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lhe Evergreen <br />CITY OF <br />e�-erett <br />259-8745 <br />� CCIISTRU�TION <br />PER11�lT <br />PE�MIT NQ: -- � O9 O t <br />� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAO�FiE55 CITY ZIP PMONE <br />Revord J/E Inc 7800 Everqreen Wav Everett 9E203 '�47-s76'i <br />ARCIIITEGTOROESIGNER MAILAODFE55 GITY ZIP PMONE <br />GENENALCONTPACTOR MAILAODRESS CITY ZIP �HONE LICENSEM <br />Meyer Sign Co Inc 512 1/2 hiinor Ave N Seattle 98109 624-4?4'+ MF.VFRT')'�9Rf <br />MECHFNICALCONTRACTOfi MAILADDFlE55 CITY ZIP YMONE UCENSE� <br />PWMBINGCONTRACTOR MAILAD�RE55 CITY ZIP PHONE LICENSEM <br />:L/+SS OF V:ORN <br />�NEW ❑ ADDITION ❑ ALTEFiATION ❑ REPAIR ❑ OEMOLITION ❑ BUIL�ING RELOCA <br />5 4500.00 <br />OESCFIOE WOPK <br />Install 1 D/F illum. pylon si n and 1 5 F non-illum wall si <br />HEFTSOURCS <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />"b1L' 9' (.'dY' Sd1B5 <br />EGAL OESCRIPTION OF PflOPEHTY ISMOW BELOW <br />LOT _ 6LOCN __ OF <br />OBAD�FESS <br />?800 L•Vergreen Way <br />.P± UMBING <br />HO. TYPE OF FI%T" <br />WATER CLOSET (TOILET) <br />BAThITUB <br />LAVATORY�WASHBASIN) <br />SHOR'ER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />URINAL <br />FLOOP ORAIN <br />ROOF DRAINS — F7AINI <br />SINK (SERVICE — BAR. <br />OR ITEM <br />SUBTOTAL <br />PEflMIT <br />TOTAL FEE <br />USE20NE LOT <br />i.-i <br />TYPE OF CONST. OC( <br />S�ZE OF BLDG. NO <br />FIRESPRINKLERSREOUIREO [ <br />AFPLICATIONACG.BY PV <br />.SH. <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 ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WIIETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERIv11T DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />TtiE��''{j RFORMANCE OF CONSTRUCTION. <br />SIGNA� OF C�� � TOR. AUTHORIZEUAG �WNER �— �Au T� <br />X �� -�=� <br />MECHANICAL <br />FEE N0. TYPE OF E�UIPMENT <br />A/C — F/HNOLG UNITS — H.P. <br />REFRIGEflATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRED A.C. UNITS — 8 T.U. <br />FORCED AIR SVSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPONATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />5 <br />S <br />"� VACAi�T&TE <br />❑YES ❑NO <br />�NGYGflOUP NOOFOWELLi <br />STORIES M1lp% OCC LO/ <br />ES ❑ NO <br />CMECNEODY APPP FORIS`. <br />M EA. <br />M <br />M <br />SUBTOTAL <br />PERMI7 <br />TOTALFEE <br />PLAN CHECI<NUMBER ,� ' �'z6� (� ~ j. <br />� <br />FEES �ti <br />uruirs BUILDING �i�y�Q <br />B.E. <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE DUILDING SURCHARG' <br />STATE ENFRGY SURCHAfiGE <br />DFIVEWAYPERMIT <br />ELEC <br />Sec.304(e) <br />rcc <br />TQTAL I I <br />PEflM1T \'ALIDATION <br />WNE�I PROPERLV VALIDATED I;iV THIS SPACE! THIS IS YOUR PERMIT <br />T� <br />c_ <br />c. <br />c� <br />N <br />