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t/te Evergreen <br />an oF <br />everett <br />259-8745 <br />G��Io1STRUCTIO�V ;� <br />�ERIIAIT <br />PERMIT NO. 2 O O 9 6 <br />❑ DEKOLITION ❑ C6MBINATION ❑ BUILDI4G ❑ MECHANICAL ❑ PLUMBING f{] SIGN <br />OWNER MAILADDflE55 CI'Y ZIP PMONE <br />Na�ional Bne Hou� Photo 1902 HY SE Everett Mall Way Suite 4A Everett, WA <br />AqC�R[:TG'. �ESIGNPN MAILAOORES$ CITV ZIP PMONE <br />GENERALCGNTRACTOR MAi�ADDRESS CItV ZIP PHONE LICENSE� <br />Northwest Neai & Plastic 815 Sth St. }Cx Kirkland WR 98033 822-1200 NORTHNP254D2 <br />MECMANICRLCONTRACTOR MAILAOORESS CITY ZIP PMONE LICENSE• <br />PWMBINGCONTRRCTOR MPILROpRE55 CITY ZIP PHONE LICENSE� <br />CLASS OF WORN <br />�I NEW ❑ ADOITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ BUILDING RELOI:ATION <br />VRLUATION OF WOFN <br />S Z��GD <br />OESCAIBE WOFK <br />Channel and neon letters installed on mall front <br />HEATSOUFCE <br />❑ ELECTRICITY ❑ GAS � WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BIIIL[ <br />Reta9.1 sales <br />LOT _ BLOCK _ <br />1402 SE Everett Mall <br />PLUMBING <br />USFZONE <br />TYPE <br />TYPE OF FI%TURE OH ITEM <br />WATER CLOSEI' (TOILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAV <br />CLCTHES WASHER <br />UflINAL <br />�RINKI4G FOUNTAIN <br />FLOOR DFAIN <br />BACKFLOW PREVENTERS <br />{lOOF ORAINS - RAINLEA�ERS <br />SINN (SERVICE - �AR, ETG) <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMIPJED THIS <br />APPLICATION AND Kh01V 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 61VE AUTHORIT/ TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCl'ION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNRTU NTPAC�T . AUTNU�RIZE,D� ENT. OR G\YNER �ATE <br />X .r;;// '�C�.a-��rn�_/ S=�/-� <br />FEE NO. TYPE OF EOUIPMENT <br />A/C - A/HNDLG UNITS - H P. <br />REFRiGERATION UNITS - H.P. EA. <br />BOILERS - B.T.U.MP. <br />GAS FIRED A�C. UNITS - B T.U. <br />FORCEO AIR SYSTEMS - B.T.U. M EA. <br />WALLHEATERS-BT.U. M <br />UNITHEATERS-BTL. M11 <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />wOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUS�FAN <br />SUB TOTAL 5 <br />PERMIT S <br />TOTALFEE S <br />iR SETOACR SIDE SETOACK <br />fAREA <br />\'PCANT SITE <br />❑ YES ❑ NO <br />CUPANCYGROOP NO.OFOWELLINGUNiTS <br />OF Si0PIE5 IAA% OCC. LOAD <br />pY �PLRNSCMECKE�DY �APPpFOR <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE �UIL�ING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PcRMIT <br />c 2 <br />FEE <br />RECEIPT NO. <br />�TION FEE <br />10.00 g 00 <br />^• M OOORq0543 ��k <br />� <br />TOTAL I I <br />PENMIT VAIIDATION <br />WHEN PROPERLY VALIDATED (IN TFIIS SPACE) THIS IS VOUR PEflNIT <br />f.;-�;.iE55 rIL� <br />� �� <br />Lo <br />Q� <br />� <br />L� <br />N <br />