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u�� 9'l7 —3�7 <br /> ��TM�F (' 7NSTRUCTION ' p <br /> ever ett PERMIT PERMIT Nf3'_� o�� � <br /> ❑ OEMOUTION ❑ COMBINATION L$BUILDING O MECHAHICAL ❑ PLUMBING ❑ SIGN . <br /> OWMER MMl�DDRE55 UTY ZIP PHONE <br /> Evergreen Services P.O. Box 249 Lynnwood, WA 98046 775-6636 <br /> �HLHITELT OR pESIGNER MAIL hDDPE55 dTY 21P MONE <br /> GENEA�I CONTRACTGA M�IL ADDRE55 CITY ZIP PHONE UCEN58� <br /> MCBride Faftexy Const. 224 Nickerson Seattle, WA 98109 283-7121 M¢Y41CS1 MCBRICI164D8 <br /> MECN�NIC�IGONTRACTOR M�ILRDDRE55 CITY 21P PHpNE LiCENSE• <br /> PIUMBING CONTR�GTqi MAII ADDRE55 CITY 21P PNONE LIC[NSE� <br /> CINSS OF WOqR <br /> ❑ NEW ❑ ADDITION O ALTEii�TION L� REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATON <br /> t'ALU�T�ON OF WORK <br /> j QrJirJ72.87 <br /> DESGRIBE WORN <br /> Repair fire damage to oriqinal I <br /> NE�TSOURCE <br /> O ELECTAICITY ❑ GAS ❑WOODSTOYE ❑ OTHEH I <br /> anovaseo use oF eunoiNc I <br /> Taxidermy, real eatate I HERE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCHIPTIONOFPROPEHTY�SMOWBELOWORRTTRLHFOUHCOFIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ll�l�ortig9e15 �[ Everett Div C GOVERNING THiS TYPE OF WORK WILL BE COMPLIED WITH <br /> ioi__ �or:K _ oF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CO �fRUCTION. <br /> JOB�UORE55 SIGNAT bFCOTRACTONAUIHO CAGENT,ONOWN[R OAT[ <br /> 2931 Bond St. J( � { 9/17/87 <br /> PLUMCINfi MECMANICAL <br /> NO. TYPE OF FIIfTURE OP ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER ClOSEi(TOILET� A/C—A/HNDLG UNITS—HP. <br /> BATNTUB REFRIGEFATION UNITS—M.P.EA. <br /> LAVATOflY(WASH 9ASIN) BOILERS—B.T.0/NP. <br />� SMOWER OASFIHEUA.G.UNI�S—d]U. <br />. NITCFIEN SINR 6 DISR FORCEO AIH SVSTEMS—B T.U. M EA. <br />� OISHVIASHER WALIHEATERS—BS.U. M <br />' LAUNDRY TRAY UNIT HEHTERS—B.T.U. M <br /> LL0TI-ES WASHER EVAPORATNE COOLERS <br /> URINAL LLOTHES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FI ODR DRAIN pANGF 1{pOD I <br />� BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SIKK(SERVICE—BAR,ETC� METAL FlREPLACE 8 GHIMNEV <br />� FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%MAUSTFAN <br /> SU!TOT11L f SUB TOTAL <br /> PEHMIT S PERMIT <br />� TOTAL FEE S TOTl1l FEE <br /> FRONT SETBAClI RFI�n SEtenCe SiDE SETeeCK PLAN CHECK NUMBER FEE RECEIPT NO. i <br /> li)/. IiL�! _._ '.f,.!.i ��ilG��7�t,�'1 'tiZ�{. <br /> USE20NE LQT�PE� <br /> VAC/NTSITE FEES VALUATI N FEE <br /> ❑Y[5 ❑NO <br /> TYPEOFCONST OCCUPANCYGROUP NOOiDWELLINpUNITS BUILDING SIy��B�].�,yS�Y'„�,jl 3BB SO � <br />� PLUMBING �_� �ct��L��� .'..'l <br /> SIZE OF BIDG NO OG SiOR1E5 MR%.OCC IOPU <br /> M1IECHANICAL �y � <br /> INVESTIGA710N FEE Sec.304(e) <br /> FIRESPRINKLERSREOUIRED YES NO <br /> STA7E BUILDING SURCHARGE 3 SO <br /> STA7EENERGYSUFCHARGE <br /> APPLICATION�CC Bv f+�ANS GHECKEU BY APPq FOR ISSURNCE BY <br /> DRIVEWAV P[RMIT <br /> M.M. KgJ TOTAL 392 00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATEO(IN THIS SPACE)THIS IS VOUR PEflMIT <br /> �..�� <br /> \� <br /> � <br /> � <br /> � <br /> aoo��ss raE <br />