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rne E�,e�green <br />ciTv oF <br />everett <br />259-8745 <br />� Cl�`NSTRUCTIUN r � <br />PERMIT PERMITNOr, 20033 <br />❑ DEMiILITION ❑ COMBINATION � BUILDING ❑ MECHANICAL 'O PLUMBING ❑ SIGN <br />U'NNER MAILADDNESS CIiY ZIP f'HUNE <br />�aremba Midwest 640 Pearson St. DesPlaines IL 60016 (312) <br />ARCHREQ OR OESIGNEfl ��L ADDRE55 CITV 21P PMONE <br />Mithun-Bowmaverich 2000 112th Ave. NE SXM Bellewe, WA 98004 454-3344 <br />GENERALCONTRACTOR MAILAD�PE55 CITY ZIP PMONE 4CENSF.• <br />United Western Const. P.O. Box 33428 Seattle, WA 98133 367-3801 UNITEW 197J3 <br />MECHANICFICONTRACTOR MAllA00flE55 CITY ZIP PHONE LICENSEX <br />VWMBINGCONTPACTOR MnILADOPE55 CITY 21P PMONE UCENSE• <br />� NEW ❑ ADDITION �I.i�LTERATION ❑ NEPAIR ❑ DEMOLITION ❑ BUILDING HELOCATIOti <br />VR�UATION OF WORK <br />5�� 3,000 <br />OESCRIBE WOHK <br />Frame mtl stud walls and cover. <br />HEAiSOURCE <br />❑ ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />LOT _ B�OCK _ <br />PLUM8ING <br />TYPE OF PIXTURE ON ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SMOWEF <br />IGITCHEN SINK & DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CIOTHES WASHER <br />FLOOR DRAIN <br />BACKFIOW PREVENTE <br />ROOF DRAINS — RAINI <br />SINK (SERVICE — BAfi. <br />USEZONE <br />C�l <br />TYPE OF CONST. <br />V-N <br />SREOFB�OG. <br />2070 <br />FIRE SPRINKLERS R <br />APPLICATION ACC. OV <br />.M.M. <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <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 />GOVERNING 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 PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERF RMANCE OF CONSTRUCTION. <br />SIGNATU FCONTIjpG�O/R/.�} UTHOR12E�A T.OflOWNER ` DATE p <br />X i�n��UO/i/J�� O���w2.'OE <br />NO. <br />A/C — A/HNDLG UNITS — H.P. <br />REFflIGERATION 11NITS — H.P. EA. <br />BOILERS — O.T.U.MP. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVECOOLERS <br />CLOTHES�RYERS <br />VENTILATION FAN <br />PANGEHOOD <br />WATER HEATER • <br />METAL FIHEPLACE 8 CHIMNEV <br />FIpEPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEflMIT <br />M EA. <br />M <br />M <br />SETBncN PLAN CHECK NUMBER FEE � FiEGEIPT NC <br />88/20033 N0�33 97883 <br />`v� ��`•• yqCANT5ITE <br />❑YES ISNO <br />OCCUPANCYGROUP NO.OFOYJELLI <br />$�2 � <br />NO.OF STORIES MA%.00G lOP <br />1 69 <br />urvirs BUILDING S 54.00 S �� <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec.304�e) <br />STATEBUILDINGSURCHARGE 3 SO <br />STATEENERGYSURCHARGE <br />iFCKFP BY APPR. FOR ISSUANCE DV <br />B.E. B.E. <br />Seperate Plbg., Mech., and Elec. permits <br />required. <br />DRIVEWAY PERMIT <br />TOTAL <br />$7.$0 <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIOATED (IN THIS SPACE) THIS IS YOUR PEflMIT <br />ADDiESS RLE <br />M <br />�7 <br />O <br />O <br />N <br />