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the6lrrgreen CC ySTRUCTION <br />cirv or <br />everett PERMIT pERMITNO.OS3S9 <br />CITV HALL 25I�9745 <br />eveaert wn 9ozoi ❑ COMBINATION P� BUILDINO ❑ MECHANICAL ❑ PLUMBINQ <br />owHtr+�7AFC0 ��a�uoness an zir r��or�t — <br />Richard Muhlebach 12400 S.E. 38 Bellevue 643-1010 <br />nm:r�ttect on o[siceer+ una nooa[ss c rti zir m�or+E <br />GfNEAALCONIR�GLOfi MMLPODRE55 ❑il ZIP PIIONE IICENSf I <br />Heath N.W. Inc. 11805 N.E. %SRTH 116th Kirkland 98033 828-4596 <br />M'CNRNiGlGON1RAC10� A��RPpORE55 CrtV ZIP PMONL I�C[N51 � <br />HE AT HN �330R.7 <br />P�UMBINOfANTR�CTOR MPIL ADORC55 CITY ZiP v��ON[ liC1�N •E 1 <br />41R55Of WORK <br />❑NEW ❑ADDITION I_�AITEPATION L,REPAIR ❑DEMOLITION ❑�ENCE <br />V�WATION U� WORN <br />S ZSOQ.QQ <br />I�ESGRi9E WOliN <br />erect illuminated eign <br />vnaco�eo use o� nuiioi�+r - <br />��IGN ❑GARAGE <br />commercial I HEREBY CERTIFY THAT I HAVE �7EAD AND EXAMINED TIiIS �>P- <br />ier,nioescmm�or+orruorenrv�SHoweeiowonnrrecNFoiinmricsi PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />i.or B�aK_ oF <br />�Up �OORE65 <br />1001 Hiqhway 99 North <br />PLUMBINO <br />N0. TYPE OF FIXTURE OP <br />WAiEFi ClO5F7 �tOILET) <br />B/�1111 UO <br />LAVATORY �WASH BASIN) <br />SHOWER <br />KITCN[N SINN 8 DISP <br />OISH W ASIIER <br />IAIINDRY TRAY <br />DRAINS — RAINLEADERS <br />iERVICE — �AR E7C � <br />SIIB 70TAL <br />SIDC 1'ARD SLi9ACK <br />I;SE ZONE <br />iYPE OF CANST. <br />SiPFIi SF1pACk <br />LOT AfiEA <br />OCGUPANCV aR( <br />NO Oi STORIES <br />PAS[MENT <br />APPROVALB <br />1 ENVIRONMENTAL CHECK LIST <br />2. BUILDING �UNS <br />3 FlFE HYDRAN! <br />1. FlRE PROTECTION SVSTEM <br />5 GRADING <br />6 ORAINAGE <br />7 ENVIRONMENTALIMPACTSTATEMENT <br />B NEALTH DISTRICT <br />APPLICAiION ACC BV PLANS CHGCNED AY <br />RB <br />I7YES IINO <br />MAx p� LOAD <br />APPR fOR ISSUANGE BY <br />LC <br />ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS <br />TVPE OF WORK WILL DE COMPLiED WITH WHETHER SPECIFIED <br />HERFIN OR NOT. THE GRANTING OF A PERMIT DOES NOT <br />PRESUME TO GIVE . UTHONITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. <br /><.i,n ni n� <urnnnr.loi�< auUm�LrfDnGtNt pn1F <br />x �. �1-� _ �.�tn- 4 -3 0 - �o <br />MECHANICAL <br />MO. TYPE OF EOUIPMENT FEE <br />nin cotin utiirs -- n � En � <br />Rf IPIGLNAIION UNITS -�� N P FA <br />RNIFRS—NP FA <br />fOACEDLAIR Sv5TEM5 — B T•l� V ^M CA <br />WqU. MEAi6GF -- B T U M <br />UNI7HEfQC�,y--pTU M <br />FVAlVRATWF COOtERS <br />CLOiHES DRVERS <br />VENTILAiION fAN <br />RANG[ NOOD _ <br />AIR HFNDLING UNIT — C F M <br />SiOV[ <br />MEiAL RREPLACE 6 CHIMNEV <br />SUBTOTAI f <br />PERMIT f <br />TOTRL FEE i <br />ICGKNUMBER PLANCHEGNfI�.L <br />IF11 I �7EG61P7N0 <br />owioiNc <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENALTV <br />VRLUA710N <br />5 2500.00 <br />UBC <br />SEC 303�a1 <br />FEE <br />12 100 <br />� � 12 �00 <br />T V�lID11TI0N <br />PROPEflLV VALIDAiLD IIN i1115 SPACF.) 1HI51$ YOU(7 PCRMII <br />8a54 t0IZ00 -- tn <br />� <br />cn <br />�, , �, criPr o <br />.� �n 1��� U <br />