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the Erergreen r-�,,� �.,� p N ST R U CT I O I���. ��� <br />c�rv oF <br />evere�� PERMIT PERMIT N0. 16��7 <br />CITY HALL 259�8745 <br />EVERETT,WA98201 ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING <br />OWNER MAILADDPESS CITY ZIP PMONE <br />Larry Hillis — <br />ARGMITECT OR OESIGNER MAIL ADDRESS CITV ZIP PHONE <br />GENEFALGONTflALTOF MAILAOOPE55 CITV ZIP PM01: LICENSEN <br />MEGMANICAICONTRPCTOR MO.ILAUORESS CITY ZIP PHONE UCENSEM <br />PLUMBING GUNTRACTOR MAIL ADDflESS CITY ZIP PHONE LILENSE M <br />Robinson Plunbing 607 SE Everett Mall Way Everett, WA 98204 355-6171 F.OBINP272C2 _ <br />� NEW ❑ ADDITION � ALTERATION I� REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVEIFIREPLACE INStRT <br />f <br />Tenant improvement <br />L0T__BLOCK_OI <br />62o sE Everett Mall Wav, Suite 220 <br />PLUMBING <br />NO. TYPE OF FIXTURE OR <br />� WATERCLOSET�TOILEn <br />Z LAVATORY(WASHBASIN) <br />SHOWEF <br />KI7CHEN SINN 8 DISP. <br />bISHWASHEF <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />2 WATCR HEATER <br />URINAL <br />DRINKING FOUNThIN <br />FLOOR ORAIN <br />VACUUtd BREAKERS <br />Fi00F DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SUB TOTAL <br />TOTAL FEE <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANa <br />3.FIREHYDRANT <br />4. FIRE PROTECTION SYSTEM <br />S.GRADING _ <br />6. DRAINAGE <br />7. ENVIRONMENTAL IMPACT STA' <br />8. HEALTH DISTRICT <br />APPLICA710N :�C. BY PLA <br />M.M. <br />I HEREBY CERTIFY THAT I HAVE FEAD 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 GRA"lTING OF A <br />PERMIT DOE.S NOT PRESUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS O� ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR TH� <br />PERFORMANCE OF CONSTRUCT�ON. <br />s�r.uenme oc CONTRACTOP OR AUTHORIZED AGENT /J DATE <br />X �.L����� / - � U <br />MECHANICAL <br />Np, TYPE OF E�UIPMENI <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — :i.P. EA. <br />GAS FIRED A.C. UNITS — TONNAG <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATEFS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />AIR HANDLING UNIT — <br />STOVE — WOOD <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP ___ <br />S 12.00 i HB <br />s 3 00 <br />S 1$.00 i4 fl� <br />PEAFiYARD SETBACK PLAN <br />VACANT SITE <br />❑YES ❑NO <br />SUBTJTAL <br />PERMIT <br />TOTAIFEE <br />FEE <br />EA. <br />M EA. <br />M <br />M <br />0.F.M. <br />� <br />5 <br />s <br />CHECK PEE <br />RECEIPT NO. <br />VALUATION � FEE <br />BUILOING $ <br />MAX.00C.LOAD <br />PLUMBING <br />FIRE SPRINKLERS MECHANICAL <br />RE�UIRED <br />❑YES uN0 <br />BY DATE OTHER __ <br />U.B.C. <br />PENALTY SEC.303�i <br />TOTAL �j/�/I <br />PEflM1T VALIDATION <br />WHEN PROPERLY VALIDATED (IN TF� <br />�� <br />(�IECK <br />BY APPR. FOR �SSUANCE BY <br />ADDRESS FILE <br />15 <br />S IS VOUR PERIAIT <br />fl.�l.� <br />515.00 <br />