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ue a'e's.�„ ^ <br /> everett �NSTRUCTION � <br /> 259 -8745 PERA�lT PERMITNO. 1671 D <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ON^!ER MAiL ADDRE55 <br /> COOK BOOK ENTERPRISES 1216 Broadway Everett WA 98201 P ��9_3�a� <br /> �RCMITECT OR DES GNER MRIL ApDRESS QTY 21P ?110NE <br /> GENERALCONTR�CTOR MAiLApDRE55 CITY 21P PMONE LICENSE• <br /> Same <br /> MEGHANiC�LCONTRRCTOR MhiLADDRE55 pTV 2iP PHONE LiCENSE• <br /> PWMBINGCONTqApTOP MAIL�DDRE55 dTY ZIP R�ONE LIGENSE• <br /> CLASS OF WpRN <br /> ❑ NEW ❑ ADDITION �ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING FELOCATOH <br /> VALWTIONOF WOqN <br /> t20�0��. <br /> OESCRiBE WORR <br /> Interior remodel <br /> HE�TSOURGE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> mo�oseo use ov euaoir�c <br /> Restaui'dltt I HEREBY CERTIFY THAT I HAVE REAn AND EXAMINED THIS <br /> LEGALOESCRIPTIOUOFPROPf.FTY�5HOW8ElOWORATTqCN�OURCOPiES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior Z�Q�ocK 2�Q o� B d Ild C WE 5 dd GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> � WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> I PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> I VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LUCAL LAW REGULATING CONSTFiUCTION OR <br /> � THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRESS SIGNATURE O CONTRqCTOP.AUTHOPo EO AGENT,OR OVM[R ORTE <br /> PLUMBING ECHANICAL <br /> � NO. TI�pE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> � WATER CLOSET�TOILET) AiC—A/HNDLG UNITS—H P. <br /> I BATMTUB qEFRIGERATIONUNITS—H.PEA. <br /> U+VATORV(WASH BASIN� pOILERS—�.T.0/H.P. <br /> SHOWER GAS PREO A.C.UNITS—9.T.U. <br /> KITCMEN 5!NK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> OISHWAS4ER WALLHEATERS—B.T.U. M <br /> LAUNDHV fpqy UNI?HEATERS—flT.U. M <br /> CLOTHES VIASHER EVAPORATIVE COOLERS <br /> URINqL CLOTHES DRY[RS <br /> ORINKING FOUNTAIN yENTILATION FAN <br /> �LOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—f;AINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAfl,E7C) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEA'iPUMP <br /> GAS PIPINC' <br /> E%MAUST F/�N <br /> I <br /> SUBTOTAL f SUBTOTAL <br /> PENMIT S <br /> PENMIT <br /> TOTALFEE f TOTALFEE <br /> FRONTSETBRCN REAHSETOACR SIpESETBACR PLANC N I MBER F <br /> 86r��01�� �34.55 R������o. <br /> USEZONE LOTAREA <br /> NA Nq �ACRNTs�E <br /> ❑YES pNo FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPANCVGROUP NOOFDWELLiNGUNITS BUILDING SZO OOO ZOI OO <br /> V-N A-3 <br /> PLUMBING <br /> SIZE OF BLDG. NO OF STORIES MA% OCC tOAD <br /> NA � MECHANICAI <br /> INl'ESTIGATION FEE Sec.304(e) <br /> FIFESPRINNLERSPEOUIRED VES NO <br /> STATE BUILDING SURCHARGE � 5O <br /> STA7EENERGVSUFCHARGE OS/I9IBG Z:4 P}( UOOANOS(� �� <br /> qopLiCATIONRCC pY PLANSCHECKED�Y APPR fORI55UANCE�v <br /> �I C DRIVEI'IAV PERMIT <br /> jef lc <br /> rora� �' � .� 208 50 <br /> PEPMI' VRLIDATION � <br /> WHE11 VROPERLV VA,.IDATED pN��ACE)1{Y�?�1R PERh11T <br /> 0 <br /> r <br /> �� <br /> �� <br /> r� <br /> L i'. .!_..• (i i . <br />