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`�E` �'� � Q�"1NSiRUCTION � ( � n <br />everett PERMIT PERMIT Ni� _ �u� ! � <br />259-b745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDIMG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEN MAILADDfiE55 CITY ZIP PHON[ <br />Arland Rose 13528 Highway 99 Everett 792-3322 <br />APCHITEGTOflDE51GNEli MAILADDRE55 CITY ZIP PHONE <br />GENEW.LCONIAACTOR MFILADDNE55 CITY ZIP <br />Ken's RsPrigeration 19007-80th N.L•'. Bothell 98011 3 <br />MAIL ApDRE55 <br />J <br />PLUMBING CONTRACTOq MAIL A�ORE55 CITY ZIP PH011E 4CENSE � <br />CLISS OF WORK <br />❑ NEW ❑ AODITION <br />VALUAlYON OF 1tiOHK <br />i <br />�ESCRIBE WONR <br />Cool.er slab <br />❑ ELECTHICITY <br />MiOPOSED U:iE OF BUILOING <br />Cooler slab <br />LOT _ BLOCK _ <br />❑ ALTEHATION ❑ REPA�R <br />� GAS ❑ WOODSTOVE <br />DW 9ELO W OFl ATTACH FOOR COPIESI <br />PLUMBING <br />NO. TYPE OF FIXTUHE OR ITEM <br />V/ATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHGWER <br />KITCHEN 31NK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />C�; <br />TVPE OF CONST. <br />V-N <br />SIZE OF BLDG. <br />506 Add. <br />FIRE SPRINKLERS PEC <br />APPLICATION ACC. fiY <br />MPi <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />OCCUPANCYGPOUP <br />B�2 <br />NO.OF S'. ���.f5 <br />1 <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILOING HELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME i0 BE TRUE AND <br />CORReCT. ALL PROVISIONS OF LAWS AND QftDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT 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 />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU CONT UTHOPI2EDAGENT.OROWNER �ATE <br />X ���_ , S �-�`F� <br />FEE NO. 'TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRE� A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATEFS—B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WA7ER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />_J_ FIiiEPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VACANT Sp E <br />❑VES �' NO <br />ND.OF 0'NELLING UNITS <br />�Q� <br />MAX. OCQ LCFO <br />PLANSCHECNE�AV I APPp.FORI55WNCEBV <br />BE <br />88/20779 <br />SUB TOTAL <br />PEflM1T <br />35.00 <br />FEE <br />13266 <br />BUILDING 11Y U/tl[i tl%1 F9'1 lN7UMR�lo OS <br />PLUMBING q(��7� <br />MECHANICAL ��1`� <br />xw[-six+�ic�r+r� Pi q B�4°��� .50 17 55 <br />STAI�E BUI�UING SURCHARGE GHSIT YS .OS <br />STATEENERGVSURCHARGE <br />DRIVeWAY PERMIT <br />TOTAL 102 OS <br />PEHMIT VALIDATION <br />WHEN PROPEFLY VALIDA7ED pM THIS SPACE) THIS IS VOUR PERMIT <br />ADDR[SS FILE <br />�n <br />� <br />� <br />0 <br />N <br />