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e�� <br />arv oF <br />ever•ett <br />259-8745 <br />' C'1NSTRUCTION � � <br />PERM�T <br />i" <br />PERMIT NO. 2 O I 7 2 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OWNEfl MqILADDRE55 CITY ZIP PMONE <br />Campbell-Fleury 18004 73rd W. Edmonds, WA 98020 774-9198 <br />ARCNIiECTORDE51GNEfl MAllA00RE5S QTY ZIP PHONE <br />GENEIiALCONTRACTON MAILAODPESS CITV ZIP PHONE LILENSE+ <br />MEGHANICALCONTflACTOFl MAILADDHE55 GTY ZIP PHONE LICENSEx <br />PLUMBINGCONiRACTOfl MAILA�DRE55 CITV ZIP PHONE LICENSEr <br />Long's Pltunbing 28920 3rd Ave. NE Stanwood, WA 88fl 629-4004 LONGSP*233DN <br />CLASSOF WORK <br />❑ NEW O ADDITION �1 ALTERATION ❑ PEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORK � <br />$ <br />Install 3 sinks 1 wash basin 1 clothes washer and toilet. Fees Paid on Permit #1714G. <br />HEATSOUNCE <br />❑ ELECTHICITV � GAS ❑ WOOOSTOVE ❑ OTHEH <br />Hair Salon <br />LOT _ BLOCK _ <br />Daniel'S Hair Salon <br />20 SW �erett Mall <br />PLUMBING <br />NO. TYPE OF FI%TUHE OR ITEM <br />WA7ER CLOSET (70ILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASHER <br />LAUNORY"fRAY <br />CLOTHES WASHER <br />URINFL <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.� <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />OCCVPANGYGNOUP <br />FEE <br />S <br />S <br />f <br />u res u No <br />NO. OF DWELLING UNITS <br />SIZE OF B�OG. I NO. OF STOflIES I MA%. OCC. LOAO <br />APPUCATION ACC. BY I PUNS CHECKED OY I!PPp. FOR ISSUANCE 9Y <br />T.T. <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 />GOVERIJ�NG 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 CANCEL THE P� VISIONS OF ANY OTHER <br />STATE�i LOCAL LAW I]EGU,�ATING CONSTRUCTION OR <br />THEgERfORMANCE OF ¢�NSZfiUCTION. , , <br />MECHANICAL <br />TYPE OF EOUIPI <br />A/C — AMNDLG UNITS — H.P. <br />REFHIGERATION UNITS — H.P. I <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPOPATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />OR OWNER / / OATE <br />M EA. <br />M <br />M <br />. �........�.,..........._.. "�� <br />i1ECH <br />FEES �TIOI <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />�HIVEWAY PERMIT <br />TOTAL <br />PEPMIT VALIDATION <br />WHEN PROPERLV VALIDATEO (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDPESS FILE <br />