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�,Irhe� filrrgreen � r . �-. ./ � 2 \ V � � � �� I � �, . <br />Cliv bf :. -� <br />e�'erett p��M�T PERMIT N0. 12H91 <br />CITY HALL 259�8745 <br />�j �eUr�va�s�zo, 5� SdIV1dINATION � BUILDING ❑ MECHP.NICAL ❑ PLUMBING <br />OWNEN MAIL FO�RE55 CITY ZIP PNONE <br />Evergreen Mitsubishi 7800 Evergreen Way Everett 98203 353-0450 <br />ARCHITECT OF OESIGNER MAIL AOOi1ES5 CITY ZIP PHONE <br />GENERALCONTRACiOR MPILA�OFESS CIiY 21P PHONE LICENSEN <br />MECMANICAL LONTRACTOR MAIL AO�RE55 CITY ZIP PHONE LICENSE X <br />PWM9ING CONTRACTOR MAIL ADORF55 CITY ZIP PH�NE LICENSE M <br />❑ NEW �{4DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O FENCE ❑ SIGN ❑ WOOD S70VEIFIREPLACE INSEHT <br />s i6,000.00 <br />Addition of 1713 Sq. <br />PHOPOSEO lISE OF BUILDING <br />HX% Automobile Sales <br />LOT _ BLOCK _OF <br />7285 <br />J00 A��RESS <br />7800 Evergreen Way <br />PLUMBING <br />N0. TYPE OF FIxTURE Ofl <br />j WATERCLOSET�TOILEn <br />BATHTUB <br />1 LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK h DISP. <br />DISHWASHER <br />IAUNDRYTRAY <br />CLOTHES WASHEF <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM1IBREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, E7C.) <br />TYPE OF CONST. <br />V-N <br />3330 Sq. Ft. <br />SUBTOTAL <br />PEPMIT <br />70TAL FEE <br />LO7 <br />B-2 <br />N0. OF STOR <br />1 <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS «' <br />3.FIREfiYORANT .o <br />4. FIRE PROTECTION SYSTEfI <br />S.GRADING ' <br />G DRAINAGE , <.q <br />.ENVIRONMENTALIMPA6TSTA1 <br />to <br />I HEREBY CERTIFY TNAT i HAVE RE �D AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS O� LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />P�RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIGLATE <br />GN C.4NCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCEOFCONSTRUCTION. <br />SIGNFTURE OF CONTRACTOR OF AUTHO 2ED AGENT 0 TE <br />%� �� <br />X l Ate�t�C �' \`i6� Z/cy.-�7 1j�' <'� <br />MECHANICAL —�� <br />FEE N0. TYPE OF E�UIPMENT <br />2 AIF COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIFEPLACE R CHIMLCY <br />FIREPLACEINSERT <br />1 HEAT PUMP <br />5� 4 VU <br />5 <br />s 4 GO <br />flEARYARDSETBACK PLAN <br />VACANT SITE <br />❑YES CiNO <br />RY <br />APPLICATION ACC. BY ^ PLANS CHECKED OY APPR. FOR <br />r ; � EH � JEF <br />f�t <br />C -�, I - <br />C�l <br />0 <br />LOAD <br />34 <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />84/12891 IFEE 234.65 <br />FEES VALUATION <br />aui�oirvc <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAL7Y <br />s76,000 <br />5 � <br />5 <br />s 6 <br />:HECK FEE <br />666�y� NO. <br />FEE <br />361 <br />4 <br />6 <br />TOTAI. � � 371 j'JO <br />PERMI7 VALIDATiON <br />WHEN PROPEFLY VALIDATED (IN THISu ��EZTHIS IS Y�QIJR PESK.Ij7 �� <br />U � J b I U ll <br />CO <br />N <br />av 'R ['.�.CrIP�-: <br />. .. .�. �i�l` U <br />no�r,�ss rae <br />;: ) rEa � �I <br />