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lhe Euergr'een <br />CITY OF <br />everett <br />259-8745 <br />� �''�NSTRUCTION ��� �� C <br />PERMIT pERMITNQ:. �O�J� <br />❑ DEMOLITI9N C COMBINATI,�3N�� ~ ❑ BUILDING ❑ MECHANICAL "� PLSIMBING J7 SIGN <br />OWNER MRILRO�RE55 CITY ZIP PHONE <br />Kids Mart 505 SF�'Everett Mall Wak r•.varA++, wn aR�n4 <br />AflCHITECTORDE51GNEq M/ILAOORE55 CITY ZIP PHONE <br />GENERALCONTRAGTOR MAILADORESS dTY ZIP PHOHE LICENSE� <br />Superior Elec. 9117 151st Ave. NE Redmond, WA 9C052 8$1-0201 SUPEREA125DG <br />MECHANICFLCONTRACTOR M41LApORE$S CITV ZIP PNONE LICENSE� <br />PLUMBINGCONTRACTOR MAILApDqE55 CITY ZIP PHONE 4CENSEM <br />CLASS OF WORK <br />�7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOL�TION ❑ BUILDING RELOCATION <br />VALUATION OF WORN <br />S 5000.�� <br />DESCRIDE WORK <br />Install S/F illumir.ated siqn on wall. <br />HEAT SOl1RCE <br />❑ ELECTqICITV � GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ OLOCK <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATEfl CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWBR <br />KITCHEN SINK & OISP. <br />DISHWASHER <br />LAUNDRVTflAV <br />CLOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTERS <br />flOOF DRAINS — flAINLEADERS <br />S!NK �SERVICE — BAR. CTC.) <br />C-1 <br />TVPE OF <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />LOT A9EN <br />AVPl.ICFTIONACC.BV � PLANSCHECNE09Y <br />H.E <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 OTHER <br />STATE OR LOCAL lAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONT`R�10R, AUTHORRED AGEHT. OR OWNER DATE <br />X � � ii . � /�. �Y� �� /7 J / r� <br />TYPE OF EOUIPME <br />A/C - A/HNDLG UNITS - HP. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.U./H.P. <br />GAS FIRED AC. UNITS- B.T.U. <br />FORCED AIR SYSTEMS - 9.T.LL <br />WALL HEATERS - B.T.U. <br />UNIT HEATERS - B.T.U. <br />EI�APOFATIVE COOLEflS <br />CLOTHES DfiVERS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER H[ATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSER'f <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />M EA. <br />M <br />N. <br />FEE <br />SUB TOTAL 5 <br />PEN n -�• ,� 1?. � <br />TOTAL FEE S <br />FE��OJ59 HECEIPTNO. <br />�L.Df7 $ 8.00 <br />'NTsnE FEES <br />5 ❑NO <br />IF0IVELLINGUNITS BUILDING S <br />PLUMBING <br />OGC LOAD <br />MFCHANICAL <br />INVESTIGATION FEE Sec.304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />1. FOR ISSl1ANCE BV <br />DRIVEWAV PERMIT <br />B.E. <br />TOTAL I I 18I00 <br />PEflMIi VALIOATION <br />WHEN PROPERLV VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />Q� <br />Ln <br />M <br />O <br />C'V <br />ADDIICSS Fll.c <br />