑ pLUMBING ❑ SIGN <br />��Eq MIlg f il B ea MAILADDRE55 CITY ZIP PMONE <br />Sices�x�e�'cxi-n�x�xi�s 1405 Everett Mall Way Everett 98204 <br />NRCHITEGT OP pE51GNER MAIL pODRE55 CITV ZIP PHONE <br />GENERALCONTRACTOfl MAILAD�RESS CITV ZIP PHONE UCENSE• <br />MECMANICFLCONTRFLTOR MNILAppRESS CITV 21P PHONE �ICENSE� <br />Steel Tek Industries P.O. Box 828 Sherwood, OR 97140 (503) 625-5507 STEELTI18809 <br />PLUMBINGCONTRRCTOR MFILAODHE55 CITV 21P PHONE LICENLEM <br />I.�NEW ❑ ADDITION <br />VALUATION OF WORK <br />S <br />�ESCRIBE wORN <br />Install range hood <br />MEATSOURCE <br />0 ELECTHICITY ❑ GAS <br />PROPOSEO I15E OF BUILUING <br />Restaurant <br />IEGAL �ESCHIPTION OF PROPERTY (SMOW �ELOV <br />LOT _ BLOCN _ OF <br />doeaooaess <br />1405 SE Everett Mall Wa� <br />PLUMBING <br />NO. TYPE OF FIXTL <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — PAINLEAI <br />— �AR. EiC.) <br />❑ ALTERATION <br />OR ITEM <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />TYPE OF CONST. OCLUf <br />S12E OF BLDG. NO.OF <br />FIRE SPP.INKLERS REOUIRED ❑ V <br />APFLICATION 1CC.B � PLANS <br />M.M. <br />❑ WOODSTOVE <br />S <br />VACANTSITE <br />❑YES C1N0 <br />❑ REPAIR <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING qE1.00ATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINF.D THIS <br />APPLICATION AND KIJC�W THE SAME TO B[ TRUE AN� <br />CORRECT. ALL PROVI�IONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR C`,F,NCEL THE PROVISIONS OF ANY OTHER <br />STATE� LOCAL LAW REGULATING CONSTRUCTION OR <br />FEE N0. TVPE OF E�UIPMENT <br />A/C — A/HND'_G UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B T.U./H.P. <br />GAS FIRED A�C. UNITS — 9.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WAIL HEATERS — 6.T.U. M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVE COOLEflS <br />CLO7FIES OFYERS <br />VENTILATION FAN <br />], RANGE HOOD <br />WATER HEATER • <br />WOODSTOVE � <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING � <br />1 E%HAUSTFAN <br />NO. OF O WELLING UNITS <br />MA% <br />APPII FOR 6511ANCE <br />PLAN CHECK NUMBEI <br />FEES <br />BUILDING <br />PLUMt31NG <br />MECHl.NICAL <br />INVESTIGATIGN fEE <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />GTATE BUILDING Si�HCH�RG <br />STATEENERGYSURCHARGE <br />ORIVEWAY PEAMI7 <br />TOTAL <br />Sec.�04(e) <br />OWNER <br />NO. <br />WHEN PROPERLV VALIDATED pN THIS SPACE) THIS IS VOUR PERMIT <br />AUDHESS FII E <br />FEE <br />��� <br />