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���e��' ��' C"1NSTRUCTION � <br /> CITY OF <br /> �verett PERI�IT PERMITNO. � 989Z <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINA71rN p BUILDING ❑ MECHANICAL ❑ PLUMB�NG � SIGN <br /> U•VNER MAILAppFESS G.IY ZIP PMONE <br /> James Cassan 2460 7Eth Ave. SE Mercer Islana, 47A 98040 236-2939 <br /> APCNIIECTOIt0E51GNER MARAOORE55 CITY ZIP PHOHE <br /> GENERAL CONTRqGTOR MAIL A�ORE�G pTY 21P PI'ONE LICEVSE• <br /> Northwest Neon and Pl�stic Inc. S15 Sth 5t. Kirkland, WA 59033 822-1200 <br /> MECNANICA�CONTRACTOP MAIL AOpfi[55 QTY ZIP PNUNE LICENSE x <br /> NORTHi1P25402 <br /> PLUMBINGCONTq�GT08 MAILAOOPE55 QTV 21P PHOPiE �iLENSE• <br /> CLASS OF WOFH <br /> I�NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RfLOCATION <br /> VALUATION OF WORK <br /> a 5o00.00 <br /> DESCflIBE WORK . <br /> Install directorv sicn <br /> Henrsounce <br /> C7 ELECTRICITY ❑ GA5 ❑ WOODSTOVE ❑ OTHER <br /> PFOPOSED USE OF DUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sh000i,ny center directorv APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGFLOESCNIP?IONOFppOPBqTVISNOWf.cLOWORAfTACHFOURCOViES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_eioc�c _ oF GOVERNING THIS TYPE OF WOPK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN Oi�l NOT. THE GRANTItJG OF A <br /> PERMIT DOES NOT PRESUMi: TO GIVE AUTHORITY TO <br /> VIOL�TE OR CANCEL THE PF;OVISIONS OF ANY OTHER <br /> STATE OFL�LOC� L LAW REGULATING CONSTRUCTION OR <br /> THEP R NCE • NSTRUCTION. <br /> D9AOOR[55 SIGNATU G GTOR AUTM I EOACENT.Of10VJllER DATE <br /> x � � -,y -�F <br /> PLUMBING MECHANICAL <br /> PiO. TVPE OF FI%TURE OR ITEM FEE NO. TYRE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILETi A/C—A/FINDLG UNITS—H.P. <br /> BATHTUB qEPRIGERATiJN UNITS—H.P.EA. <br /> iAVATORY(WASH OASIN) BOILERS—B T.U.M.P. <br /> SHOWER GAS FIRED A�C.UNIT1—B.T.LL <br /> KITCHEN SINK 8�ISP. FORCED AIR SVSTEMS—B T.U. M EA. <br /> O�SHWASHER WALLHEATEFS—B.T.U. M <br /> LAUN�qVTPAY UNITHEATERS—B.T.U. h1 <br /> CLOTHES WASHER EVAPORNTIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> B�CKFLOW PREVENTERS WqTER HEATER <br /> ROOFDRAINS—RAINLEADENS WOODSTOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL <br /> PEHMIT 5 PEHh11T <br /> TOTALFEE S TOTALFEE <br /> FRON;SETonCN nEAn SETBACN SiDE SEToncK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTAAEA ypCANT5ITE <br /> ❑res ❑r+o FEES VALUATION FEE <br /> TYPEOiCONST. UCCUPANCYGROUP NOOFO�YEILINGUNRS BUILDING S SOOO.00 LS OO <br /> PLUMBING <br /> 512EOFBLDG NO.OFSTOPIES MA%.OLG LO/D <br /> MECHANICAL <br /> INVEST13ATION FEE Sec.304(e) � <br /> FIRE SPRINHLERS REOUIflED ❑VES O NO <br /> STATE BUIL�ING SUFfHARGE <br /> STATEENERGYSURCHARGE <br /> AVPLICATIONALC �Y PLANSCHECKEDDY pPPR FORISSUANCEDV <br /> DPIVEWAV PERMIT <br /> 5.!i. g,E. g_�. TOTAL 15 00 <br /> —• PEflMII'VALIDATION <br /> WHEN PROPERLV VALIL�ATED QN THIS SPACE)THIS IS VOUf�P[Cd1T <br /> N <br /> Q� <br /> m <br /> O7 <br /> � <br />