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ehe Euegreen <br />CIN OF <br />everett <br />259-8745 <br />C��NSTRUCTION � - <br />P�RMIT <br />PERMIT NO. <br />18654 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C3 MECHANICAL L33 PLUMBING ❑ SIGN <br />OWNEfl MAILNOORE55 CITY ZIP PHONE <br />Iarry Hillis 620 Se Everett Mall Wa Everett 98204 347-5013 <br />AqGHITEGTORO`_SIGNEH MAILN�P�ESS CITY ZIP PHONE <br />GENERALCONTRACTOF MAILAOORESS I;ITY 21P PHONE LICENSEx <br />MECHANICALGONTRACTOH MAILADORESS G�1V ZIP � PHONE IICENSEx <br />PLUMBINGCONTflNCTOR MpILA00RE55 f.1TV ZIP PMONE LICENSEx <br />CLA55 OF WORK <br />❑ NEW ❑ AD7ITION �ALTERATION � HEPAIR ❑ DEMOUTION <br />VALUNTION OF WOflK <br />$ <br />Tenant Improvement - Unit 500 <br />HEATSOURCc <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ �LOGH _ <br />620�Se Everett Mall Way #500 <br />PLUMBING <br />SIZE OF <br />TYPE OF FI) <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVO.TOFY (WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />I.AUNDRV TflAV <br />DRINKING FOUNTAIN <br />OR ITEM � FF.E <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />ACC. BY <br />S.H. <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />VACANT SITE <br />❑YES ❑NO <br />ev <br />❑ BUILDING HELOCATION <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 WOP.K Wll.l BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOl'. 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 RECULATING CONSTRUCTION OR <br />THE PERFORMANCE-AF CQNSTRUCTION. <br />s��uaT�1PEd�i101�Ti1T�OR.AUTry6RIZ�DAGENT,OFOWNER OATE <br />X <br />MECHANICAL <br />o�a <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNI7S — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />ExHAl1ST FAN <br />SUB70TAL <br />PERMIT <br />70TALFEE <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STAT[ BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />70TAL <br />M EA. <br />M <br />M <br />:E RECEIPTNO. <br />VALUATION FE <br />/ SY � f 7:�7 ]HPI UU' H�F <br />i � <br />4i0001L'654 <br />i'lGU ��=7.Uu <br />�'� u'+_Sf1 <br />I'.fSEGf'304Ie) w: 3. JQ <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERh11T <br />h.L�DfiE;':o i=ii.i: <br />