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;�� �. � <br /> �'�"°F � C'7NSTRUCTION ' � <br /> eve8�tt PERMIT PERMITN(L � 8753 <br /> ❑ DEMOlI710N ❑ COMBINATION ❑ BUILDINO [� MECHANICAI ❑ PLUM81N0 ❑ g�pN <br /> OWNER MMI��OHE55 CITY ZIP <br /> PIIONE <br /> �rerett Mutual Savings Bank 1902 110th St. SE 81tItX7t; Everett, WA <br /> �RCHITECT OP p[gIpNEN MMl�pDqES£ CITY Z�p <br /> PIIONE <br /> OENER�LCONTq�CT011 MAIL�ODHE55 CiTY Z�p <br /> �� IICFNSE� <br /> MECH�NICILLCp1TR�GTOA MML�DDHESS ��ry ziP <br /> R�ONE IICEN$E� <br /> Evergreen State &heet Metal P.O. Box 1508 Everett 98201 252-3114 EVERGSS315RE <br /> PLUMBINO CONTNACTOP M�IL�DpPESS CITY 21P P1qNE LICENSE i <br /> CL�SS Oi WORk <br /> ❑ NEW �ADDITION ❑ ALTERATION ❑ pEPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION <br /> VALU�TIDN OF Wppl{ <br /> : 21 �07.�� <br /> DFSGP�BE WORN <br /> Inatall one Air Qond. Unit 100,000 HTU <br /> NEAT SOURCE <br /> ❑ ELECTRICtTY ❑ OAB ❑ WOODBTOVE ❑ OTHER <br /> PROPOSEO USE Of BUILDINO <br /> Bnnk I HEREBY CERTIFV THAT I HAVE READ AND E7(AMINED THIS <br /> IEOlLL0E8CHIPTIONOFPROPERTY�SNOWBELOWOR�TTACNFOURCOPIE51 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior_e�oc� _or GOVERNING THIS TVPE OF WORK WIIL BE COMPLIED WITH <br /> WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTINO OF A <br /> PEFMI7 DOES NOT PRESUME TO OIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVI�IONS OF ANY OTHER <br /> STATE O LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PE ANCE OF CONSTRUCTION. <br /> JOB�ODRE59 SION�TU OF �CTOR.� t EO�OENT.OR ON?1ER OATE <br /> E z �_3-� <br /> PLUMlINO MECNANICAL <br /> MO. TYPE OF FUITURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WRTER CLOSET(TOIIET) 1 A/C-Aq1NDLG UNITS�- M V ZOO�OOO 9 OO <br /> BATHTUB REFRIGERATION UNITS-M P EA. <br /> UVATORV(WA9H BASIN� BOILERS-B T U/H P. <br /> SHOWER �AS FIRED A�C UNITS-B T U <br /> NITCHEN SINN!OISP. FOPCED AIR SYSTEMS-B T U M EA <br /> OISHWASHER WALLMEATERS-BTU M <br /> UUNDRY TRAY UNIT MEATERS-B TL M <br /> CIOiHES WASHER EVAPOfiATIVE COOLERS <br /> URINAL CLOTHESDRYERS ' <br /> ORINKINO FOUNTAIN VENTILATION FAN <br /> FLOOq ORAIN RANOE NOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF DRAINS-R�INLEAOEIiS WO00 STOVE <br /> _ SINN(SERVICE-BAR,ETC� MEiAL FIPEPIACE 6 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> OAS PIPINO <br /> E7(MRUST FAN <br /> !US TOTAL { 8UE TOTAL 9 00 <br /> PERMIT { P[RMIT 15 p� <br /> TOTAL FE[ 1 TOTIIL FEE 4 <br /> faOrvT BeTBAGK pEeq SETBecK SioE SEiBeC� PLAN CHECK NUMBER FEE RECEIPT NO <br /> U9ELONE LOI�PEA <br /> V�C�NT S17E — <br /> ❑res ❑No FEEB VALUATION FEE <br /> rYPEOFC(MlST OCCUY�NCYOPOUP NOOFpVIEI�INOUNITS BUILDINO s <br /> PLUMBING �I-. :1..%t-r -i1: � . c. I��_ury:2 0 � �,��.. <br /> SIZE OF B100 NO Of STONIE9 M�Y OCC LOI10 <br /> MECMANICAL �.;i�l_Ilk;7`_�'� <br /> 24 CO <br /> INVESTIGATION FEE �`�.30�1e) ' `- <br /> FIHE 9PRINKLERS REOUIREO ❑YES ❑NO _ . . <br /> STATE BUILOING SURCNARGE <br /> STATEENERGVSURCHARGE <br /> 11PPlIC�TIONIIGC BY MNSCNECKEDBY qroP fORISSU�NCEBY <br /> �HIVEWAV PERMIT <br /> S.H. TOTAL <br /> vsnrrc v�uo�noN <br /> WHEN PAOPERLV VALIDATED pN TMIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> Ln <br /> �` <br /> � <br /> r' <br /> ADUNCS'iIILE <br /> J <br />