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u,e �,e�gr¢en <br />an oF <br />everett <br />259-8745 <br />� Q"�NSTRUCTION � <br />PERMIT <br />� <br />PERMIT NO. 19 5 9 6 <br />❑ DEMOLITION ❑ COMBINf.T10N ❑ BUILDING � MECHANICAL O PLUMBING ❑ SIGN <br />OWNER MAILqO�PESS CITY 21P PMONE <br />Midas Muffler 716 Se Eve+-ett Mall Wav sverett. WA 98204 <br />APCHITECTORDESIGNER MAILAUOPE55 CITY ZIP PHONE <br />GENERALCONTRRCTOR MqILAOURESS CITV 21P PHONE LICENSE� <br />MAIL P�ORESS <br />QTY ZIP PHONE LICENSEM <br />SYnith A/C 14522 NE 190th WOOdi.nVille. WA 98072 485-7563 SMr����758PH <br />VLUMBING CONTflACTOR MAILApDPE55 CITV :IP pH�NE LICENSE x <br />CLNSS OF WORK � <br />❑ NEW ❑ ADD�TION � ALTEHATION ❑ HEPAIH ❑ DEMOLITI9N ❑ BUILDING RELOCATION <br />E <br />Install heat pump system for new office added. <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVG ❑ OTHER <br />Muffler repair shop. <br />LOT _._ B�OCK _ <br />JOB AD�flE55 <br />716 SE Everett Mall A'ay <br />PLUMBING <br />U7:lYi�,',I <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH �ASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />LAUN�RYTqAY <br />CLOTHES WASHER <br />URINAL <br />OPINKING FOUNTAIN <br />FLOOFDRAW� <br />BACKFLOW PREVENTEFS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERViCE — BAR, ETC.) <br />SUB TOTAL <br />PEHMIT <br />TYPE <br />APPIICATION ACC. BY <br />8B S.H. <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 />WHE'fHER SF'ECIFIED 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 PERFORMANCE OF CONST TION. <br />SIGNATUflE OF CONTRACTOR. AUTHOPIZEO N OR OW Efl DATE <br />���ea..� �I1,lss <br />MECHAN�CAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.7.U./H.P. <br />GAS FIREO 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 />EVAPORATIVE COOLERS <br />CLOTHES OfiYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOO�STOVE <br />MEfAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />V�CANT SITE <br />C]YES ❑NO <br />NO. OF OWELLING UNITS <br />rnnz. oca �oao <br />APPR FOP ISSUANCE BY <br />PLAN CHECK NUMI <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />SUB TOTAL <br />PEflM1T <br />TOTALFEE <br />FEE.'_.�,. �.. <br />VACUATION .- FEE <br />g_._.. ...� <br />INVESTIGATION FEE � Sec.304(e) <br />STATE BUILDIMG SURCHARGE <br />STATEENERGVSURCHARGE <br />ORIVEWAY FERMIT <br />TOTAL <br />PEflMIT V�LIOATION <br />WHEN f'ROPERLY VALIOATED (IN THIS SPACE) THIS IS YOUR PEP,MIT <br />nc� r,�ss ri� ; <br />24100 <br />� <br />� <br />i..n <br />rn <br />r <br />