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� <br /> ��EV� - C'�NSTRUCTION ` . ? � <br /> cirv oF <br /> everett PERMIT PERMITNQ:: �� �� J ' <br /> 259 -8745 <br /> I <br /> � � ❑ DEMOLITION C� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> OWNER MAILRODRE55 CILY IIP MpNE <br /> John Piacentini 6600 SW 92nd Ave. Portland OR 97223 (503) 8 24q-G924 <br /> ARCMRELTOROESIGN[P MRILAO�RE55 GITV ZIP RIONE <br /> Sase <br /> GENERNLCONTR4CTOP MAILRDDRE55 CITY Z�P M/ONE LICENSE� <br /> y Same <br /> �� {„i MECMPNICALCONTRALTOR MAILR�DRE55 CITY ZIP P110NE UCENSE• <br /> C=' '1 <br /> p� x PLUMBING LONTRPLTOR MRILR�ORE55 CITY ZIP %10NE ULENSE� <br /> C H <br /> AHfn <br /> Ft"i � �cussovwonK <br /> y� Fy ❑ NEW ❑ ADDITION � ALTEpAT10N ❑ pEPAIR ❑ DEMOLITION ❑ BUIL.� �^9ELOCATION <br /> �'F� � VALUAiION OF WOfiK <br /> ���'I � f 5�0�.�� <br /> y �..� oescniee woArc <br /> �y� Relocate door <br /> O �[nrsounCc <br /> �H d C] ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> H� g vno>osEous[aro�iioiHc <br /> �' nq Convenience Store � H[REBY CEfiTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> zy N S APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �mn�oescaivnoHorrnoaenrr�sHowoe�owoannnc��rounce�iesi COFRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> y ts� 29-3� 336 Lverett Div N GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> t" 1 ior_ ocrc _or__ <br /> �M� H Vr'HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NUT PRESUME TO GIVE AUTHORITY TO <br /> f� CH/� — ATE OR CQ EL THE PROVISIONS OF ANY OTHER <br /> �� � S OR LOC LAW REG LATING CONSTRUCTION OR <br /> TH P FORMA E OF C UCTION. <br /> JOO ADORE55 SIGN I lF ONTRR pq A T O [L A+C11L.OR O\VNEB DRiE <br /> . . H fn �la�-,�6B�i Broadway X �-�g�� <br /> PLUMBING MECHANICAL <br /> p NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> t <br /> WATEfi CLOSET ITOILET� A:C—A�NNDLG UNITS—H P. <br /> �AiH'UB REFfiIGERATION UNITS—H P.[A <br /> LA\'Al ORY�1VASH BASIN� L301LEfi5—�S.U;MP. <br /> SMOY�ER GASFlREOAC UNITS—�S.0 � <br /> KITCNENSINKdDISP. FORCEDAIRSYSTEMS—(3T.0 MEA. <br /> OIFHWASHER WALL HEATERS—B T U. <br /> ' 1 VWNOFYTRqY UNITHEATERS—�TU M <br /> CLOTNES WASHER EVAPOMTIVE COOLER$ <br /> 1�I URINAL CIOTH[SDRVEPS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> ' � FLOORDRAIN RANGEHOOD <br /> pACNFLOW PBEVENiERS WATER MEATER <br /> 'a1 POOFORAINS—RAINLEAOERS WOODSTOVE <br /> ��' SIM1K�S[RVICE—�FRETC� MEIALFlREPLACEBCHIMNEY <br /> FIREPLACEINSERT <br /> ' ' 11EAi PUMP <br /> � GAS PIPING <br /> ' E%HAUSTFAN <br /> ISUBTOTAL 5 SUBTOTAL <br /> PEPMIT f PER T ....� <br /> 0�' TOTAL FEE S TO ` <br /> FnONTS[T9nGrc nEanSnBACK SioE56i0ncrc PLANCHECKNUM�Eli P RECEIPTNO. <br /> �000�1313 <br /> ��' 86/21313 �pp16.80 3 �.0�4742 <br /> use.or+E �orancn <br /> vncnr�r srte FEES ION FEE <br /> �O B-2 ❑rEs 5Zr�o 1� <br /> _� iYPEOFCONST. UCCUPANLYGROUP NOOFDN'ELIINGUNIiS �UILOING gy . y • 7Z OO <br /> 1_ V—N $'2 � PLUMBING g SRCH 8..50 <br /> sizr oruioc No or sronies ran� occ iono <br /> � - 2900 1 exist MECHANICAL " <br /> INVESTIGATION FEE Sec.�Od�e) <br /> FIPESPRINKLERSREOUIRED ❑VES NO <br /> STATE DUILDING SURCHARGE 3 SO <br /> STATEENERGVSURCHARGE <br /> APKICATION RCL�V %4NS CMEGNEO DY RPPR Fpt1155UAkCE l)Y <br /> DRIVEWAY PERMIT <br /> S.H S.W. J.W. TOTAL 75 50 <br /> PENMIT VAlI0AT10N <br /> WHEN PFOPERLY VALIDATED QN THIS SVACE)TMI515 YOUIi FFHMIT <br /> M <br /> � <br /> C'7 <br /> � <br /> N <br /> l,OJLLG51 iLL <br />