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1 he Evergreen <br />arr oF <br />everett <br />259-8745 <br />C"3NSTRUCTIaN <br />PERMIT <br />PERMIT NQ:= � �`�`�" <br />❑ DEMOLITION ❑ COMBINATION I� BUILDING ❑ MECHANICAL ❑ PLUMBINC7 O SIGN <br />ONNEH MAIIADORE55 CITY 21P PHOVE <br />Linda Sherman 3712 Hoyt Ave. Everett 96201 259-1269 <br />ARCHITECTORCESIGN[R MAILdDDRE55 CITY ZIF PMONI3 <br />Brad Lewis 4407 Thomson Ave. Everett 98203 339-5122 <br />GENEflRL CONTRACTOR MPIL qODPE55 CITV 21P PHONE LICENSE � <br />Coiistruction Tech Inc. 4407 Thomson Ave. Everett 98203 339-5122 CONST�.CI141QR <br />MECHANICAL CONTRnCTOR MAI� RDDRESS CITY ZIP PMOKP UCENSE r <br />PLUMBING CONTRACTOP MRIL AU! 9E55 CITY 21P PNONE UCENSE � <br />CLA55 OF WORK <br />[�NEW ❑ ADDITION <br />S 1500.00 <br />❑ ALTEflATION ❑ RcPAIR ❑ OEMOLITION ❑ BUILDING flELOCATION <br />Carport __ <br />HEATSOLRCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />lOT _ 9LOCK _ OF <br />. )G�_ ��L'l..ls�.i� <br />37Z2 Hovt .Ave. <br />PLUMBING <br />TYPE OF FIXTURE aR ITEM <br />d/ATEP CLOSET (TOILET� <br />�ATHTUB <br />LAVATORV�WASH BASIN� <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNGRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINI(ING FOUNTAIN <br />FLOOR ORAIN <br />9ACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINH (SERVICE — BAR. ETC � <br />USE20NE <br />R-4 <br />iYFE OF CONST <br />V-N <br />SZE OF BLDG <br />800 <br />nPPIICATIONACC DY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />1'OUR COPIE51 <br />I HEREBY CERTIFY "i HAT I HAVE HEAD AND EXAAIINED THIS <br />APPLICATIUtJ AND KNOW TFiE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WIL� BE COMPLIE� Wll'H <br />WHETHER SPECIFIED HEREIN OR NOT. THE GFiANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE ^' ITIIORITY TO <br />VIOLATE OR CANCEL THE PRC:VISIONS ANY OTHER <br />STATE OR LOCAL LAW REGULATI�IG CO RUCTION OR <br />THEPERFORMANCE COM1�STRUC-ION. <br />SIGNAIU F CJNiR OF TMORIZEC PGENT. OR ON'NER OATE <br />X ,,,�,�� 8 >/—�7 <br />MECHANICAI � <br />FEE NO. 'NPPE OF EOUIPMENT <br />AiC — A/HN�LG UNITS — H P <br />� REFFIGERATIONUNIIS—M.P.EA. <br />BOILEAS -- US.0 iHP. <br />GASFlREDAC UNITS—BS.U. <br />FORCED AIR S1'STEMS — B.TL. M EA. <br />YlALL HEATEFS — B T.0 M <br />UMIT MEATERo — bSU M <br />EVAPORATIVE CCOLEFS <br />CLOTHES DRYEflS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />MET.4L FIREPLACE 8 CHIM1INEV <br />FIREPLACE INSEPT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SiOE SF.IDACK <br />io s <br />LOiAREA <br />6440 <br />OCCUPANCY GROl1P <br />M-1 <br />NU OF STO�iiES <br />1 <br />M.D1. � B.E. <br />ANT Si E <br />=s o <br />OF OWELLWG UNItS <br />0 <br />OCG LOA� <br />N/A <br />'R FOR ISS�ANLE �Y <br />L.C. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN CHECNNUMBER FEE <br />BUIIDING <br />PLUMBING <br />zz.�s <br />V�LUATION <br />S 1 L,.,. ,.� <br />FEE <br />MECHANICAL —. --, .., ' .`'i'. '.._'�..!.1i�o <br />INVEST�GATIONFEE � 9eog30q�01, <br />S7A7EBUILDINGSUPCHAFGE �-� ' "'�'�" <br />cr� <br />STATEENER3VSURCHARGE � _` � ��,�,� <br />DRIVEWAV PERMIT ' '' el.O 1�' <br />TOTAL I ! �jpr5� <br />PERMIT VALIDATION <br />WHEN PROPERLY VFLIGATED pN THIS SPAGE) THIS IS YOUii PERMIT <br />ACDfIL'aS F�i-r <br />