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� <br /> i <br /> ""'� '^ ��NSTl��CTION ' <br /> e�ver�tt pE�t�IT PERMITNO. 1 SJ� S <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRc55 GITY Z�P PNUN[ <br /> KLH Princers 1631 Broadway Everett 98201 252-2145 <br /> ARCMRECTGROESIGNER A141Lq00RE55 CITY ZIP PNONE <br /> Gobra Construction Co. P.O. Hox =295 Cverett 98206 258-3667 WABACC240BZ <br /> GENERAL CONTRI.GTOR MRIL AppRESS QTY ZIP PFONE LILENSE� <br /> Same <br /> MECHRNIGRLCONTR�CTOR MRILAOUPE55 CITY ZIP PMONE UCENSE� <br /> MUMBINGCONTR�CTOR MAILAD�FE55 CITv 21� iHONE LILENSE� II <br /> CLASS OF WONK <br /> ❑ NEW ❑ ADDITION ❑ ALTEHATION � FiEPAIR CJ DEMOLITION O BUILDING RELOCATION <br /> VAWATIDN OF WORN <br /> S 33,OUO.QO <br /> DESCR'BE WORN I <br /> Repair Fire Uamaqe <br /> HERTSOURCE <br /> O ELE'.�TRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUILDING <br /> Conm�ercial I HEREBY CtRTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLI�ATION AND KNOW THE SAME TO f3E TRUE AND <br /> IEGRL0E50NIPTIONOFFHDPERTV�5MOW8E101YnRATTACMFOURCOFIE51 CORRECT. ALL PROVISIONS OF LA1K5 AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH ,. <br /> LOT_BIOCK _ OF WHETFIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A � <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOP.ITY TO <br /> VIOLATE OR CANCEL THE P OVISIONS OF ANY OTHER <br /> STA R LOCA� LAW RE LATING CONSTRUCTION OR <br /> � TH P�ORMANCE OF C UCTION. <br /> JOBAODRE55 SIGNR _ OFCONTRACTOIM iZEDAGENT.O ER �ATE f �' <br /> �63�Broadway (i �?j ,�(„rL �'� <br /> PLUMBING MECHANICAL <br /> NO. TYPF OF FII(TURE OR I'!EM fEE NO. TYPE OF E I MENT � FEE <br /> WATER CLOSET(TOILET) A/C—A/HN�LG UNITS—HP. <br /> BATM7U0 PEFqIGEflAT10N I�NITS—H P.EA. <br /> LAVATORV�WASH BASIN) BOILERS—0 T.0/M.P. <br /> SHOWER GAS FIRED AD.UNITS--B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED PIR SVSTEMS—8 T.LL M EA. <br /> DISHWASHER \YALLHEATERS—D.T.U. M <br /> LAUNDflYTRAV UNITHEATERS—B.T.LL M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORYERS <br /> II� DRINKIN�FOUNTAIN VENTILATION FAN II <br /> F1.00R ORAIN RAN(iE HOOD <br />, BACKFLOW PREVENTERS WATER HEATER .� <br /> ROOF�RAINS—RAINLEADERS WOOD STOVE � <br /> SINK(SERVIf.E—BAR.ETC.) METAI FIREPLACE 8 CHIMNEY � <br /> PIREPLACEIM1SERT I <br /> HEAT PUMP li <br /> GAS PIPWG i <br /> EXHqUSTFAN I <br /> SUBTOTAL S SUBTOTAL I�i <br /> VEHMIT £ _PEPMIT <br /> TOTALFEE F TOTALFEE I <br /> FnCNrSETBncK RE/R$[T�ACK SmESETBnCn PLANCHECKNUMBER FEE F7ECEIPTNO. <br /> USEZONE LOTAREn yqCANTSITE �I� <br /> ❑res ❑No FEES VALUATIONL FEE�y 1 I <br /> TYfEOFCONST. OCCUPANCYGROUP NOAF�WEI�INGUNITS BUIL�INCi '�5�33�;g�1}�Vp� r'� «'��a�{G-Od4 �U���� <br /> PLUMBING (fL�l;�l'1�,�1ti .I <br /> SIZE OF OI�G NO.OF STONES MA%.00C10A0 � <br /> MECHANICAL ""�� "'� 'nu <br /> G� ^c',.,�i < r,fl <br /> INVESTIGATIONFEE j•,:;��3�IPly;_,O �.JU <br /> FIRE SPRINKLERS REOUIRED VES NO � <br /> STATE BUILDING SURCHAfiGE 3 SO <br /> i <br /> STATE ENERGY SURCHAfiGE � <br /> RPPLIGATIONACC DY PUNSCHECNEDOY APPR fOR15SUANCE�V � <br /> DRNEWAV PERMIT � <br /> S.H. L.C. TOTAL 307 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED IIN THIS SPACE)THIS IS YOUR PERMIT <br /> � <br /> l� <br /> �� <br /> � <br /> �� <br />� 110Gii�:;; ! iL�. __ _- —__._. _ . _ _ <br /> ■ <br />