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`�� � Q7NSTRUCTION � ( A <br />everett � PERMIT PERMITNO. � S� O`� <br />� �,�'8� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUIIDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />ON'NEN MAILADDPESS CITY ZIP PMONE <br />Muffin Break 1405 SE Everett Mall Way Everett 98204 <br />ARCHITECTOROESIGNER MRILA�ORE55 GITY ZIP PHONE <br />GENERAICONTflACTOR MAILADDPESS CITY ZIP FMONE /�/�i1'LICENSEx <br />`cJ <br />R& L Harshr.ian Fab 13420 ?2n3 Ave. Tacoma , WA 98446 537-6�70 RLHAR�3i�lL <br />MEGHANICALCONTPPCTOR MAILAOORESS CITY ZIP VHONE LICENSE� <br />PWMBINGCONTflNCTOF MAILRUDFE55 CITY ZIP PHONE LILENSE� <br />CLASS OF WORK <br />[� NEW ❑ ADDIT�ON <br />VALUATION OF WORK <br />S 4300.00 <br />❑ AL7EflATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />ChanElume letters (2) sets 24' 11 per set _ <br />HEATSOUHGE <br />❑ ELECTflICITY ❑ GAS ❑ WOODSTOYE ❑ OTHEH <br />LOT _ 6LOCH <br />PLUMBING <br />OF FIXTUHE Ofl <br />WATER CLOSET (TOILET� <br />BAiHTUB <br />LAVATOFY (WASH BASIN� <br />SHOWER <br />NITCHEN SINK L DISP. <br />�q�INDRY TRAV <br />LLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR OFAIN ' <br />BACNFL(:W PREVENTERS <br />ROOF ORAINS - RAINLEA�E95 <br />SINK (SERVICE - DAR, ETC.) <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />FRONTSETBRCK REAHSETBACN <br />USEZONE LOTAREA <br />TVPE OF GONST. OCCUPANC': GPC <br />SIZE OF BLDG. NO. OF SiqRIES <br />FIRESPRINKLEI�SREOUIRED QVES ❑N <br />APPLIGTION ACG BY PLANS CHECHEO <br />S.H. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANQ <br />CORRECT. ALL F'AOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. TI'E ^uRANTING Or' 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 CONSTRUCTIOh OR <br />THE P RMANCE OF CONSTRUCTION. <br />SIG URE C TqACTOR. r1 H ED AGENT, OR OWNER OATE <br />x � _ G� ��% 1,L— � i— � <br />MECHANICAL <br />FEE N6. TYPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — H.P. <br />FEFRIGERATIOtd UNITS — M.P. EA. <br />BOIlERS — B.T.U./H,P. <br />Gf+S FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — �.T.U. M Ef.. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.TU. M <br />EVAPORATIVE �OOLERS <br />CLOTHESDRYERS <br />VENTILATION PAN <br />RANGEHOOD <br />WATER HEATER <br />WOODS70VE <br />METAL FIREPLACE 6 CHIMNEI' <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPINC <br />E%HAUSTFAN <br />f <br />S <br />S <br />VACANTSITE <br />❑ YES ❑ NO <br />NO. OF DWELLiNG UNITS <br />ISSUnNCE BY <br />Elec. N.V. <br />L. Callahan <br />'LAh CHECN NUMBER <br />FEES <br />BUILDING <br />PLUMaING <br />MECHANICAL <br />SUBTOTAL <br />PEHM!7 <br />TO7ALPEE <br />FEE RECEIP7 <br />VALUATION <br />5 <br />.7 <br />� <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STf.TE ENERGY SURC�iARGE <br />DRIVEWAV PE�MIT <br />H�OOOb746 <br />rcc <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />nonr�ess F��� <br />18100 <br />