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�� I'ONSTRUCTION r� <br /> everett PERMIT PERMITNO. � 767G <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br /> OWNER MRILADDRESS GTY ZIP PHONE <br /> Corva and Suzanne Lindblom 4928 64th St. N.E. Marysville, 98270 6594930 <br /> APCHITECiORDE5IGNER MFILADDRE55 dTY Z�P PNONE <br /> GENEPALCONTP�CTOR MRILADDRESS CITY ZIP i'MONE LICENSE• <br /> Richard Lindblom 4928 84th St. N.E. Marysville 98270 659-4930 <br /> MEGHRNICALCONTHRGTOR MAILADORE55 CITV ZiP PHONE LILENSE� <br /> PWMBINGCONTR�GTON M�IIADDRE55 CITY 2iP PHONE LICENSE• <br /> GLRSS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ AITERATION �c] REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VRLUATION OF WORN <br /> S <br /> OESCRIBE'NORM <br /> Install 2 floor sinks and moved urinal. <br /> HERTSOURCE <br /> ❑ ELECTRICITY � GAS O WOODSTOVE ❑ OTHER <br /> PROPOSE�USE OF BUiLDING <br /> Tavern I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCRIPTIONOFPROPERTY�SNOWDEIOWORAiTACMFOURGO%E5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE UF WC9K WILL 8E COMPLIED WITH <br /> LOi��LOCK � OF WHETHER SPECIFIED HEREIN OR NOT. THE GPANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLA'!'E OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOUFD�RESS SIGNATUREOFCONiRACTOR.AUTMOR12EDRGENT.OROWNCR DAtE <br /> 1331 Broadway X <br /> VLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> W�TER CLOSET�TOILET) A/C-A/HNDIG UNITS-HP. <br /> 9ATHTUB REfRIGERATION UNITS-MP.EA. <br /> IAVATOFV�WASH BASIN� BOILERS-BSL/HP. <br /> SHOWER GAS FIRED A C.UNITS-OS,U. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS-�T.U. M EA. <br /> OISHWASHER W�LLMEATERS-B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS-6.T.U. M <br /> CLOTHESWASNER EVAPOFATIVECOOLERS <br /> URINAL CLOTH[SORYERS _ <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> j FLOOR ORAIN S OO RANGE HOOD <br /> BACNFLOW PREVENTERS WATER MEATEF7 <br /> ROOP DRAINS-FAINLEAD[RS WOOD STOVC <br /> Z SINK�SER�/ICE-BAH.ETCJ ZO OO METAL FINEPLACE 8 CMIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GASPIPING IL�II t� �> ""'� <br /> E%HAUSTFAN � <br /> ! !L <br /> SUBTOTAL S ZO OO SUB L � • � <br /> PERMIT S ZO On PEp � � <br /> TOTAL FEE f 3O OO TOTAL FEE <br /> FRONT SETBRGN PERR SETBPCR SiOE SETBACN PLAN CMECK NUMBER FEE RECEIPT NO. <br /> l�SE20NE LOTAREA yqCFNTSiTE <br /> ❑YES ❑r+o FEES VALUATION FEE <br /> TYPEOFCONSi OCLUPRNGYGROIIP NO.OFO\VEILINGUNITS BWLOING S <br /> PLUMBING 30 00 <br /> SiZE OF BLDG N0.OF STORIES MAX.OCC.LOPD <br /> MECHANICAL <br /> INVESTIGATIONFEE Sec.304(e) <br /> FIAE SPRINKLERS REOUIRED ❑VES ❑NO <br /> STATE�UILDING SURCH�fiGE <br /> STATEENERGYSUfiCHARGE <br /> APPLICPTION PCC DY PLRN$CHECNEO�V APPR.fOR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 30 00 <br /> PEflMIT VALIOATION <br /> WNEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> N <br /> L�- <br /> C.� <br /> � <br /> c— <br /> , ';."�1C�:: I li :_ <br />