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the Evergreen <br />CITV OF <br />everett <br />259-8745 <br />" C`1NSTRUCTION <br />PERqAIT <br />�. <br />PERMIT NQ: - �� � � � <br />[)tDEMOL1710N ❑ COMBINATION ❑ BIfILDING ❑ MEC!-iANICAL O PLUMBING ❑ SIGN <br />OWNER MAILnDOFE55 CITT ZIP PNONF <br />Weaver Development Co. 11525 19th Ave. SE Everett 98205 337-1066 <br />ARCIIITECTCf10E51GNE�i MAILAODRE55 CITY ZIV PHONE <br />GENENALCONTRACTOR MPII.PODRE55 C�TY ZIP PMONE LICENSE� <br />Owner <br />MECHANICRLCONTRACiON MAILAOOFE55 GITY ZIP PNpNE LILENSE• <br />PLUMBINGGONTFnCTOA AtAIL400RE55 CITY ZIP �MON[ LICENSE• <br />❑ NEW ❑ ADUITION <br />�ALUAiION OF WORH <br />5 <br />)ESCiiIBE WORN <br />Demolish Aouse <br />❑ ELECTRICSTY <br />caoPoseo use o� o� <br />SFR <br />�or _ owcK 11 <br />S. 20' of lot 8 <br />❑ ALTERATION ❑ PEPAIfi <br />❑ GAS O WnODSTOVE <br />4017 Eoyt Ave. <br />PLUMBING <br />ax Land Co. 1 <br />all a of 9 <br />NO. TYPE OF FI%TURE OI <br />WATER CLOSET �TOILET� <br />BATHTUO _ <br />LAVATORY (WASF' BFSIN� <br />SHOWER <br />KITCM[N SINN 8 DISP. <br />DISHWASHER <br />LAUNDRYTFAY <br />CLOTHES WASHER <br />URINAL <br />DRINI<ING FOUNTAIIJ <br />FLOOr7 DRAIN <br />BACKFLOW PFEVENTEFS <br />POOF Df1AIN5 - RAINLEAU[RS <br />SINK �SERVICE - BAR. F.TC.) <br />SUBTOTAL f <br />PERMIT f <br />TOTALFEE S <br />20NE � LOT <br />TVPE OF CONST <br />VRCFNT SIT[ <br />❑ vcs U No <br />� DEMOLITION <br />❑ OTHER <br />❑ BUILOING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAt�AINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TAUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORUINANCES <br />GOVERNI�JG THIS TYPE nF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOFS NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY O?HER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SION/�j+�+� �F)CJNTR�CTOA�.A�UTHO�/�l1�i-Z�ED�GFNi.OROWNER OATE % <br />X l 1/i. . w '� L/L /LA T /O � t� ��a <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />AiC - AiHNDLG UNITS - H P. <br />REFFIGERATION UNITS - HP. EA. <br />BOILERS - 67.0 /H P. <br />GAS FIRED AL. UNITS - B.T.U. <br />FOPCED 41R Sv5TEM5 - B TL. M EA. <br />WALLHEATERS-�T.U. M <br />UNIT HEATERS - � T.U. M <br />EVAPORATIVE COOLERS <br />_ CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER HEATER � <br />WOOD STOVE <br />METAL PIREPLACE 8 G111h1N[Y <br />FIREPLACEINSERT <br />HEAT PL1MP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />CHECK NUMBER rcr�-� <br />SEWER <br />OCCUPANCYGROUP NOOF�WELLINGUNRS �UILDING <br />512E OF OIDG. � NO OF <br />APPLICATIONPCC DY <br />OCC LOAD <br />PLANSCHECNEOEIV � Pi'PB FOPi55t1PNCE�Y <br />5 <br />PLUMBING <br />MECHANICAL <br />INVESTIGFTION FEE Sec.304(e� <br />STATE BUILDING SURCH�FGE <br />STATE ENERGY SLIFCHARGE <br />DFIVE\YAV PERMIT <br />FEE <br />FEE <br />3 I50 <br />S.H. TOTAL 3 <br />PERMIT VALIOATION <br />WHEN PPOP[FLV VALIOFTED �IN THIS SPACE� THIS IS YOUR PERMIT <br />