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�� <br />CITV OF <br />everett <br />259-8745 <br />t r Q'1NSTRUCTION � +' <br />PERMIT PERMIT��: �� I 35 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUI4DING 7f] MECHANICAL '� PLUMBING ❑ SIGN <br />OWNEH MqILAODRESS L'ITV ZIP PHONE <br />Campbell-Fleury 18004 73rd W Edmcnds WA 98020 774-9198 <br />ARCMITECTORDESIGNEfl MAIL/�DRE55 CITV ZIP PMONE <br />GENEflAICONTPACTOR MAIIADDflESS dTY ZIP PHONE �ICENSEI <br />MECHANICALCONTqqCTOR MAILAD�FESS ' CITY ZIp PHONE LICENSEM <br />Metalsmiths 18925- 48th W Lynnwood, WF� 98036 362-3430 METALLI3241 <br />PLUMBINu :ONTHACTOR MAV.qUUflE55 CITY 21P PHONE LIC'cNSE� <br />C1A550F WOFK <br />❑ NEW f�7 ADDITION ❑ ALTERATION ❑ flEPAIR C] DEMOLIS'ION ❑ BUILDING RELOCATION <br />VA�UATION OF WOqK <br />i %rJO.�Q <br />OESCRIBE WORK <br />Install exhaust fan with duct work <br />❑ ELECTRiCITY ❑ GAS ❑ WOODSTOVE ❑ OTHEq <br />Hair salon <br />LOT._ GLOCK _ <br />DANIEL'S HAIR DESIGN <br />20 SW Everett Mall Way Suite 9 <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDHYTRAV <br />CLOTHES WASHER � <br />URINAL <br />FLOOR DRAIN <br />BACKFLOW PRFVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINN (SERVICE — BAR. ETQ) <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />3 <br />❑YES ❑NO <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br />APPLICATION P,ND 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 />WHEI'HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERPAI�f 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 PERFORMANCE OF CONSTRUCTION. <br />SIGNA'NRE OF CONTqACTOR. A} �TMORIZED AGENT, OR OWNER OAT <br />X �� � r-'1n.a- l �_ .t-�/6 —�.. <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/NNOLG UNITS — H.P. <br />REFRIGEFATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES�RYERS <br />VENTILATION FAN <br />RANGEHDOD <br />WATERHEA7ER • <br />WOODSTOVE <br />METAI FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />ExHAUSTFAN <br />OCCIIPANCYGROUP INOOFDWELLIIJGUNITS BUILDINC <br />512EOFBLDG. � NO.OF <br />APPLICATION pCC. BY <br />M.M. <br />PLANSCHECKE�flY � APPR. <br />SUBTOTAL <br />PERMIT <br />S <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec.3C <br />STATE BUILDING SURCHARGE � <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMI7 �j�� <br />FEE <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TMIS SPACE) THIS ISYOUR PERMIT <br />AD�9ES5 FILE <br />4 50 <br />�.$ 0� <br />191 50 <br />� <br />