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`� �� r �NSTRUCTION <br /> everett PERMIT PERMITNO. � ��64 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION %7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEli MRILADDRES$ CITY ZIP PHONE <br /> Corva M. & Suzanne Lindblom 4928 - 84th St NE Marysville, WA 98270 659-9930 <br /> ARCMITECTOHDESIGNER MAILADDRE55 CITY ZIP VNOHE <br /> GENERAL CONTRAGTOR MAII AODPE55 CITY ZIP PMONE LIGENSE• <br /> Richard L. Lindblom 4928 - 84th St NE Marysville, taA 98270 659-9930 <br /> MEGNRNICALCONTPRCTOR MRILROOPE55 CITV 21P VHONE LICENSE� <br /> PLUMBINGCONTRACTOR M�ILRDDRE55 CITY 21P PMONE LICENSE� <br /> GUSS OF WORN <br /> ❑ NEW ❑ ADDITION O ALTEpATION ❑ REPAIN ❑ DEMOLITION O BUILDING RELOCATION <br /> VRLURTION OF WOFN <br /> s�o�o�o <br /> DESCRIBE WORK <br /> Repair structure, plwnbing (no changes) , electrical (outlets & lights) , floor, roofing as necessax <br /> HERT SOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PPOPOSED USE OF B W LUiNC <br /> Commercial (T.:�ern) I HEREBY CERTIFY THAT 1 HAVE F'.EAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SA�4E TO BE TRUE AND <br /> LEGRLOESGRIPTIONOF%iOPEPTY�SMOWBEIOWOAAITALNfOURCOPI[5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERI�ING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCN _OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO C�IVE AUTHOHITY TO <br /> VIOLATE OR CANCEL THE PkOVISIONS OF ANY OTHER <br /> Slue Moon STATE OR LOCAL LAW REGULATING CONSTRUC710N OR <br /> THE PERFORMANCE OF CON�STRUCT�ON. <br /> JODADDRE55 SiGNRT F NTP OR. H �EN�, ROWNER DNTE <br /> 1331 Broadway J( 12/17/86 38�tik <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI7(TURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A�C-A/HNDLG I.NITS-ht P. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. <br /> LAVATORV�WASN DASIN� 801LERS—B.T.UiM.P. <br /> SHOWER GAS PIREO 0.C.UNITS—0 T.U. <br /> KITCMC4 SINK 8�ISP. FORCED AIR SVSTEMS—�.T.U. M EA. <br /> DISHWASHER WALLNEATERS—DT.0 M <br /> LAUNDRVTRAY UNITHEATERS—B.T.0 M <br /> CLOTHES WASHER EVAPORATfvE CODIERS <br /> URINAL CLOTIIES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FA�; <br /> FIOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER NEOTFA <br /> ROOf DFAINS—RAINLEADERS WOOD STOVE <br /> SINK�SEHVICE—BAR ETC� METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACE INSEPT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%MAUSTFAN <br /> SUBTOTAL S SUBTOTAI <br /> PEPMIT S PERMIT <br /> TOTALFEE f TOTALFEE <br /> FRDNTSETB4CN eEaeSETonCn SiDESEieaGK PLANCHECKNUMBER FEE AECEIPTNO. <br /> USE20NE IOTnREA ypCANTSrtE <br /> ❑res ❑ruo FEES VALUATION FEE <br /> TYPEOFCONST OCCIIPANCYGROUV NO.OFpWELLINGUNITS BUILDING S LO�OOO 11� OO <br /> PLUMBING <br /> 512E OF BLDG NO Of StOR1E5 MAX OCC LOND <br /> MECHANICAL <br /> INVESTIGATIONFEE 12/§7d86a�dH�S PM OOORkz356 �G�k:1-�- <br /> FIRESPRINKIERSREOUIPED VES NO <br /> SiA7E BUILDING SURCHARGE ��OD0175b4 1 SO <br /> STATEENERGVSURCHARGE ELUG 211 '.OD <br /> pPPUCATIONACCBY PLANSCMECNEODY RFPRfOBI55UFNCE9Y <br /> DRIVEWAYPERMIT � S]S .SO <br /> M.M. L.C. TOTAL 118 50 <br /> PERMIT VALIOATION <br /> SEPARATE PERMITS REQUIRED FOR PLUMBING� WHENPROPERLVVALIOATED(INTHISSPACE�THISISYOURPERMIT <br /> �� <br /> MECHANICAL AND ELECTRICAL WORK. � <br /> 117 <br /> N <br /> a-- <br /> ,.,n.�... ,�. ,� <br />