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�� � � �INSTRUCTlON � �' <br />-8745 PERMIT PERMITNO. 2� �6O <br />ILITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br />MAILADDRE55 CITY ZIP PHONE <br />Kelly Services / Harmon & Assoc. 950 SE Everett Mall Way Everett 98204 <br />OR DESIGNER MAIL ADDNE55 CITY 21P �MONE <br />GENERAI G9NTRACTOR MAIL ApDRE55 QTY ZIP PHONE UCENSE � <br />MECMFNiCAL CONTPoICTON MAIL AODPE55 CITY 21P PMONE LICENSE � <br />MCDonald Miller Co. 11063 Pacific Hwy S Seattle 98168 763-9400 MACDOM248J9 <br />PLUMBINGCONTRACTON MAILIDDRE55 CITV ZIP PHONE 4CENSE• <br />:LASS OF WOFN <br />❑ NEW �ADDITION <br />F WORN <br />1271.00 <br />5 <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br />DESGRIBE WORK � IIIOV2 <br />Acficate existing Vav fan induction term's. increase elect. strin HT in 1 box diffusers <br />NEAi50URCE <br />O ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHEH <br />Office <br />LOT __ BLOCK <br />SE Everett Mal <br />PLUMBING <br />TYPE OF FI7(Tl <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />OISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />r�mx.�e <br />S¢EOFOLDG. <br />DRAINS — flAINIEADERS <br />iERVICE — BAR. ETC.) <br />LUBTOTAL <br />PERMIT <br />TOTALFEE <br />REARSETPPCN <br />LOT AqEA <br />OCGUPANGY GPOUP <br />PLANS CNEGKED BY <br />J.W. <br />I HEREBY CERTIFY THAT I HAVe READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAI�AE TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPF. 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 PERFORMANCE OF CONSTRUCTION. <br />StGNATU OFCONTPACTOR.AUTMO� EDAGE T.OfIOWNEN DAtE <br />X �.v,��r__ /�1 //i��,�.� i2/r/D �e � <br />FEE k0. TYPE OF EOUIPME <br />A/C — A/NNDLG UNITS — H.P. <br />HEFRIGEPATION UNITS — H.P. EA. <br />BOILERS — B T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATEFS — B.T.U. <br />UNIT HEATERS — B T.U. <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD 5T0'JE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />� <br />S <br />S <br />SIOE SETBACN <br />VACANT SITE <br />❑VES ❑NO <br />NO. OF DWELLING <br />MP%.00G LOAD <br />APPR. FOfl ISSUA <br />J.W. <br />SUBTOTAL <br />PEfiM1T <br />TOTALFEE <br />NUMBER <br />M EA. <br />M <br />M <br />� <br />rcc <br />�f%��=i :������� <br />BUILDING 5�' G__ _ <br />PLUMBING I'�CH S S.SO <br />MECHANICAL � <br />INVESTIGATION FEE Sec.304(0) <br />S7ATE BUIIDING SURCIIARGE <br />STATEENERGYSURCHARGE <br />DRIVEWAYPERMIT <br />TOTAL <br />VERMIT VALI011TION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />r,ouncss Fa= <br />��� <br />50 <br />� <br />�� <br />M <br />r <br />N <br />