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!hi•(i�PilrrNn � \ -pNSTRUCTIO�" <br />�e�er�ett �' <br />PERMIT PERMITNO. ��g�� <br />CITY HALL 25987<5 <br />Eveaerr.wneezo, C COMBINATION }� BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OG:1�ER MA�I A�ORE55 CItY ZIV PHORE <br />Frac.k Greenshields 621 Legion Drive Everett 98201 252-0062 <br />A4ICMITEGi OR UESIGNER M/.I� qDORE55 dTY ZIP PNCNE <br />GENERAL CON1RAGiOP ��ALL ADORE55 GITY ZIP PNONE UCENSE � <br />Same <br />MEGHPNICAICONTRACTOR MAILADDRE55 CItY ZIP PMONE LICENSE• <br />PLUMBING CO�Ti1ACTOP MRIL RDDRE55 CRY ZIP PMONE UGENSE Y <br />❑ NEW O AD�ITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ W00� STOVE/FIqEPLACE INSEFT <br />f 10.000.00 <br />ICRIBE WOFK <br />Construct car-port <br />Comme:rcial <br />LOt BI.00K_OF <br />JOo <br />I HEREBY CERTIFY THAT I HAVE aEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />r�owee�owoAn.rncnFouacowEs� CORRECT. ALL PROVISIONS OF �_AWS AND ORDINANCES <br />Legion II7XX9ttS Park GOVERNING THIS TYPE OF WORh. NIi.L RE COMP�IF.D WITH <br />WHETHER SPECIFIED HEREIN OH ���iT.'HE GRANS�IN� OF A <br />PERMff DOES NOT PRESUME TO GI!'- A.UTNORITY TO VIOLATE <br />OR CANCEL THE(k'ROVISIONS OF ANY OTHEF S'iPTE OR <br />LOCAL LAW R �ATING CONSTRUCTION OR THE <br />PER RMAN O (%UNSTRUCTION. <br />$iC�E OF GONC�4CT � PUiHORIZEO AGEN�� ,_ ^ nOPI�% 2, <br />621 Legion Drive <br />PLUMBING <br />fYPE OF FI%TURE OR ITEM <br />\NATER I:LOSET (TOI LE� <br />BATHTUI3 <br />LAVATORY �WASH BASIN� <br />SHOWEr7 <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTI!ES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FIODR �RAIN <br />VACWM BREAKERS <br />ROOF DRAINS — flAINI <br />SINK ISERVICE — BAR, <br />SU9 '9TAL <br />PERMIT <br />TOTAI FEE <br />FI <br />i. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS <br />9. FIfiE MYDRANT <br />4. FIRE PROTECTION SY�TEM <br />5. GRADING <br />6. ORAINAGE <br />7.CNVIRONMENTAIIAtPACTSTATEM�NT <br />8. HEALTh: UISTRICT <br />APPLICA:ION ACG. Bl' PLANS CME <br />fEE NO. TYPE �F EOUIPMENT � FEE <br />AtF CON�. UNIT$ — H.P. EA. _ <br />FEFRIGERATION UNITS — HP. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.i.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RYEPS <br />VENTILATION FAN <br />RANGEMOOD <br />qlfl HANOLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPiACE 8 CHIMNEV <br />FIREPLACCI4SEflT <br />MEAT PUMP <br />�S <br />FEARYARO <br />VACANT SITE <br />YES NO <br />MA%. <br />BV IAPPR. <br />NO <br />OATE <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE S <br />� Fc RECEIP? NO- <br />84/13900 �2.33 <br />FEES VALUATION FEE <br />BUILDING � 5'!O�OOO. BO S�7 <br />PLUMBING <br />MECHANICAL <br />OTriER <br />PENALTY U.tl.C. <br />SEC. 30� la1 <br />TOTAL HO SI) <br />PERMIT VALIDATION . r �' � � <br />IYHEN PROPERLY VALIOFTE� pN 1HIS $PACE�?MIS ISYOIIR v,ERN�I� O <br />� <br />Q7 <br />.��.., <br />, ; ,--; <br />I <br />ill�DF.�`'; ill• <br />� <br />N <br />n <br />b] <br />tl <br />1 <br />