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�r <br />: <br />�d�rttrC�n,oF , r '1��STRUCTIORr <br />� i �. ,i .. 1 <br />e.��le��� P����� PERMIT N0. 1311�. <br />CITY MALL 259�87d5 <br />17 f+`��a'�'�`�J`Z�j�y❑ E30f�161NA?iON � BUILDING ❑ MECHANICAL ❑ PLUMBING <br />OWNEB MAILADDRE55 CITY ZIP PMONE <br />Diamond Veterinary Hospital P.S. 3625 Rucker Everztt 98201 252-1106 <br />ARCHITECT OR DESIGNEB MAIL ADDflE55 CITY ZIP PMONE <br />GENEFALCONTRACTOR MAILA��RESS CITY 21P PHONE UCENSEN <br />Carl Larson Construction, Inc. 4801 76th S.W. Mukilteo 98275 <br />MECHANICAL CONTflFCTOF MAIL AODHESS GTY ZIP PHONE LICENSE N <br />PLUMBING CONTNAGTOR MAIL ADDRESS LIiV ZIP PMONE IICENSE N <br />CLA+S 4F WORK <br />❑ NEW KW�DDITION ❑ ALTERATION <br />VALUATION OF WOFK <br />E i��0��.�� <br />Veterinary Clinic Addition <br />Veterinary Clinic <br />�or <br />❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVFJFIREPLACE INSERT <br />SGFIPTION UF PROPERTY �SHOW 6ELOW OR ATTACH FOUR GOI <br />15 5 HeverlY Hills Div. I <br />6815 Evergreen 'Aay <br />PLUMBING <br />N0. TYPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHWASHEH <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />WATER HEATER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DFAIN <br />VACUUAtBREAKERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />SIDE <br />V-N <br />SUB TOTAL 5 <br />PERMIT S <br />TO7AL FEE S <br />IEET SETN p�K REAR <br />/ <br />AREA VACA <br />VES <br />�l1PANCY GROUP NO. O <br />B-2 <br />. OF S70RIE5 A1AX. <br />1 <br />APPROVALS <br />7. ENVIFiONMENTAL CHECK LIST <br />2. BUILDING PLANS b <br />3. FIFiE HYORAN7 <br />4. FIRE PROTEGTION SYSTEHI <br />5. GRAOING <br />"`7.ENVIRONMENTALIMPAGL�SiaihN <br />;�. HE 1LTH OISTR CT � <br />APPLICATION AGC. BY • PLANS <br />�,� _ - � � <br />-� � ; � JEF <br />[_ -� <br />w <br />BY <br />APPR. FOR IS <br />LC <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVCRNING 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 AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. <br />sIGNATURF a.�GONTflAET9Fl Of1AUTMOR12E0 AGENT s OATE <br />i� y �-r5� /�i�%�'°�"C�+'y�� <br />MECHANICAL <br />NO. TYPE OF E�UIPMENT FEF <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRE� A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.7.U. M EA. <br />WALL HEATERS — B.T.U. ry1 <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLO7HE5 DRYERS <br />1 VENTILATION FAN 3 00 <br />RANGEHOOD <br />AIR HANDLING UNIT — C.F.M. <br />S70VE — WOOD <br />ME7AL FIREPLACE 8 CHIMNEV <br />FIFEPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL S � <br />PEHMI7 5 <br />70TALFEE S 3 <br />PLAN CHECK NUMBER PLAN CHECK FEE <br />84�13111 FEE g1.33 RECEIPT NO. <br />2 <br />FEES VALUATION FEE <br />BUILDING § 20,000. 140 SO <br />PLUMBING z �Q <br />MECHANICAL 3 00 <br />OTHER <br />U.B.C. <br />PENALTY SEG. 303 (a) <br />TOTAL 145 50 <br />PEflM17 VALIDATION <br />WHEN PROPERLY VALIDATED (IN THI� SP�GE) THI�ISIYOUfj P;Fyrytlt a--y <br />7 �I ll i� — � <br />THIS PER6fIT IS FOR HUILDING ADDITION � <br />ONLY. m <br />r- <br />: . �.i;'_�i I c-1 <br />BY <br />��.,, ,: � <br />.�� .. . . <br />ADDRESS FILE <br />'; 9 :� .R � �i <br />t3 <br />� <br />.L <br />.�; <br />