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the Euergreen <br />cin oF <br />�vere�t <br />259-8745 <br />❑ DEMOLITION <br />'?� t��NSTRUC�'ION � � nn n <br />PERMIT PERMITNO. � JJ�`� <br />❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PIUMBING ❑ SIGN <br />MAILA��PES! CITY ZIP PMONE <br />1402 SE E,Verett Mall Way Everett WA 98204 <br />MnILA0DRE55 CITY 21P PHONE <br />GENERALCONiRACTOR MAIIID�R[55 CITV 21P PHONE LICENSE� <br />MECHANICNLGONTPACTOR M11! AD�HESS CITY ZIP PMONE LILENSE• <br />Ruketts Metal P:fg. 6720 Fleming itd. Everett, WA 98203 353-4444 EVEitEH7+263DB <br />PWMBINGWNTRACTOR MAILRDDRESS QTY 21P PHJNE LIGENSEr <br />:LPSS OF WOHN <br />❑ NEW ❑ ADDITION <br />/AWRTIONOf WOFK <br />$ <br />]ESCRIBE WOPK <br />Install HVAC System <br />�EAT SOUPCE <br />❑ ELEC7HICITY ❑ GAS <br />Re�taurant <br />LOT � BLOCK _ <br />;4oz sE <br />PLUMBING <br />TYPE OF FI%TUHE <br />WATER ClOSET �TOILET) <br />BATMTUB <br />IAVATORY ( W 45H BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORVTRAV <br />CLOTY.EE VJASHEP <br />URINAL <br />FLOOR DRAIN <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, E'. C.� <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />USEZONE <br />TYFE OF CONST. <br />SIZE OF BL�G. <br />FIPE SPRINNIENS R <br />APPUCATIONACC.DY <br />S.H. <br />�I ALTEHATION ❑ flEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />❑ WOODSTOVE ❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAPAINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />1fiCOPiES� CORRECT. ALL PROVISIONS OF LAWS AND OROINANCES <br />GOVERNING THIS TYPE OF WORI: WILL BE COMPLIED WITH <br />WHETHER SP[CIF'��D 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�TUREOFCONTF/CTOB.AUTHOFiZEDAGENT.OROWNER DATE <br />X <br />MECHANICAL <br />FEG NO. i"1PE OF EOUIPMENT FEE <br />1 A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />�OILERS — B.T.0 /H.P. <br />GAS FIRED A.Q UNITS — B.T.U. <br />FORCED AIR SVSTEMS— B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLEflS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />FANGEHOOD <br />WATER HEATER <br />\NOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN __. <br />smeseroncrc <br />VACANT SITE <br />❑YES ❑NO <br />NO. OF �WELLING UNITS <br />M11AX.00C LOAD <br />PPPR FOR ISSUANCE OY <br />B.E. <br />SUBTOTAL <br />PERMIT <br />NUMBER PEE � RECEIPTNO. <br />FEES VALUATION FEE <br />FlUILDING S <br />PLUMBING <br />MECHANICAL <br />INVESTIG.ITION FEE Sec. 304�e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY � ;RCHAFiGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT VALIDAT�ON � <br />WHEN PROPERL� VALI�AT[D �1N THIS SPACE) THIS IS �OUR PERMIT <br />n�'Jf�fi_ �'�'L-�. <br />