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lheEuergre�n C.taNSTRUCTION � �� � <br />CITY OF �y p <br />everett PERMIT PF'RMiTNO. G�U� � <br />259-8810 <br />p DEMOLITION ❑ COMBINATION ❑ BUILDING Li MECHANICAI. ❑ PLUMBING ❑ SIGN <br />OWNER MAILADOFiE55 CITY ZIP GHONE <br />Trigny Corp. 12406 Mukilteo Speedway Lynnwood 98037 348-38�9 <br />TENANT MAILPDOflE$5 CITY ZIP PMONE <br />OR OESIGNER MAIL AOORESS CITY ZIP �MONE <br />GENEHALCONTRAGTOP MAILADORESS LITY 21P PHONE LICENSE� <br />Owner TRIGNC117C? <br />IAECMNNIC/l CONTPAGTOP MAIL AOORE55 <br />CITY ZIP �HONE LIGENSE � <br />PLUMBINGGONiRACTOR MAILADDRESS CITY ZIP PHONE LICENSE+ <br />CLASS OF WOflK <br />❑ NEW ❑ ADDITION ❑ ALTERATION. ❑ REPAIH ❑ DEMOLITtON ❑ BUILDING RELOCATION _ <br />CONTACT PERSON ANO PHOrvt rvu. ir �� ncn � n..�.......�� <br />CONTRACT PRICE OF WORK' $ I -. <br />OESGRI�E WORK AND SOUANE FOOTAGE INVOLVED <br />In�tall furnace and gas i in <br />PROPOSED USF OF BUIL�irvu <br />SFR <br />L[GAL OESG�IIPTION OF PROPERTY (SHO W BELOW OR ATTACN FOUR COPIES) <br />LOT-- BLOCK-- OF <br />JOB <br />PLUMBING <br />��p, TYPE OF FIXT�RE OR ITEM <br />WATER CLOSET (TOILET) <br />KITCH[N SINK 8 DISP. <br />DISHWASNEfl <br />LAUNORYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAI�� <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEACERS <br />SINK ISERVICE — BAR. ETC.) <br />FRONTSET9�CK <br />USE ZONE <br />na� o� coNsieucnor+aum+ <br />SiZE OF BLDG. <br />OCCUPANCYLOAD <br />REASON FOR SPflINNIfP <br />APPi.ICATION ACC.BY <br />S.H. <br />SUBTOTAL <br />P=RMIT <br />TOTALFEE <br />REARSET9NCK <br />LOT AREA <br />NO. OF STOPIES <br />FIfiE SPRINKlERS REO'D <br />p YES ❑ NO <br />CANTSRE <br />vES ❑ NO <br />se^•�• ao.cFo�v�uixc <br />VES ❑ NO <br />HEIGMT Llhf ITATION <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS <br />3105 <br />MECHANICAL <br />NO. TYPE OF' EOUIPNENT <br />A/C — NHNDLG UV ITS — H.P. <br />FORCED AIR SVSTEMS — B.T:J. M EA. <br />UNITHEATERS—B.T.U. M <br />VENTILATION FAN <br />RANGEHOCD <br />WATER HEA (EF <br />WOODSTOVE <br />METAL PIREPLACE 8 <br />FIREPL A�E INSERT <br />HEAT PU1.7P <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL S <br />PEHMIT S <br />TOTALFEE S <br />PLANCHECKNUMBER �'� �jy '��"�r <br />,� <br />FEES u.-n� �t <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHARGE <br />S7ATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />IS IS <br />PERM:TS EXPIRE IF WORK IS NOT COMMENCED WITHIN ADDRESS FlLE v C.,� f� <br />�DO DA�S OR CEASES FOR MORE TH�4N 180 DAYS. <br />24 <br />