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`�� " C'�NSTRUCTION � � cA <br /> eve8�tt QERMIT PERMITNQ: � �U`�� <br /> ❑ DEMOUTION ❑ COMBINATION � BUILDINO O MECHANICAL L7 PLUMBIN6 ❑ BION <br /> OVMEP M�R AOORESA CITV IIP PNONE <br /> Hoeing 3003 W. Casino Rd. Everett, WA 98204 <br /> �RCMITECTOROESIONER MMIADDRE54 GItY ZiP PNONE <br /> BOB�I1tl <br /> OENE�R�CiOfl MM.�UORE55 pTY 21P i'NONE LILFNSE• <br /> Thfl Mar nnon <br /> MECH�qIC�LtONTRACTOR M�R�DDRE55 C17Y ZIP � IONE LICENY� <br /> PIUMBINOCO�TRACTdI MMLAODRESS CITY 21P PHONE IICENSE� <br /> CLAl80i WOlIK <br /> BtNLW ❑ ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ lUILDINO NELOCATION <br /> VALUATION Oi W0111t <br /> s <br /> DESCRIBE WqiK <br /> Foundetion <br /> MEAT80UPCE <br /> ❑ �L[CTIIICITV ❑ OA8 ❑WOOD6TOVE O OTMER <br /> MIOPOlFD U9E OF BUILOIN6 <br /> Of.`.ice I HEREBV CERTIFV THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEOALDEBCpIPT10NOiPROPERTY�SMOWBEIOWOR�TT�CMFOIIRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT_e�ocK _or GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEAEIN OR NOT. THE GRANTINO OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAI LAW REGULATINO CONSTRUCTION OR <br /> TME PERFORMANCE OF CONSTHUCTION. <br /> JOB AGpREfi3 SION�TURE Of CONTR�QOR.�UiHOHIIEO AGENT,OB OWNER �ME <br /> 50173 W. Caeino Rd. Hldg. 40-11 X <br /> 'LUANINO ML'CHANICAL <br /> NO. TYK O►FIRTUIIE 011 IttM F[E NO. TYK OF[OUI/MENT fLL <br /> WATER CLOSET(TOILET) R/C-A/HNOL�UNITS-H P <br /> JATHTUB NEFRIOEHATION UNITS-M P.EA. <br /> UVATORY IWASH BASM� BOILERS-BS.U./H.P. <br /> SHOWER OAS FIREO A�C.UNITS-B.LU. <br /> KITCMEN SINK 6 DISP. FORCED AIR SYSTEMS-BSL M EA. <br /> DISNWASHER WALLMFATEHS-B.T.U. •1 <br /> LAUNORY TMY UNIi HEAiERS-B.T.U. M <br /> CLOIHES WASHER EVAPOPATtVE COOLERS <br /> URIN�L CLOTHESORYERS <br /> DRINNINa FOUMAIN VENIILATION F�N <br /> FLOOR DRAIN NANGE MOOD <br /> BACNFLOWPREVEYTERS WATERMEATER � <br /> ROnF ORAINS-RAINLEADERS WOOD STOVE <br /> SINK(SENVICE-BAR,ETC.) METAL FIREPUCE 6 CHIMNEV <br /> FIREPI ACE INSERT <br /> MEAT PUMP <br /> OAS PIPINQ <br /> E%HAUSTFAN <br /> �U�TOTAL t /lM TOTAL <br /> K11MR t ►[IIMIi <br /> TOTALF[[ t TOTALFFF <br /> FRON1 SETBACM PEAP SETBeCN sioE sETB�cK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE2UNE IOT�RE� y�CANTSiIE � • <br /> ❑res ❑r+o FEEB VALUATION � r!!�' <br /> T11'EOfCONSi OCCUP�NCVGROUP NOOfDWElliNOUN�TS BUILDING S QQ <br /> PLUMBING <br /> SIZE OF BLDO NO Of STORIES M�M OCC lOAO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.90a1e) <br /> IR PIiINK ERS REOUIPED YES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> �PPLILAiION�CGBY PI�HSCHCCKEOBv �PPf1fORItiSUANf.EOY <br /> DRIVFY/AV PERMIT <br /> .SH. T.T. TOTAL 00 <br /> PEPMIT VAUOATION <br /> WMCN VPOPERLV VALIDATEO�IN TNIS SPACE)TMIS IS YOUR PERMIT <br /> �` <br /> �� <br /> �Q <br /> Q� <br /> •� <br /> nu����,i ss r�: : <br />