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the Eoergreen <br />��r oF <br />everett <br />259-8745 <br />Q 7NSTRUCTION r <br />�ERINIT <br />; <br />PERMIT NO. �� J U U <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAODRE55 CITY 21P PIIONE <br />Washington Credit Union 19221 36th Ave W Lynnwood, WA 98046 771-6395 <br />qqCMITECT OR OESIGNER MAIL PD�RE55 CITv ZIP PHONE <br />GENEAALCONTRAGTOR AIAIIAD�RE55 CITV 21F PMONE UCENSE� <br />Owner <br />MECHRNICALCONiRACTOR MPIL/�ORE55 CITV ZIP PMONE �ICENSE• <br />FLUMOING CONTHAGTOA MAIL AOORE55 CITY ZIP PHONE LICENSE � <br />❑ NEW ❑ ADDITION G':ALTERATION ❑ flEPA1R <br />IFLUAiION OF WORK <br />S ZrJ��.�O <br />)ESGFI9E WORK <br />Tenant improvemenL-/construct partition walls <br />❑ DEMOLITIO(i ❑ BUILDING FiELOCATION <br />❑ ELECTHICITY ❑ GAS U WOODSTOVE ❑ OTHER <br />Bank <br />�pT _ �LOCK __ <br />JOBPD�PE55 <br />909 sE Everett Mall <br />PLUMBING <br />NO. TYPE OF FIXTURE OH <br />WATER CLOSET (TOILET) <br />B�THTUB <br />LAVATORY (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISF:IVASNER <br />Ll�UNDRVTRAV <br />CIOTMES WASHER <br />URINAL <br />DRINKING FOUNTPIN <br />FLOOR UR4IN <br />BACKFLOW PAEVENTERS <br />ROOF �fl�INS — (tA1NLEADERS <br />SINK (SEPVICE — BAfl. ETC.) <br />SUBTOTAL <br />PF.qMiT <br />TOTALFEE <br />TYPE OF CONST. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />qPPLICATION AND KNOW THE SAP�E TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEFNING THIS TYPE OF WORK WILL 8E COMPLIED WIl H <br />WHETHER SPECIFIED HEflEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PflOVIS�ONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNFTIIfiE OF CONTRaCTOR. AIITHORIZED �GCNi. OB OWNEFl 04TE <br />X 2 j 11/B�? <br />MECHANICAL <br />FEE NO. TYPE OF E�UIP! <br />A/C - A/FINDLG UNITS - H.P. <br />REFRIGERATION UNITS — H.P. F <br />BOILERS — 8 T.U./H.P. <br />GAS FIPED P.D. UNI75 — B T.U. <br />FORCED AIR SVSTEMS — B T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B T.U. <br />EVAP07ATIVE COOLERS <br />CIOTHES DflVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOOSTOVE � <br />METAL P�FEPLACE 8 CHIMNEY <br />FIREPLACEINSER� <br />NEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />VACANTSRE <br />❑YES C]NO <br />NO OF DWELLi <br />MA%ACC LU< <br />PLAN CHECKNUMtltH <br />FEES <br />6llILDING <br />PLUMBING <br />MECHANICAL <br />I�IVESTIGATION FEE <br />FIRE SPRINKlERS REOUIRED ❑ �ES ❑ NO r <br />`—y STATE BUILDING <br />FLANS <br />SH <br />APPR FOR <br />S <br />M EA. <br />M <br />M <br />SUBTOTAI <br />PEflMIT <br />TOTALFEE <br />FEE <br />VALUATION <br />,_ _J STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />FEE <br />S 2500.00 5� <br />Sec. 304�c) �. <br />3 <br />TOTAL I � <br />PERMIT VALI�ATION <br />Y:HEN PROPERLV VALIDATE� (IN THIS SPr.CE) THIS IS VOUR PLRMIT <br />A[7�.�.�,�� j I �U. <br />61 <br />�� <br />• <br />