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��° C7NSTRUCTION <br /> everett PEF�MIT PERMIT NO. I 7904 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ �COMBINATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONMER uqq ADDaE55 <br /> Rick Pulliam 2116 228th St. SE Bothell , WA 98021 481-4292 �ONE <br /> nRCNRECTOFDE5IGNER MRI�ApDRE55 CIT� IIP RIONE <br /> GENfiR��(�qNTRACTOP MMl ADOR�55 CITY ZiP PHONE IICENSE� <br /> Same <br /> MECM�NIC�LGOMRApTOR MAILADDRE55 CITY 21P {'NONE �ICENSE� <br /> PL'JMBINGCONTP�CTOR MAIL�DDRE53 CITY ZIV R�ONE LiGENSE� <br /> CUSS OF WpqN <br /> �MEW ❑ AODITION �AL7ERIITION ❑ REPAIR C] DEMOLITION ❑ BUILDING REIOCATION <br /> vuunnor�or wonK <br /> S IOOO.00 <br /> �ESCRIBE WORK <br /> Remodle Bsmt to sheet rocked beAroorys. <br /> HEAtSpUPCE <br /> ❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> anoros�o use or eunon+c <br /> Residenti el Dupt ex I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �ecniocscuivrwNovmov�ntr�sHow�uowoanr*nenrouaeoriesi APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. AiL PFOWa;JNS OF LAWS AND ORDINANCES <br /> �or 30 e�aK LI or Frida S ISL. Add. GOVERNING THl,ri TYpE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OA NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRF.SUME 1�0 GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STAT L AL lAW ATING CONSTRUCTION OR <br /> �oe nooaess THE PERFORM CE Of ONS UCTION. �-r <br /> 36OG C0�b,y AV2. sicHnTunc cr Mqt pCTOR.R THON12 NGCNT.DP OWNER DRTE <br /> X � <br /> PLUMBING MECHANICAL 3 <br /> HO. TYPE OF FI)(TUpE Oq ITEM FEE NO. TYPE OF EOUIPMEN7 FEE <br /> WATER CLOSET�TOILEi� A'C—A'MNOLG UNIT5—N P. <br /> BA'ffiTUO qEFRIGERATION UNITS—N P.EA <br /> LAVATORV(WASM 6ASIN� �OLLERS—B T U M P. <br /> SHOWER <br /> GASFIREDAC UNITS—B.T.U. <br /> I(ITCMEN SINK 8 DISP. FORCE�AiR 5Y5T[M9—D T U. M EA <br /> DISHWASNEP WALLH[ATERS—BTU. /.� <br /> LAUNDFY TRAY UNI7 HEATERS—�T U M <br /> C.OTMES WASHER EVAPURATIVE COOLEflS <br /> URINAL CL07NESDRVERS <br /> ORINKING FOUNTAIN ' <br /> VEN I ILATION FAN <br /> FLOOR DRAIN <br /> RANGEHOOD <br /> �ACKFLOW PREVFNiER$ WATER HCATER <br /> ROOP ORAINS—RAINLEAOERS WOOD STOVE <br /> SINK�SERVICE—BAR,ETC� METAL flREPI ACE 8 CMIMNEY <br /> iIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%NAUSTFAN <br /> SUBTpTAL S SUB TOTAL <br /> PEPMIT s <br /> PERMIT <br /> TOTALFEE f TOTALFEE <br /> reONiSErBncK aEnaserBACK Si�ESETPnCK PLANCHECKNUMBER FLE <br /> ZO QQ 5 RECEIPTNO. <br /> USE20NE �orqqeEq 87/17904 16.25 89512 <br /> B�1 UOOO �A��NTSITE _ <br /> ❑r¢s ECIr+o FEES VALUATION FEE <br /> TYIEOfCONST. OCCUPRNCVGRO�P NOOFOWELLINGUNiTS OUILOWG § LOOO.00 ZS OO <br /> V-N R-3 2 <br /> 512E OF BLOG NO OF STOHIES M4k OCC.LOAp P�UMBING <br /> 6�2 1 MECHANICAL <br /> INVESTIGATION FEE U�:•l��.l� (e� �.� � V r+ o ���-�(� <br /> FIRESPRINKLERSREOUIFED VES NO <br /> STATE BUILD�NG SUflCHARGE q00017904 1 50 <br /> S7ATE ENEtiGV SURCHARGE h Uli Y�J. <br /> APPLIGATON ACC BY PLRNS CHEGNEO BY pPPR!OR ISSUANCE�V ^ C •` � G <br /> DflWEWAYPERMiT �hE��; k� 6.�� <br /> M.M. B.E. L.C. <br /> TOTAL 26 O <br /> PENMIT VALIDATION <br /> WHEN PROPEPLV VA�IDATED�IN THIS SPACE�THIS IS VOUR PERMIT <br /> �' <br /> � <br /> Q� <br /> �� <br /> r� <br /> 1'�,�:. . .. . , ._ <br />