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thcEe�ergreen � C�NSTRUCTION ^ � <br /> CITY OF <br /> everett PERMIT PERMITNO. � �� L� i <br /> 259 -8810 <br /> ❑ DEMnL1710N ❑ COMBINATION O BUILDING C� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> Ol'lNEB MAIL ADDRE55 CITY ZIP PHONE <br /> Juneau & Rizzuto 9630 200th SW Suite G Scy,axc[�d Lynnwood 98036 771-4887 <br /> TENANT MAILAODRE55 CiTV 2iP PHONE -- <br /> MCMITECTONpE51GNER MAILADDflE55 CITV 21P PHONE <br /> G[NEFRLLONTPACTOR MAILADOflESS CITV 21P PNONE i.ICENS[• <br /> �',ECHANICAICONTPACTOR MAILAODNE55 �ITY ZIP PHONE UCENSE+ <br /> DC Fort Elect. 2107 SOth Ave. W. Sutie 101 Lynnwood 96036 743-4363 <br /> PWMBMGGONTRACTOR MAIIADORE55 CITY ZIP PHON� LICENSEe <br /> _ DCFORI*140LL <br /> CLA55 UF WORN <br /> ❑ NEW ❑ADUITION ❑ALTEpATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> CONTACT PERSON ANp PHONE NO.IF OTHEfl THAN ABOVE <br /> CONTfiACT PRICE OF WORK:S <br /> OESCqiOE WORN ANp SOUARE FOOTAGE INVOLVED <br /> Ductinq for exhaust fan <br /> CROPOSED USE OF BUILOING <br /> DaY care <br /> LEGAI�ESGRIPTION OF PFOPEFTY(SMOW BELOW ON AiTACM FOUR COPIES� . <br /> lOT_ pLOCN_OF <br /> JODAODRES$ <br /> 9709 Ho7.�- <br /> PLUMBING MECHANICAL <br /> ND. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEF CLOSET(TOILET) NC—A/HNDLG UNITS—H.P <br /> BATHTUB FORCEDAIRSYSTEMS—B.T.U. MEA. <br /> LAVATORY(WASHBASiN) UNITHEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP. VENTILATION FAN <br /> DISHWASHER RAN�E HOOD <br /> LAUNDRVTRAV WATERHEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> flOOF DRAINS—RAINLEADEHS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> SUBTOTAL S SUBTOTAL $ <br /> PERMIT S pEqbS/� •� <br /> TOTALFEE S TOTALFEE 5 r <br /> rnorvi SEToncK REAfl SETOACK SIOE SETBACN PLAN CHECK NUMBER F�Q��"� RECEIPT NO. <br /> MECH 32 ,50 <br /> USE].ONE �OT AREA VACANT SITE <br /> ❑VES ❑NO FEES ccooe � FEE <br /> ivfEOFCfi151NUCtIONALLO'r5'ABIE 7YI40FCONSiPUCiIONACiOAL ���°'�'�^„cr NOAFOWELlIN611N175 BUILGING 5 <br /> PLUMBING <br /> SiZ[GFpLDG. NO.OFSTOPIES BASEMENT <br /> ❑VES ❑NO MECHANICAL <br /> UCCUnANCYLOAD FIRESPRINKLERSREOD HEtGHTLIMITqTION OTHER <br /> ❑YES ❑NO <br /> n[n.=.oN Foa svaiNK�Eqs STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APVLICATIONACC.BV PLANSAPPROVEDDY CITY OF EVERETT <br /> LOCAL SALES PUBLIC WORKS <br /> s.x. TAX CODE IS TOTAL 21 so <br /> 3705 WHEN PROPERLY VALIDAT[D THIS IS YOUR PERMIT <br /> PERMITS EXPIFE IF WORK IS NOT COt�nnneNr_eo w�:uiN � . � r, <br />