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I �C�� �r7�VSTRUCTI�JN -' " <br /> cin oF ` <br /> everett PERMIT PERMITN��. 172� y <br /> 259 -8745 <br /> ❑ DEMOUI'';`N ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING $$SIGN <br /> OWNER IAAILFppFESS CITY 21P PHONE <br /> TOOL TOW�1 4811 Evergreen Way Everett WA 98203 259-2590 � <br /> ARCN17ELTORDESIGkF.fl MAILA�DNl55 CITY ZIP PHONE <br /> Gl:�ERALCONTRACTUR MAILAODPE[S CITY ZIP PHODIE LICENSE• <br /> Se,perior E'lect. Adv. NW 9117 - 151st Ava NE Reclmond WA 98052 881-0201 <br /> NECh4NICAlCONTFAGTOq MAILADORF55 CITY ZIP PHONE LILENSCe <br /> SUPEREA147JM <br /> PWMBINGGONTPACTOR MAILADDPESL CiTY ZIP PMONE 4CENSE• <br /> CLASS OF WORK <br /> If.l NEW ❑ADDITION ❑ ALTEHATION ❑ qEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> \ALUATION OF WORK . <br /> 5 1600.00 <br /> OESCRIBE WGRK <br /> Instzll sign on wall <br /> MEATSOUNCE <br /> ❑ ELECTHICITY O GAS ❑ WOODSTOVE ❑ OTHER <br /> PFOPOSED USE OF BUILOIN�J ' <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> i APPLICATION AND IWOW THE SAME TO BE TRUE AND <br /> IEGFL�ESCFIFTIONOFPNOPEflTY�SHOWBELOWORATiALHFOUA:OFIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDIIdANCES <br /> LOT_6LOGk _ OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> N.�HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITI' TO <br /> � VIOLATE OR CAMCEL THE PROVISIONS OF ANY OTHER <br /> STAiE OR LOCAL LAW REGULA7ING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTFUCTION. <br /> JOB ADDRESS SIGNATURE OF CONTPACTOR.A TNOfiIZ[0 AGENT.Ofl OWNER DATE <br /> 4811 Evergreen Way X ' --� � a / �G <br /> PLUMBING MECHANICAL <br /> NO. TYpE OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HN�LG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> !AVATORY(WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHO WER GAS FIRED A.C.UNITS—B T.U. <br /> KITCF:EN SINK 8 DISP. FOPCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—BT.U. M <br /> LAUNDRVTRAV UNITHEATERS—B.T.U. M <br /> CIOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> FLOORDRAW � FANGEHOOD <br /> BACKFLOW PREVENTERS WATER h1EATER <br /> ROOF ORAINS—RAINLEADERS 1Y00D STOVE <br /> SINN(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> _ FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAI)5T FAIJ <br /> SUB707AL S SUBTOTAL <br /> PERMIT S PERMIT <br /> TOTAL FEE S TOTAL FFE <br /> FPONT SETBFCN REAR SETOACK SIOE SETBALK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTAIiEP <br /> VACANTSITE FEES VALUATION FEE <br /> ❑YES �NO <br /> TYPEOFCONST. OCCUPANGYGqOUP NO.OFOWE�LINGI1NIiS BUILDING S 1600. 9 O <br /> PLUMBING 10I01/Bo 11: �SFlM OOOfab2214 :kkK:k <br /> SIZE OF BLDG. NO.OF STURIES MAX.OCQ LOAD <br /> MECHANICAI. <br /> INVESTIGATIONFEE E�304(e) Q,QO <br /> FIRE SPRINKIERS REOUIflED ❑YES ❑NO � <br /> STATE BUILDING SURCHAfiGE <br /> STATEENERGVSURCHARGE CHECK S 9.00 <br /> APP�ICATIONACC.�V PLANSCMECNED�Y APPq.FORISSUANCEBY <br /> DFIVEWAY PERMI7 <br /> lc nv lm <br /> rora� 9 0 <br /> PEqMIT VALIOATION <br /> WHEN PROPERLV VALIDATEO(IN THIS SPACE)THIS IS YOUR PEFMIT <br /> �' <br /> r� <br /> N <br /> N <br /> � <br /> !-D[�RE�: FILE <br />