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t.he £ce.�;.ecn <br />c�rv ov <br />,- everett <br />GTY HALL 259�8745 <br />� �orvsTaucrior� <br />PERII�IT <br />PERMIT NO. ��5��`�3 <br />EVERETT,WA98201 � COMBINATION ❑ 6UILDING �I MECHANICAL ❑ PLUMBING <br />OVINER MAIL AODRESS CITY ZIP PMONE <br />Harmon & Associates 9725 - 3rd NE Suite 500 Seattle 98115 527-2085 <br />APCNREGT OP DESIGNER MAIL ADORE55 QCY ZIP PMONE <br />GENERPL CONTPACTOR MAIL AODPESS CITV ZIP PHONE LIGENSE / <br />MEGHANICAL CONTRACiOR MAIL AD�PESS CITY 21P PHONE LICENSE x <br />Evergreen State Sheet A7etal PO Box 15C8 LVerett WA 98206 252-3114 BVERGS5302DB <br />PWMBING CONTRACTOR MFIL AD�RE55 CRY ZIP PHONE LICENSE N <br />S <br />�ot <br />C.YNEW � AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ fENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />Heating, Ventilation, Air Conditioning <br />Retail <br />i321 SE Everett Mall Way <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />W ATER CLOSET �TOI LET) <br />BATHTU6 <br />LAVATORY�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHlNASHER <br />LAUNORYTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING f OUNTAIN <br />FLOOR ORA N <br />VACUUM BR:AKERS <br />ROOF DRAl1�5 - RAINLEADERS <br />SINK (SER`,ICE - BAR, ETC.) <br />SUBTOTAL <br />PERMI7 <br />TOTAL FEE <br />SIZE OF BLDG. NO. OF <br />FIRE <br />APPNOVALS <br />1. ENVIflONMENTAL CHECK L15T <br />2. BUILDING PLANS <br />3. FIRE HYDRANT <br />4. FIRE PROTECTION SVSTEM <br />5.GRPDING <br />6. DRAINAGE <br />7.ENVIRONMENTALIMPACTSTATEMENT <br />B. HEALTH DISTRICT <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />FOIIRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNI�G 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 VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR ANCE OF CONSTRUCTION. <br />SIGNATUR F CON GTOR OR AUTH IZEO AGENT OATE <br />�ce N X 3i+-F*�ry` 11 1 85 <br />MECHA CAL <br />FEE NO. TYPE OF EQUIPMENT _ <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATNECOOLERS <br />CLOTHES DRYERS <br />Z VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMNEY <br />PIREPLACE INSERT <br />HEAT PUMP <br />S <br />5 <br />5 <br />VACANT SITE <br />!�.YES �..NO <br />NO. OF OWEL <br />BY <br />SUB TOTAL S <br />PERMiT f <br />70TALFEE S <br />C Nl1M8ER PLAN C <br />FEE <br />FE'eS �ALUATION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTY <br />3 <br />FEE <br />RECEIPT NO. <br />FEE <br />23 <br />TO7AL I I 23 �50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN TM� �4f�1�) THI�'I�Y�iU�i �F�11T-- �/� <br />.'. ' . i�. .�. ^.Ii' `� ,. <br />CFiECKED 8Y I APPR. FOR ISSUANCE BY <br />- � I�Ji U � <br />ADDRESS FIL[ <br />� <br />z <br />0 <br />� <br />n <br />m <br />�� <br />.. -i <br />N 2 <br />0 <br />m <br />co <br />mo <br />n <br />0 3 <br />rn <br />-I z <br />x --i <br />m <br />GJ 2 <br />a -a <br />rx <br />--1 � <br />< <br />�'I <br />O.� <br />�n <br />3 <br />�m <br />2 <br />rn �� <br />N <br />or <br />c� m <br />C t/� <br />3 t/� <br />m <br />Z C'� <br />�r <br />. m <br />A <br />� <br />� <br />x <br />➢ <br />Z <br />-� <br />x <br />N <br />Z <br />O <br />� <br />n <br />m <br />