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�F rINSTRUCTION <br />CITY of QQ <br />ever�f�ett PERMIT PERMITNQ.- 804" <br />11194c]YtV 259-8800 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAn ADDRESS cov ZIP PHONE <br />Boeing Co. P.O. Box 3707 Seattle, WA 98124 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZiP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS <br />CITY III' <br />LICENSE A <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />PLUMBIN. CONTRACTOR MAIL ADDRESS CITY ZIP PnONL LICENSE• <br />Nardnne Mech. P.O. box 848 Edmonds, WA 98020 --- 776-6200 NARDOMC152B2 <br />CLASS OF WORK <br />[I NEW ❑ ADDITION EJALTERATION El REPAIR ❑ DEMOLITION El BUILDING RELOCATION <br />6000.00 <br />Plumbing I_y I {A 9 b, 1, 1T1 LI <br />HEAT SOURCE <br />f-1 FIFCTRICITY ❑ GAS ❑ WOODSTOVE Ll OTHER <br />PROPOSED USE OF BUILDING <br />Manufacturing <br />I HEREBY CERTIFY THAT I HAVE HEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />EL THE PROVISIONS OF ANY OTHER <br />VIOLATE OR CANCW <br />STATE OR % FGULATING CONSTRUCTION OP. <br />THE PERFO STRUCTION"iGNATLRE0 GDAGENT On OWNER DAT <br />LEOALDESCBIPTION OF PROPERTY (SHOW BELOW ON ATTACH FOUR COPIES' <br />LOT _ BLOCK _ OF <br />3003 W. Casino Rd. Bldg. 40-24 <br />PLUMBING <br />ME16HANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET ITOILETI <br />AC - AMNDLG UNITS - - HP <br />BATHTUB <br />REFRIGERATION UNITS - H P EA <br />LAVATORY (WASH BASIN( <br />BOILERS - 0 T U HP <br />SHOWER <br />GAS FIRED A C UNITS - D T U <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS - BTU M EA <br />DISHWASHER <br />WALL HEATERS - B T U M <br />LAUNDRY TRAY <br />UNIT HEATERS -- D T U M <br />CLOTHESWASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />CLOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />2 <br />FLOORDRAIN <br />10 <br />00 <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE <br />SINK (SERVICE - BAR. ETC 1 <br />NETAL FIREPLACE A CHIMNEY <br />1 <br />Vacuum breakers <br />5 <br />00 <br />FIREPLACE INSEO- <br />HEATPUMP <br />GAS PIPING <br />-- <br />EX14AUST VAN <br />SUB TOTAL <br />f 15 <br />OO <br />SUB TOTAL 3 <br />PERMIT <br />f 10 <br />OO <br />PERMIT f <br />TOTALFEE <br />f 25.0 <br />'TOTALFEE f <br />FRONT SETBACK <br />REAR SETBACK SIDE <br />SETBACK <br />PLAN CHECK NUMBER FEE. <br />I <br />RECEIPT NO <br />USE ZONE <br />I OT APFA VACANT <br />i <br />SITE <br />IYES ONO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONST <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />U4/16/07 2'3>Ph <br />0"#487 <br />(- <br />SIZE OF FILM <br />NO OF STOWES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />FLI<lS. 304(B) d� <br />.(J0 <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />S.H. <br />PLANS CHEC<LDHY <br />1 <br />_. <br />APPN FUNIiSUAN(:F IIY <br />DRIVEWAY PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED RN THIS SPACE( 11115 Is YUUn ru.mn M <br />00 <br />Atil);&SS HI <br />