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�� � Q'1NSTRUCTION � �' <br /> everett PERMIT PERMITNO. 19616 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMdINAT10N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> OWNER MAILNDDRE55 dTY ZIP pMOHE <br /> Kirby Sales & Service 4835 Evergreen Way <br /> ARCHITECT OR DESIGNER MAIL r100RESS CITV ZIP PMONE <br /> GENERALCONTRACTOR MAILADDRE55 CITY ZIP PMONE LIGENSER <br /> Graphic Display 12704 NE 129th Kirkland, WA 98034 823-1611 GRAPHDS136CL <br /> MECHANICRLCONTPRLTOfl MRI�AOORE55 CITY ZIP PHONE LIGENSE• <br /> PLUMBINGCONTRA.TOR MAILADDflE55 rliV 21P PMONE LICENSE• <br /> GLASS OF WORN <br /> C$NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION ❑ BJIIDING RELOCATION <br /> YALUATION OF WOfiK � <br /> S 4���0 <br /> OESCFIBE WORK . <br /> Y Erect and maintain chanel'lum sign <br /> MEATSOUHCE � <br /> ❑ ELECTRICITV ❑ GAS � WOODSTOVE ❑ OTHEH <br /> P(iOPOSED USE OF BUIl01NG <br /> Retail I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNON' THE SAME TO BE TRUE AND <br /> LEGALOESCRIPt10NOFPqOPERTY�SHOWBELOWORATfACHFOURCOPIES� CORRECT. ALL PROVISIOIJS OF LAWS AND ORDINANCES <br /> LOT_BLOCK ___OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHEF SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> See attached PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE O NCEL THE PROVISIONS OF ANY OTHER <br /> STATE L AL LAW R ULATING CONSTRUCTION OR <br /> THE RF MANCE OF C UCT�ON. <br /> JOBApDRESS SIGN UPE CONTRACTON.AUTN F D NT,ON ER D E <br /> 4635 Evergreen Way X �« �LmG� 1G �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUHF OR�TEM FEE N0. TYPE OF EOUIPMENT � FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB qEFRIGERATION UNITS—H.P.EA. <br /> LAVATORV(WASH BAGM BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCMEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WqLLHEATEflS—B.T.U. M <br /> LAL'YDRYTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORYEflS <br /> DRINKING FOUNfAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF ONAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETG) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACLINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN :�.-. . . ...;'.,���.,:--- � <br /> SUBTOT0.L S SUBTO7AL �� <br /> PERMIT S PENMIT-� - <br /> TOTAL FEE S TOTI.L FEE . <br /> vaoNT 5[TBnCK BEnR SETBnCR SiOE SETBnC!c PLAN CIIECK NUM9Efl FEE - - �RECEIPT NO. <br /> USEZONE LOTAREA ypCANT5ITE � <br /> ❑ves ❑No PEES VALUATION FEE <br /> TYPEOFCONST. OCCUPPNGYGROUP NOAiDIVELLINGUNITS BUILD��JG S 4�000 ZS OO <br /> PLUMBING <br /> SREOFOLDG. NOAFSTORIES MA%.00GIOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINNLERS HEOUIRED YE� ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> RPPLICATION ACC.�V PLANS CHECNEO t1Y APPR.FOR ISSUNNLE BY <br /> DRIVEWAV PERMIT <br /> SH Be ge TOTAL 1 00 <br /> PEflMIT VALIDATION <br /> WHEN PROPEPLV VAIIDATED(I�THIS SPACE)THIF IS VOUR FEflM1T <br /> �� <br /> l� <br /> �� <br /> Q1 <br /> r' <br /> AL'URlSS Fl:E <br />