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`�� C�►NSTRUCTION ; �� <br /> everett PERMIT PERMITNQ. ZO46S <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION �7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OMMEfl MAIL ADDRE55 CIl� IIP FMONE <br /> Chong H. An 1826 Broadway Everett 98201 259-6123 <br /> ARCHiTECTORDE51GNE11 M\ILqDDRESS GTY 21P PMONE <br /> GENERALCONTPAGTON MRILADDNESS f,IIY ZIP FMONE LICENSE• <br /> Owner <br /> MECH.\NIC�LCONiflRCTOfl ��IADDFESS pTY 21P �CNE LtCENSE• <br /> PLUMBINGCONTRRCTOfl MRILAODRESS CIiY ZIP PNONE UGENSE• <br /> CUSS OF WORK <br /> ❑ NEW ❑ ADDITON ❑ ALTEHATON [�REPAIH ❑ DEMOLITION ❑ BUILOING RELOCATION <br /> VALU�TION OF WORN <br /> S 4��0�.�� <br /> DESCRIBE wORK ' <br /> Repair roof. <br /> HEATSOURLE <br /> ❑ ELECTRICITV ❑ CAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Oommercial APPLICATION AND KNOW THE SAME 70 BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTY(SHOWBELOWORATTACMFOURCOPiE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILI 8E COMPLIED WITH <br /> �or_e�xK _oF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PEFMIT DOES NOT PFESUME TO GIVE AUThfORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CON5TFUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB A�DRE55 514N/TURE O�C RRCTOR.AUtNOP1Z RG T,OR OWNER �ATE <br /> 1826 Broadwa X « �� <br /> PIUMBINO MECHANIC <br /> NO. TYPE OI'FIKTURE QR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILET) A%C—A/HNDLG UNITS—HP. <br /> BATNTUB F7EFRIGERATION UNITS—HP.EA. <br /> LAVATORY(WASH BASIH) BOILERS—B.T.U.MP. <br /> SMOWER GAS FIRED A C.UNITS—BS.U. <br /> KITCNEN SINK 8 DISP. FORCE�AIR SYSTEMS—B.T.U. M EA. <br /> OISMWASHER WALLHEATERS—B.T.LL M <br /> LAUNDRV TAAY UNIT HEATERS—B.TL. M <br /> CLOTMES WASHER EVAPORFTIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> DHINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATEfl HEATEq <br /> ROOF DRAINS—RAINLEAOERS WOOD STOVE <br /> SINN(SERVICE—BAR.ETCJ METAL FIREPI.ACE 8 CHIMNEV <br /> FIREPLACE INSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PEPMIT f PERMIT <br /> TOTALFEE f T� <br /> FRONT SETB�cK RFAR SETBACN SIDE SETORCR PLAN CHECK NUMBEfI FEE RECEIPT NO. <br /> ��� <br /> USE2C4L LOTAREA yq�qNTSITE <br /> ❑vEs ❑No FEES TION FEE <br /> TYPEOiCONST. OCCU�ANCYGROUP NOOFOWELLINGUNITS BUIL�IN(i �pQ.0�s6 .� 63 n� <br /> PLUMBING <br /> 512EOFBLUG NO.OFStOR1E5 1AA%ACC.LOAD <br /> MECHANICAL <br /> INVESTI�ATION FEE Sec.J04(e) <br /> FIRESPRINKIERSREOUIREO YES NO <br /> STATE 6UILDING SUP.CHARGE 3 SO <br /> STATE E�ERGY SURCIIARGE <br /> APPIICATIDNACC.�Y PLANSCHECNEDOY APPR.iONI55URNGEPY <br /> �RIVEWAY PERMIT <br /> TOTAL <br /> S.H. <br /> PERMIT VALID\TION � <br /> WHEN PROPEPLV VALIDATED pN THIS SPACE)THIS IS VOUR PERMIT <br /> � <br /> �� <br /> �� <br /> � <br /> N <br /> � hUOf,�SS RL[ <br />