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`�� '�'� �"�JNSTRUCTION "� '~ <br />everett PERMIT PERMITNO. � 859u <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />QryryEp MAILRDDRESS GITV ZIP PMONE <br />Dr. A. Samsavar 20 SW Everett Mall Way Everett, WA 98204 527-9080 <br />ARCHITECTORpESI(:NER MAIL/OORE55 CITY ZIP PHONE <br />Art Schelene 2366 Eastlake Ave Seattle, WA 98102 325-4488 <br />GENERPL CONTRACTOR MAIL ApDRE55 CITY ZIP P1i0NE LICENSE � <br />MECM�NICALCONTfl�CTOR MRILFOORESS CITY 21P PMONE LILENSE• <br />PLUMBINGCONTRAC70N MAILAO��ESS CITY 21P PMONE LICENSE� <br />Longs Plumbing 28920 3rd Ave NE Stanwood, WA 4 629-4004 LONGSP*233 DW <br />❑ NEW ❑ ADDITION � AITENATION <br />IRWATIONOF WORR <br />s 5,624.00 <br />>ESCRIpE WORK <br />Install plumbing to new dental office <br />❑ EIECTRICITY <br />'ROPOSED USE OF Ol <br />Office <br />❑ REPAIR ❑ DEMOLITION ❑ BUILOING HELOCATION <br />❑ GAS ❑ WOODSTOVE O OTHEp <br />.EGRL OESCRIPTiON OF PPOPERTV �SNUW OElO W OR <br />LOT _ OLOGK _ OF <br />IOB AODFE55 <br />20 SW Everett Mall Way <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITE <br />WATEF CLOSET �701LET� <br />BATHTUB <br />Fj LAVATORY (WASH BASIN� <br />SHOWEP <br />I(ITCHEN SINK 8 DISP. <br />LAUNDRV TFiAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEAOEHS <br />SINK (SERVICE — �AR, ETQ) <br />APPLICAiICN ACC. DY <br />M.M. <br />SUB TOTRI <br />PEflMIT <br />TOTAL FEE <br />FEE <br />S <br />S <br />VRCANT SITE <br />❑VES ❑NO <br />1 HEREBY CERTIFY THAT I HA`JE 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 BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CA�JCE� THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P 'RMANCE OF CONST CTION. <br />SIGN RE CONTRPCTOR. AUT IZED ENT.OR OWr1EP OAiE <br />X � .. L i �7,c� , 8/7/87 <br />OF <br />A/C — A�HNDLG UNITS — H.P. <br />f7EFRIGERATION UNITS — H.P. EA. <br />BOILERS — D.T.U./H.P. <br />GAS FIRED A�C. UNI7S — B.T.U. <br />FORCED AIR SYSTEMS — B.7.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — �.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRVEF75 <br />VENTILATION FAN <br />RANGEHOOD <br />tVATER HEATER <br />WOODS70VE <br />1dETAl FIREPLACE 8 CHIMNEV <br />FIREPLACE WSERT <br />HEAT PUMP <br />GASPIPING (N�O� O�� <br />E%HAUSTFAN <br />NUMBEF <br />SUBTOTAL <br />PERMIT <br />M EA. <br />M <br />M <br />FEE <br />FEE <br />� �' <br />OCCUPANLYGROUP NOOFDWELLINGUNITS BUILDING S <br />PLUMBING 60 00 <br />NO. OF STOf11E5 MA%. OGG LOFD <br />MECHANICAL U�i07/B�l ^�t��r•N C(lORab53�6 0�?�•��{- <br />PLANS CNECN[0 DY <br />�Y <br />L.0 <br />INVESTIGATION FEE ,. Sea�a044e)_ <br />STATEBUILDINGSURCHApGE r�±;j y(�.[1O <br />STATEENERGVSU(iCHARGE '�'="" `�1 �.JJ <br />�o nn <br />DRIVEWAY PERMIT <br />TOTAL 78 00 <br />PEflM1T VALIOATION <br />WHEN PROPERLV VAL'DATED (IN THIS SPACE) THIS IS YOUF PLRMIT <br />�� <br />Q� <br />i..n <br />� <br />� <br />I.C....,... Fii': <br />