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20 SW EVERETT MALL WAY AALAM SAMSAVAR DDS 2016-01-01 MF Import
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20 SW EVERETT MALL WAY AALAM SAMSAVAR DDS 2016-01-01 MF Import
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Last modified
4/13/2017 10:40:17 PM
Creation date
2/10/2017 2:13:19 AM
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Address Document
Street Name
SW EVERETT MALL WAY
Street Number
20
Tenant Name
AALAM SAMSAVAR DDS
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`h`� ;'`°, �'�NSTRUCTION ..4 ,� <br />everett PERMIT PERMITNO. � �560 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER M�ILADDfiESS CItY 21P PMONE <br />Campbell/Fleury 20 SW Everett Mall Way Everett, WA 9C^04• <br />•RCNITEGTORDESIGNER MRILADUBESS ��TY Z�P PNONF <br />Art Scheiene 325-9488 C.�b <br />GENERALCONTRACTOR A1AILp0 S CITY ZIP PMUNE LICENSE� <br />savar Construction �'j'%� �'�p� /{VC �� ��1TL� �I$ll�`j J�27� <br />Pl <br />;Lp55 OF \YOf1K <br />❑ NEW ❑ ADDITION <br />/�LU�TION OF WORK <br />$ LOi��� <br />JESCRIBE WORN <br />tenant improvement <br />❑ ELECTRICITY ❑ GAS <br />PROPOSED USE OF pUILDING <br />dental clinic <br />LOT � OLOCK _ <br />�u awncao <br />20 SW Everett Mall Way <br />PLUMBING <br />NO. <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHOWEFl <br />KITCMEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOR DFiAIN <br />BACKFLOW PREVENTE <br />ROOF DR0.1NS — RAINI <br />SINK (SERVICE — BAR. <br />MAII AODRC51'� <br />&] ALTER��TION ❑ REPAIR <br />❑ WOODSTOVE <br />DR. A. SAM SAVAR <br />CITY <br />❑ DEMOLITION <br />❑ OTHER <br />ZIP PHONE ucens�. <br />�4�i��7�k 131►Y1�-1 <br />ZIP PMONE LIGENSE � <br />❑ BUILDING RELOCATION <br />I HEREBY 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 T�PE 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 />V�OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONS i RUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN�Tl1RE OF CO TOR. AUTMORIZEO AGENT, AR OWN'_R OATE <br />X�� C g` � i-�. i vT� <br />MECHANICAL <br />OH ITEM FEE NO. TYPE OF EQUIPMENT <br />NC — A/HNDLG UNITS — HP <br />REFRIGEfiATION UNITS — H.P. EA. <br />BOILE(iS — B.T.U.MP. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEA7ER5 — B T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLE(iS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />ig WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E!(HAUST FAN <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE f <br />fSEiUFCK REARSETBICK 51 <br />9NE LOtAAEA �� <br />C-1 � <br />V-1HR <br />512E OF OLOG <br />1450 sf <br />FIRE SPRINKLERS R <br />APPUCATION ACC. UY <br />SH <br />$-2 <br />OF STOf11E5 <br />1 <br />Be <br />IANT SIiE <br />es C�rvo <br />OF OWELLINf <br />0 <br />( OCC LOnD <br />15 <br />APFR <br />L.C. <br />SEPARATE PERI�II".'S REQUIRED POR ELECTRICALr <br />MECF3ANICAL AND PLUMBING <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />87/18560 76.05 <br />FEES VALUATION <br />:CEIPT NO. <br />90557 <br />ouaowc 510,000 <br />PLUMBING ...1 ^,� ; ;p�.^ai�, <br />MECHhNICAL i <br />�:��-�� � � <br />INVES7IGATION FEE �'�� �« .., �, � � nn <br />STATE BUILOING SURCHAFGE �_ ,,-;��I t .::D <br />STATEENERGYSURCHARGE �``� �-- <br />..0 <br />DRIVEWAY PERMIT <br />TOTAL <br />PEflM1T VALIOATION <br />WHEN PROPERLY VALID�TED (IN THIS SPACE) THIS IS YOUR PERMII <br />AUORLSSiIL[ <br />117 <br />3 <br />120 <br />O <br />CO <br />L.C) <br />00 <br />� <br />
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