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� r� �+ ■ ■ �vv • ■v■ <br /> eve8�tt PERMlT PERMIT NQ.= 16973 <br /> ❑ DEMOLITON ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PI.UMBINf3 ❑ SIGN <br /> pW11ER MAIIADDRESS CITY 21V RIONE <br /> Mike Garten 4830 Colleae AceII�ie Everett Wa <br /> �pGHIiECTORDESIuNER MAIIADDNESS CITY ZIP PHONE <br /> GENEML f.p/TPAGTOP MFIL ADDHESS dTY 21P PHJNE LICENSE• <br /> MECMANIC��CONTRACTOR M�IL ADDRE55 CITV 21P PHONE LIGENSE� <br /> RUMBING CONTIIACTOR MAIL��URE55 CITY ZIP PHONE LICENSE� <br /> Trakaz Plumbino 2923 - Silver Crest Dr Bothell wA 98012 337-1717 <br /> C1�550F WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOUTION ❑ BUILDIN6 RELOCATION <br /> VALLATION OF WORK <br /> f <br /> pE$LHIBE WORK <br /> r1EAT SOURCF <br /> ❑ ELECT111CITY O GAS ❑ WOOUSTOVE ❑ OTHER <br /> vnovosco use or euaon+c <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMIfvED THIS <br /> Sin le famil residence qPPLICATION AND KNOW THE SAME TO BE TP�JE AND <br /> LEOALAESGRIVTIONOFPqO�EPTY�SHOWBELOWORATfRCHGOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN _ OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> VJHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS UF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AODRE55 SIGNRT F CONT ACT .AU ONREO AGENT,OR ONTIER OATE <br /> 4830 Colle e Avenue X <br /> PLUMBING MECHANICAL <br /> NO. TYPE 7F FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOILET) �%C—A/HNDLG UNITS—MP. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. <br /> LAVATORY�WASH BASIN� BOILERS—B T U/H.P. _ <br /> SMOWER GAS FIRED 0.C.UNITS—d T.U. <br /> NITCHEN SINK 8 DISP. FOHCED AIR SYSTEMS—B.T.LL M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRYTRAY UNITMEATERS -B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> 'iLOOR ORAIN RANGE HOOD <br /> BACKFLOW PREVENTeRS WATER HEATER • �.� <br /> ROOF DRAINS—RAINLEADERS wOOD STOVE <br /> SINK(SERVICE—BA0.ETCJ METAL FIREPLACE 8 CHIM <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GRS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL { SUBTOTAL <br /> PERMIT f PERMIT <br /> TOTAL FEE f 1 OTAL FEE <br /> FFONT SETBnCK PEnR SETBACK SI�E SETBnCN PLAN CHECK NUM6ER FEE RECEIPT NO. <br /> USEIONE LOTAREA yq��NT51TE <br /> ❑ves ❑r+o FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPaNGYGROUP NOOFOWELIINGUNITS BUILDING S <br /> PLUMBING <br /> SIZE OF BLDG. NO OF STORIES MAX.OCC LOAD <br /> MECHANICAL <br /> INVESTIGATION FEE ��.�(�) <br /> FIRESPRINKIER�REOUIRED YES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSUP.CHARGE <br /> APPLICATION ACC BY PLANS CNECNED BY APPB.FOR ISSUNNCE OY <br /> DRIVEVlAV PERMIT <br /> TOTAL Inn <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THI515 VOUR PERMIT <br /> M <br /> ti <br /> � <br /> Ca <br /> � <br /> noi��iEss r�� � <br />