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`�`E"� � � C')NSTRI�CTION � C <br />everett PER�AIT PERRAIT NQ: _ �� �O`� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION L$ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />ONMER MAILAODRE55 CITY ZIP FIIONE <br />Edward ii. Park 6030 Evergreen Way Everett, WA 98203 355-3007 <br />ARCNiTECTOH0E5iGNER MAILApDRE55 CITV ZIP PNONE <br />Impression Design 2229 Jackson Everett, WA 98203 355-3200 <br />CWM3INGGONTRACTOR MAILn�DfiE55 CITV L� PHONE L�CENSE• <br />C1A55 OF WOeK <br />❑ NEIM C$A�DITION <br />WLCATION Of WOFN <br />5 204,650 <br />Addition <br />❑ ELECTRICITY <br />�ROP(�SED USE OF BUiLDING <br />Motel & residential <br />19,20,21 8 <br />LOT _ OLOCN _ <br />� ALTERATION ❑ REPAIR <br />❑ GAS ❑ WOODSTOVE <br />OVI BELOW O!1 ATTACM fOUR CUPIE51 <br />verlv Hill Div. No. 4 <br />FAt2WEST MOTEL <br />�ononness <br />6030 Evergzeen Way <br />PLUMBING <br />FIXTURE OR ITEM <br />WA7ER CLOSE7 (TOILE7) <br />BATHTUB <br />LAVATORt�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWpSHER <br />LAUNORYTRAY <br />I:LOTHES lNASHEfl <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF �RA�NS — RAINLEADERS <br />SINN (SERVICE — BAR. ETC.) <br />$�2 <br />TVPE OF CONST <br />V- 1HR <br />SIZE PF OLDG <br />5690 <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />LOT APEA <br />R-2 <br />NO Oi STORiES <br />3 <br />AVPIILATION�C� p'/ vtnrv5cmm� <br />M.M. J.w. <br />� <br />S <br />S <br />S�OE SET�FCN <br />VACnNT SiTE <br />❑YF.S%�NO <br />NO OF OIYELLING U41TS <br />8 <br />RIA% OLC LOAD <br />APPR fOR ISSUANCElIY <br />O DEMOLITI�IN <br />❑ GTHER <br />❑ Bl11LDING RELOCATION <br />I HEREBI' CEFiTIFY THAT I HAVE READ AND EXAMINED TIiIS <br />APPLICAI'I�N AND KNOW THE SAME TO BE TRUE AND <br />CORRECT� ALL PROVISIONS OF LAWS AND ORDWAIJCES <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 AUTHORI?Y TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEi'.FORMANCE OF CONSTRUCTION. <br />SiGNATUPE F �ONTRACT ..AUt110RIZEDAuENT OROWNER OATE <br />X �'�,urti ' .h,/ �11ai`i.l? d'-/7T <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />A/C — A/HNDLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />DOILERS — B.T.0 /H P. <br />GASFlREDA�C UNITS—BTU. <br />F0�7CED AIR SVSTEMS — B TL M EA <br />WALLHEATERS—BT.U. M <br />UNIT HEATERS — B T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESORYERS <br />VENTILATION F�N <br />RF�.NGE HQOD L�B/17/89 <br />WA7ER HEATEF � / <br />w000 sTove i4000209c.� <br />METAL FIREPLACE 8 CHIMNE�17j"S � <br />FIREPLACE INSERT (�[1���1•iO� <br />HEAT PL1M." ELDG <br />GAS PIPING F'��� �f{ <br />E%HAUST FAN �' ,�iRCH <br />SUO <br />I TO�ALFEE �� <br />J_.. <br />PLAN CHECK NUMOER FEE <br />89/213C5 fi$ 638.63 <br />FEES VALUqTION <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />STATE BUILDING SURCHARGI <br />STA7EENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />5 209,650 <br />9041e) <br />EIPT NO <br />147.35 <br />FEE <br />L�Q�% �Q <br />15 92 <br />SEPARATE PERh1ZTS REQUIRED FOR PLU6iHING, �YHEN PROPERLV VAL�OATED (IN THIS SPACE� THIS IS YOUR PERMIT <br />MECHANICAL AND ELECTRICAL <br />�n <br />0 <br />M <br />� <br />CV <br />