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u�� <br />c�n oF <br />everett <br />259-8745 <br />�` C�NSTRUCTION � � . _ <br />PERMIT PERMITNQ.=20573 <br />❑ DEMOLITION 0 COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OWNER MAILADDqE55 CITV ZIP PHONE <br />Arland Rose 13528 Hwy 99 Everett 98204 742-4220 <br />PRCMITECTOFDESIGNEH MAILAUURESS CITY ZIP PHONE <br />GENERALCONTRACTOR MAILAODREeS CITV 21P PMONE LICENSE� <br />MEGMRNICALCONTRACTOR M/ILADORF.SS dTY 21P PMONE LILENSE� <br />F'LUMBINGWNTqACTOfl MqILAD�RESS CITV ZIP PMONE LICENSE� <br />Puget Sound Plumbinq 2024 W. Casinc Rd. Everett 793-9537 PUGETSP14102 <br />LI.RSS OF WORK <br />�{CNEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />VALVATION OF WORK <br />i <br />Plumbing for new store and gas station. <br />IEAT SOUNCE <br />❑ ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OThiER <br />�iPtltYi[QI➢!it store and gas station <br />\10E5CPIPTION OF PROPERTY ISMOW BEIO W OF / TTACN FO <br />LC1T _ BLOCK ___ <br />333 SW Everett Mall Way <br />PLUMBING <br />WATER C: OSF.T (TOILET) <br />BATMTIIO <br />LAVATOPY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTRA'i <br />CLOTI IES WASHEF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />ROOF �RAINS — RAWLEA <br />SINK ISERVICE — BAR. ET <br />TYPE OF CONST. <br />.PPLICATION ACC. OY <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOTIIL FEE <br />GROUP <br />CHECKEO BY <br />I HEREBY CERTIFY T!-IAT I HAVE READ AND EXAMINED TMIIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COARECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEfl SPECIFI[D HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GI'/E AUTHOHITY TO <br />VIOLATE OR �'�NCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFOFlMANCE OF CONSTRUCTION. <br />SIG�NA ' RE OF CONTRA O(i. AIJTMORIZED AGENT, OH OWNEP DATE <br />X"L'i .,.r� � r_ �\/� n �I�c� �v� 4�.'S-, <br />MECHANICAL <br />TYP[ OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGF.RATION UNI iS — H.P. EA. <br />BOILERS — B.T.U.M.P. <br />GAS FIRED A.C. UNITS -� B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESORYFpS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER � <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIFEPLACEINSERT <br />HEATPUNP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAn CHECK NUMBER <br />V�CRNT SITE FEES <br />❑YES ❑NO <br />NO.OFOWELLINGlNITS BUILDING <br />APPR FOR ISSUANCE DY <br />FEE <br />VALUATION FEE <br />J <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec.304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PEPMIT VALI�ATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE� THIS 1,. �OUR PERMIT <br />ADDRESS FIIE <br />50 <br />50 <br />�: <br />��r <br />�..�± <br />0 <br />N <br />