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ukak.sr�, <br />CITV OF <br />everett <br />259-8745 <br />'^ C7lNSTRUCTION -, � . <br />PERMIT PERMIT NQ:: � SJ53 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ pLUM81NG ❑ SIGN <br />OWNEfl MAIIADORESS CI7Y 21P <br />Campbell-Fleury 18009 - 73rd W Edmonds, WA 98020 PHONE <br />ARCNITEGT OR DESIGNER AI�IL ADpRE55 CITY <br />Z�P PMONE <br />GENEH�LGONTR/.�TOR MAILADDRESS CITY =�p <br />PMONE LICENSE� <br />MECNRNICNLGONTRACTOR MAILq0URE5S CIN ZIP PMONE UCENSE� <br />Metalsmiths 18925 - 98 W. Lynnwood, WA A 96036 776-5591 METAL141cG <br />PI.UMBINGCONTFRCTOfl MAILApORE55 CITY Z�p <br />PMONE LICENSE � <br />GIC NEW ❑ ADDITION ❑ ALTEHATION <br />iALURTION OF WOPK <br />S 4,500 <br />iESCqIBE WORR <br />HVAC unit with in:,ulated duct <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Dental clinic <br />�or _ eixn _ oF <br />20 ;F: L• verett Mall <br />PLUMBING <br />NO. TVPE OF FI)CTL <br />WATEq CLOSET (TOILET� <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />OISHWASHER <br />LAUNDRYTRAY <br />DRINKING FOUNTAIN <br />FLOOR DHAIN <br />BACKFLOW PREVENTERS <br />ROOF f]RAINS — weiw rn <br />SINK �SERVICE — <br />SUB <br />ITEM � FEE <br />TOTAL FEE j <br />�accvnc LOTAf <br />TYPE OF CONST. OCCUI <br />SIZE OF OLDG. NO OF <br />FIRE SPRINKLERS REOUIRED ❑ V <br />APPLICATIONACC.OY PLANS <br />M.M. <br />L7 pEPA�R ❑ DEMOLITION <br />❑ OTHEH <br />❑ BUILDING REIOCATION <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 TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT �OES 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 PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CON-1q1iACi0R. AIITr�m, R12Ep AGENT, OR OWNER OATE <br />X_ � � _ !il ) c \ �d�'\� 7/29/87 <br />A/C — A/HNDLG UNITS — hIP. <br />REFRIGEflATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS PIREO A.C. UNITS — D.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALL HEA7ER5 — B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RVERS <br />VENTILATION FAN <br />FANGEHOOD <br />WATER HEATER • <br />tY00D S70VE <br />Mti.".L ft�'cYLACE 8 CHIMNEY <br />FIREPLACEINSERi <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />••• �c�c�o��n PLANCHECKNUMBEI <br />VACANT SITE <br />❑YES ❑No FEES <br />GROUP NOAF01YELlINGUNITS DUILOING <br />PWIdBING <br />ES MAX.00C lOAO <br />MECHANICAL <br />INVESTIGATION FEE <br />L.C. <br />OY <br />FEE <br />SUBTOTAL s �- - <br />PEflM17 <br />TOTALFEE S <br />FEE qECEIP7N0. <br />n•VA UATION.n,�L �nn,FEE.�n .;i <br />-S ' ; ' <br />f iUt)Jl JSti _: <br />':.a-��u rv� <br />CI;cCi� :4:.00 44 00 <br />Sec.309(e) <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />WHEN PROPERLV VALIOATED (IN THIS SPACE) THIS IS YOl1R PERMIT <br />noor,Ess Fn.e <br />