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`��'c�'� � "� C �i�+ISTRUCTION �` '�' <br />everett PERMIT PERMITNO. � ���8 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING l� MECHANICAL ❑ PLUMBING O SIGN � <br />OWNER MAILAODRESS CITY ZIP PMONE <br />Picway Shoes Columbus OH2O <br />ARCMITEGTOROESIGNER MAILAODRESS CITV 21P PHONE <br />GENERALCONTFACTOR MAILAODRE55 CITV ZIP PMONE �IGENSE• ', <br />DHH National 13500 Hel Red R.d Bellewe, WA �A005 643-9600 DHHNI141MG <br />MEGHANICAL CONTRACTOR MAIL ADORESS CIT" 21P PHONE 4CENSE � I <br />FLIIM9ING CONTRACTOR MAIL A�ORE55 CITY 21P PMONE 4CENSE � I'i <br />;LASS OF WORN <br />� N�y/ ❑ ADUITION ❑ ALTERATION ❑ REPAIR <br />IALUATION OF WOHN <br />S <br />)ESCRIBE WORN <br />Install exhaust fan in bathroom <br />iEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Retail <br />.EGAL DESCFIPTION OF PROPERTY (SHOW BELOW OR Al <br />LOT _ B�OCK � OF <br />ioo nooaess <br />7807 Evergreen Way <br />PLUMBING <br />NO. TYPE OF FIXTUHE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHEfl <br />LAUNDRVTRAY <br />GLOTHES WASHER <br />UFINAL <br />DRINKING fOUNTAIN <br />FLOOR ORAIN <br />ROOF DRAINS — AAINLEADERS <br />SINK �SERVICE — BAR. EfC.) <br />USE ZONE <br />� iYPEOFCONST. <br />SIZE OF BLDG. <br />' FIRE SPRINKLERS R <br />', APPLICATION ACC DY <br />S.H. <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />REAR SETB/ CK <br />LOT AREA <br />OCCUPANCVGROUP <br />NC OfSTONIES <br />) ❑ vE5 ❑ NO <br />PLANS CMECNEO BY <br />FEE <br />5 <br />S <br />VACANT SItE <br />❑YES CNO <br />NO OF 0 W ELL <br />OCC LG4D <br />pPPR FOR ISSUFNCE BY <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HERERY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNInG THIS TYPE OF WORK WILL EE COMPLIED WITH <br />VJHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P RFORMANCE OF CONSTRUCTION. <br />SIGNAT IiE OF CONTR CTO AUTHORI2ED AGENT. OR ONTIER DATE <br />X/ J, �,�Gic� /�-Z�-�i� <br />hiECH�4NICAL <br />NO. TYPE OF EOUIPMENT FEE <br />A�C - A/HNDLG UNITS - H.P. <br />REFFIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.0 /H.P. <br />GAS FIRED A�C. UNITS - B.T.U. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALLHEATERS-B.T.U. M <br />UNITHEATERS-B.T.0 M <br />EVAPORATIVE COOLEF7S <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATeR <br />WOOD STOVE <br />MEfAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />CHECKNUMBER FEE <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSUHCHARGE <br />DRIVEWAV PERMIi <br />TO�AL <br />'_"J'_"._, <br />�Sec.304(e) <br />s� 19 <br />RECEIPT NO. <br />FEE <br />1 <br />WHEN PFOPERLV VALIDATED �IN THIS SPACE) THIS If VOUR PERMIT <br />lw,;LEES F ILE <br />• <br />• <br />