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r� �,e.ar�n <br />cm oF <br />everett <br />259-8745 <br />C )NSTRUCTION � <br />PERMIT <br />PE6tMITNO. ZO42U <br />❑ DEMOLITION O COMBINATION ❑ BUILDING O MECNANICAL ❑ PLUMBING � SIGN <br />ONMER MRILAOOPE55 GTY $IV PHONE <br />Subwav 4620 200kh SW #H iynnwood 98036 775-9170 <br />ARCMRECTOROESIGNER MAILADDRE55 QTY 21P A10NE <br />GENEH�L CONTR�CTOR MFIL �DDRE55 CITY 21P CHONE UCENSE � <br />Shane's Sun Sians 9i009 SE 153rd St. NorthBend 93045 SxaNFc_c74�o_c �68—nB7B <br />MECH�NICALCONTR�LTON MMLADORE55 CITY ZIP RiONE UCENSE� <br />�LUMBING CONTN�CTOR MPIL �DONE55 GTY 21P PHONE LICENSE � <br />G1�550F WORN <br />� NEW ❑ ADDITION <br />VAW�TIONOF WONK <br />S .___ _ <br />DESGRIBE WORN <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINU pELOCATION <br />Inatallation of�refahricated electical s3Qn� wall mo�nted_ <br />NEATSOUNGE <br />O ELECTRICITY ❑ GAS O WOOOSTOVE ❑ OTHER <br />Sandwich Hl(E�t shop <br />LOT _ OIOCN _ <br />902 N. Broadway <br />PLUMBING <br />NO. TYPE OF F�IfTUPE OR ITEM <br />WATER CLOSET �TO!LET� <br />BATHTUB <br />I.AVATORY (WASN BASIN� <br />SNUWER <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTFES WASHEH <br />URINwL <br />, DRINNING FOUNTAiN <br />TYPE O� LONST. <br />— BA(1, ETC <br />SUATOTAL <br />PEflM1T <br />TOT�LFEE <br />nenRse*eneK <br />AAE� VACRNTSITE <br />Cvcs ❑no <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WOFlK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHO�:ITV TO <br />VIOLAT[ OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE LOCAL �W REGULATING CONSTRIICTION OR <br />THE PE RMANCE F CONSTRUCTION. <br />SiGNATVRE CONTRPCTOR UTHUR/iZ�EDRGENT.OROWNER ^� DRTE <br />X . 1 �11 . //ITJ�lw /��Z�it� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDIG UNITS — H.P <br />REPRIGEHATION UNITS — H P. EA. <br />BOILERS — 0.T UIH.P. <br />GAS F'REO A C. UNITS — �.T U. <br />FORCED AIR SYSiEMS — B T.U. M EA. <br />WALL HEATERS — OSL. M <br />UNIT �1EATEHS — BS.U. M <br />EVAPORATI\'E COOLERS <br />CLOTHESDRVERS <br />VENTII ATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />OCLUPANCYGROUP � INOOFDWELLINGUNITS �BUILDING <br />SRE OF BLDG NO.OF <br />APPIif.RTION FCG. 9Y <br />B.E. <br />PLUMBING <br />MECHANICAL <br />FEE <br />s�oc s .� <br />TION 3 • FE� <br />s i000.00 e o0 <br />INVESTIGATIOt� FEE � Sec.304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGI'SURCHARGE <br />DRIVtWAY PEFMIT <br />TOTAL <br />PERMIT VAL�DIITION <br />WHEN PROPERLY VALIDATED �1N 71115 SPACE) THIS IS YOUR PERMIT <br />AllCf�t:SS PILE <br />•i <br />� <br />N <br />c!- <br />O <br />N <br />