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the Euergreen <br />cin or <br />e�verett <br />259-8745 <br />'� t''`7NSTRlJCTION ` <br />�ERMIi <br />r -. <br />PERMIT NQ: _ � J O � � <br />❑ DEMOLITION ❑ COMBINATION ❑ BU�LDING ❑ MECHANICAL ❑ PLUMBING I� SIGN <br />OWNER MAILAOORE55 CITY ZIP PMONE <br />Scott Fleury 18004 73rd AVe. �dmonds, WA 98020 774-9198 <br />AflCHITECT OR OESIGNER MAIL AODl1ES5 QTY ZIP PMONE <br />GENERALCONTRACTOH MNILADDPE55 CITV ZIP PMONE 4CENSEx <br />MdlBKMit North West Neon & Plastic 815 Bth Kirkland 822-1200 NORTHNS367J0 <br />MECHANICALCONTf1ACTOfi AIAILAODRE55 CIiV 21P PHONE LICENgE� <br />PLUMBING CONTRACTOH MAIL A�DRESS CITY 21P PHONE UCENSE � <br />GLASS (li 'hONN <br />I� NEW ❑ ADDITION O ALTERATION ❑ HEPAIR <br />VAWFTION OF WORN <br />S 2900.00 <br />OESCflIBE WORK <br />Install and maintain elec. sign. <br />MEATSOURC[ <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />LOT <br />multi use. <br />BLOCK _ <br />20 SW Everett Mall Way <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEF <br />LAUNORYTRAV <br />CLOTHES WASHEF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR OFAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — PAR, ETC.� <br />TYPE OF CONST. <br />SIZE OF OLDG. <br />APPLICATION ACC. BY <br />S.H. <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PEARSETBACK <br />LOT APEA <br />OLCUPFNCY Gfii <br />NO. OF STORIES <br />1 ❑ YES ❑ P <br />PLANSCHECNEC <br />S <br />S <br />S <br />❑ 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 ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER 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 OTHEfl <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CqP�STRUCTION. <br />AGENT.OR OWNER DATE <br />NO. TYPE OF E�UIPMENT <br />A/C - A/HN�LG UNITS - H.P. <br />REFRIGERATION UNITS - H.P. EA. <br />OOILERS - B.T.U./H.P. <br />GAS FIRED A�C. UNITS - D.T.U. <br />FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALLHEATERS-B.TU. M <br />11HITHEATERS-B.T.U. M <br />EVAPORATIVE CODLERS <br />CLOTHES OfiYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACFINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PEHMIT <br />TOTALFEE <br />s�oe sEiBnCk p�AN CHECH NUMBER <br />VACAN7 SITE FEES <br />❑VES ❑NO — <br />NO.OFOWELLINGUNITS BUIIOING <br />PLUMBING <br />Ml %. OCG LOAD <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E 6UILDIN i SUFCHAFG <br />STATEENERGV3URCHARGE <br />pPPR FOR ISSUFNCE DV <br />�RIVEWAY PERMIT <br />Elec. N.V. <br />L. Callahan <br />Sign to be all on private property. <br />2900. <br />"�-Sec.3041a) <br />FEE <br />RECEIPT NO. <br />FEE <br />p- ::: , ;`B2 0 0 <br />! <br />TOTAL I I <br />PERMIT VA�IDATION <br />WIiEN PROPEFLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />A^C�;ESS FILE <br />M <br />W <br />O <br />07 <br />� <br />� <br />