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lhe Evergreen <br />CITY OF <br />everett <br />�?59 -8745 <br />C°°'NSTRUCTION <br />PERMIT <br />PERMIT NQ: -. � � U � � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL 'O PLUM.BING � SIGN <br />O NER MAILA�DRESS CITV 7.IP PHONE <br />C erry Motel 8421 Evergreen Way Everett, WA <br />ARCMITECT OR OESIGNEH <br />MAIL ADDRESS <br />CITY <br />PHONE <br />GENEIIA�CONTflAC10R IAAILADDRE55 CITY ZIP pMpNE LICENSEn <br />Tube Art Displays 808 3c� Aloha St. Seattle, WA 98109 284-0421 TUBEAD311Q5 <br />tAECMINICALCONTRAGTOR MAILAOORESS CITY ZIP PMONE �If,ENSEx <br />PWMBINGCONTRAGTOR MnILA00ilE5S CITY ZiP PHONE LICEI:SE� <br />CLASS Of WORN <br />$] NEW ❑ pDDITION <br />VA:UATION OF WORK <br />5 %���0. <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Install one D/F illuminated pylon sign a11 on private property <br />ME�T SOI:RCE <br />❑ ELF.CTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Motel <br />LOT _� BIOCN _ <br />COPIES) <br />JUOaDORE55 <br />8421 Evergreen Way <br />PLUMBIkG <br />�' � <br />ITEM � FFE <br />WATER l:LOSET �TOILF_T� <br />BATHTII� <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISMWASY.ER <br />LAUNDFIV TfiAV <br />CLUTHES WASHER <br />J71A.1L <br />DRINKING FOUNTAIN <br />FLOOR DRt,IN <br />BACKFLOW PqEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETQ) <br />SUBTOTAL <br />PEHMIT <br />TOTALfEE <br />USEZONE <br />SIZE OF BLDG. <br />OY I PLANSCHECKED�'i <br />Pi. M. <br />VAC�NT SITE <br />❑ YES ❑ NO <br />NO OF DWELLIN6 UNITS <br />FORISSUFNCEOY <br />� <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 T41S TYPE OF WORK WILL BE COMPLIED WITH <br />WNETHER SPECIFIED HEREIN OR NOT. THE GRAfvTING OF A <br />f'ERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR I_OCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFO(jpA^' '� OF N CTI N. <br />SIGNATUPE CO '� GENi. OWNER OATE <br />��. % �•��-53� <br />ECHANICAL % ` <br />TYPE OF EOUIPMENT FEE <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIREO A�C. UNITS — B.T.U. <br />FORCED Ai9 SVSTEMS — B.T.U. M EP.. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIV : COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIPEPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECK NUMBEI <br />FEES <br />oui�oiNc <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />SUBTOTAL <br />PEpMIT <br />TOTALFEE <br />FEE RECEIPT <br />STATE ENERGY SURCHAtiGE <br />DRIVEWAY PERMIT <br />�7,000 <br />Sec.304�e) <br />24�00 <br />TOTAL I I 24I00 <br />PEflMIT VALIOATIOIJ <br />WHEN PROPERLV VALIDATEO pN THIS SPACE) THIS IS �OUR PERMIT <br />M <br />L�-- <br />CO <br />O7 <br />f <br />