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u� a,�,n� <br />ciTv uF <br />everett <br />259-8745 <br />�" F'''1NSTRUCTION � - q C <br />PERMIT PERMITNQ:= f �T) `� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �1 SIGH <br />OWNER MrlIIRDOPESS CITY ZIP PHONE <br />Nielson Bros. Carpets 131E Intercity Ave. Everett 628-0111 <br />ARCNITECT OR UESIGNER MAIL ADDRESS CITY 21P PMONE <br />David Strombom 404 Grand Central Seattle 98104 629-0111 <br />GENER�LCONTN�CTOR �u�L��DPESS CITY ZIP PHONE LICENSEr <br />Heath N.W. Inc. 11805 N.E. 116th Kirkland, WA 98034 623-3100 HEATHN*�30 <br />MECMANICALCONTR4CTOR MAILADORE55 CITY Z�P PIIONE LICENSE� <br />PI.UMBING CONTR�GTOR MRIL AJDNES_ ��T� 21P �MONE LIGENSE � <br />CLASS OF WORIt <br />(H NEW � ADDITION ❑ ALTERATtON ❑ REPAIR ❑ DEMOLITION ❑ BUILDINf: RELOCATION <br />VALU�TION OF WORN <br />S Z50�0.0� <br />Install pylon sign, wall sign, ard neon on building <br />IEAT $JURCE <br />❑ EIkCTRICIri ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT � BLOCK _ OF <br />JOP.�ODRE55 <br />121 S.E. Everett Mall Way <br />PLUMBING <br />NO. TYPE OF FU(TURE OR ITEM <br />N'ATEN CLOSET ITOILET) <br />BRTHTUB <br />LAVATORV (WASH BASIN) <br />ShOWER <br />KITCHEN SINK 8 OISP. <br />DISMWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR Df1�IN <br />SINK <br />USE20NF. <br />512E OF 6LDG. <br />� <br />� <br />SUB TOTIIL <br />PERMI7 <br />T0711L FEE <br />REARSETB/.CK <br />LOT�REA <br />pf�. : VCYGROUP <br />NOAF SlOt11E5 <br />FIRESPRINKLERSREOUIRED ❑VES ❑NO <br />�CC BV <br />S.H. <br />FEE <br />❑YES [_]NO <br />NO OF OWELLING UNITS <br />APPR FOIiISSUANCEOV <br />I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PRpVISIONS 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 UTHER <br />STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR <br />THE P FORMANCE OF CONSTRUCTION. <br />SIGNAi R OF ONTRA AUiNORIZyO AGENT. Oli OWNEN // F� � <br />X A <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />— A/HNDLG UNITS - H F <br />71GERATION UNITS — Ii.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRE� AD. UNITS — D.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNITHEAT[RS—B.T.U. M <br />E'/APORATIVE COOLERS <br />�LOTHESDRVEFS <br />\'ENTILATION FAN <br />R,4NGE HOO� <br />WATER HEATER • <br />WOODSTOVE <br />MEiAL FIREPI.ACE d CIiIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PI?ING <br />E%NAUSTFAN <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAV PEtiMIT <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />