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u,e Eu��gre� <br />CI7Y OF <br />ever�tt <br />259-8745 <br />'�' C'�NSTRUCTION ^ � . <br />PERMIT PERMfi NQ:= 21381 <br />O JEMOLI7IUN ❑ COMBINATION f�icBUILDING ❑ MECHRNICAL � PLUMBING ❑ SIGN <br />OWNEN MAILAOOfiESS CITY 21F PHONE <br />Campbell-Fleury 18004 73rd W. Edmonds 98020 774-Il 9198 <br />AflCHITECTORDE5IGNER MAILADDf1E55 �ITY ZIV pMONE <br />Hansen & Assoc 4901 Elm St. Everett 98203 258-1525 CAMPBF214209 <br />GENERALCONTHACTOR MAILAOORE55 CITY ZiP PMONE UCENSEr <br />O��rner CAMPBF214209 <br />MECNANICALCONTRACTOl1 �IAILA�DRESd CITY ZIP PMONE LICENSEu <br />PLUMpING CONTfl/CTOR MML ADDRESS CITY 21P PHONE LICENSE v <br />CLASS OF NORK <br />❑ NEW ❑ ADDITION <br />VA�UATIOK OF WORK <br />i rJ�00.�� <br />Tenant Y�pd]C�9(i!ffi3tH <br />HEAT SOIIRCE <br />O ELECTRICITY G GAS <br />C�7 ALTERATION <br />Improvement <br />�88d[ Accounting services <br />]RIPTION OF GROPEHTY (SHOW B[LOW OR ATTACI <br />lOT _ BLOCN <br />20 SW Everett Mall <br />PLUMBING <br />OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN', <br />SHOWER <br />KITCNEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEAOEFS <br />SINK �SERVICE — BAR, ETC.) <br />❑ REPAIR <br />O WOODSTOVE <br />SUBTOTAL S <br />PEflM111T S <br />TOTALFEE S <br />3ACK REARSETBhCK SIDESETBFCN <br />LOt AREA <br />C-1 VACFNTj �TE <br />O�ES C�SNO <br />TYPE OF CONST. <br />V-lhr <br />SIZE <br />APPLICATION <br />S.H. <br />❑ DEMOLITION <br />❑ OTHEti <br />❑ BUILDING PELOCATION <br />I HERFBY CE:RTIFY THA7 I HAVE READ AND EXAMINED THIS <br />APPLIGAT�ON AND K�rJW 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 SPECIF�ED FiEREIN 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 PER56RMANCE OF CONSTRIICTION. <br />�� <br />MECHANICAL <br />OROWNEN OATE <br />(2�3��b'�1 <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />PFFRIGERATION U�ITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A�C. UYITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.LL M <br />UNITHEATEPS—BT.U. M <br />EVAPOfiATIVE COOLERS <br />CLOTHESORYERS <br />V�'NTILATION FAN <br />RANGEHOOD <br />WATERHEA�ER • <br />WUOUS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />GFOUP NO OF OWELLING UNITS <br />-2 0 <br />IES MA%.00C LO/0 <br />1 10 <br />CHECNEODY <br />J.W. <br />APPR. FOR iSSUANCE 6Y <br />J.W <br />SUBTOTAL <br />AN CHECK NUMBER F <br />88/21381 EL ?��81 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATIO�J FEE <br />Sec.304�e) <br />RECEIPT NO. <br />n�4669 <br />STATE BUILDING SURCHARGE <br />STA7EENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEFlMIT VALIOATION <br />WHEN PROPERLY VALIOATEO pN THIS SPACE) THIS I.^> VOUR PERMIT <br />FEE <br />50 <br />50 <br />�.�;[`iaf ^^ r �� � I � <br />