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theEvergr�en <br />CITY OF <br />everett <br />259-8745 <br />"`� C`�IVSTRUCTION <br />PERMIT <br />PERMIT NQ: _ � � `� J � <br />❑ DEMOLITION ❑ COM�9INATION ❑ BUILDING (� MECHANICAL <br />Q PLUMBING ❑ SIGN <br />OWNER ��— MAILqD�RESS <br />Harmon & Fv,soc. 9725 3rd Ave. AB c�rv z�v PMONE � <br />i1300 Seattle 98186 547-2085 <br />ARLMITGCT Ofl pE51GNEF MAIL ADDRE55 <br />CITV ZIP PHONE <br />GENERALCONTflACiOR MAILADCRESS <br />CITY 2'P PMONE <br />LILENSE • <br />MECNqNICAL CONTRqC IOR MAIL AODRE55 <br />❑fY ZIP PMONE LICENSE• <br />P W MBING CONTRACiOR MAIL 4DORE55 <br />CITY 21P PMONE �ICENSE� <br />McDonal3 Miller Cc�, 11063 Pacific Highway S. Seattle 98168 673-9400 MACDOM248J9 <br />CLn55 OF WOHK � <br />L7 NEW ❑ ADDITION (� ALTERATION <br />E <br />Plumbing and mech. <br />iENT50URCE <br />❑ ELECTRICI7Y ❑ GAS ❑ WOODSTOVE <br />Deli <br />��T� BLOCK _ <br />�oo <br />906 SE Everett Mall Way <br />PLUMBING <br />TYPE OF <br />N:ATCR CLUSET �TOIL <br />BATHTUB <br />LAVATORY�WABHBA; <br />SHOWER <br />HITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTqpy <br />CLOTHES WASHER <br />UpINAL <br />URINKING FOUNTAIN <br />FLOOfl �RAIN <br />700f DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />S.H. <br />er <br />SUBTOTAL <br />PENM,IT <br />TOTALFEE <br />NO OF <br />Foun <br />❑ REPAIR CI DEMOLITION <br />❑ OTHEfl <br />❑ BUILOING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINAMCES <br />GOVERNING THIS TYPE OF WORK WILL BF COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PHESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL l'HE PROVISIONS OF ANY OTHER <br />STATE OR LOCR,L LAW REGL�LATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNpSLpEOFCONTRACTOR,AUTHORIZEDAG[NT.OFOWNER / pq� <br />c � � — <br />F[E NO. TYPE OF EQUIPMENT <br />A/C — A/HNDLG UNIiS — H P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALLHEATERS—O.T.U. M <br />UNITHEATENS—fl.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDHYERS <br />�. VENTILATION FAN <br />ZS OO RANGE HOOD <br />�- WATER HEATER � <br />WOODSTOVE <br />METAL FIqEPLACE 8 CHIMNEY <br />FIREPiACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FA�! <br />S 35 ( <br />S <br />S <br />SIDE SEtBACK <br />VACANT SIT[ <br />❑YES ❑NO <br />NO OF DWELLING UNITS <br />MA%. OCC. LOAD <br />4PPP. FOR ISSpANCE BY <br />SUB TOTAL 5 <br />PEHMIT s <br />TOTALFEE S <br /><NUMBER FEE RECEIPT <br />FEES veiiisrinu' <br />BUILDING <br />PLUM3ING <br />MECHANICAL <br />INVESi:CA710N FEE <br />�#OOD2I457 <br />Sec.304�e) <br />.00 <br />STATE BUILDING SURCHARGE <br />STl�TE ENERGY SURCHARGE <br />�RIVE4VAY PERMIT <br />1'07AL <br />PERMIT VALIUATION <br />WHEN PROPEFL'! VALIDATED �1N THIS SPACE) THIS IS VOUH PERMIT <br />ADDP[SS fli.F <br />FEE <br />