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`��`��'�e�' f 7NSTRUCTION <br /> ��,�oF <br /> ev�re'� pER�1ll1T PERMITNO. � 1 �1 �% J <br /> 259 - 8745 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL [}� PLUMBIR: ❑ SIGN <br /> UdNCN MAtL4�DRESS CITY LP PHONE <br /> Perron 3406 Lombard Everett 98?0l <br /> :���CMITECTOA�CSIGY[B n�niinnoness CITY ZIP FHONE <br /> ,ENERALCONTRACiOR AIAILAO�BE55 C�TV ZIP PHONE LICENSED <br /> Storms Construction <br /> IdLCHANIC�LCONTR�Cip9 MAILAp�fiE55 CITY 21P PNONE UCENSE• <br /> PWMaMGCONii1ALTpf1 61AILFO�RE55 CITY ZIP PI�ONE IICC':SC� <br /> Trakar Pliunbing 2923 Silver Crest Dr. Bothell 98012 337-1717 _ <br /> C❑ NEW or+N ❑ ADDITION i}� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUIL6ING RE�6CATION <br /> VA�UATiON OF N'OPN <br /> $ <br /> OESCRipE WOBN � <br /> NEnrsaunr[ <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF pUiL01NG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ecnioescaianoNOFanoaenrr�sHowoe�ovioa.�trncNwur+cowcs CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GO✓ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_o�ocK _ or y�HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE laUTHORITY TO <br /> - VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTP'JCTION OR <br /> THE PERFOFlvIANCE OF CONSTRUCTION. <br /> JOfl�LLnf.`,5 SiG�lnT�'EQf CONT,{iACi .AU/i110f1iZED AGENT.OR O�'/��[(i ��TE <br /> 3406 Lombard X ' ;�� .-�� r l.^•-"�s' � �l��i-�.'L� <br /> PLUMBING ME CHANICAL <br /> NO. TYPE OF FIXTURE OF ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> _� WATER CLOSET(TOILET) A��C—A,'HNDLG UNITS—H P <br /> BATHTUB REPflIGERATION UNITS—HP.EA <br /> 1 LAVATORY(WABM BASIN� �OII.ER$—OS.U./H P. <br /> 1 SHOWER S O GFSRREDAC.Uk1T5—BS.U. <br /> 1 KITCHEN SINK 8 DISP. FORCEO AIR SYSTEMS—B T.U. M EA. <br /> OISHWASHER WALLHEATERS—BTL. M <br /> LAUN�RV TRAV UNIT HEATERS—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URW4L CLOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS 2 WATER HEATEfi ].3 OO _ <br /> ROOF DfiAINS—RAINLEADERS WOOD STOVE <br /> SINK�SEFVICE—BAR.ETC.) METAL FlREPLAL'E 8 CHIMNEV <br /> FlflEPLACEINSERT <br /> HEAT PUMP <br /> GASPIPING UL�/13/66 3�OiP �7a�1�8 �'��'�' <br /> EXHAUSTFAN / <br /> — H00017008 <br /> SUB TOTAL s ��, sue f'O.f� 3353 0 13 00 <br /> PERMIT 5 ],� PEHI�IECI� 4�1:� � <br /> TOTAL FEE 5 TOT/Q}{G�'I( L�fB <br /> Fnoni SeroncK nEnn s[Toncrc SioE SETnncK PLAN CHECK NUMBER FEE NECEIPT NO. <br /> lISEZONE LOTAR'cA ypCNNTS�TE <br /> L�ves ❑No FEES VALUATION FEE <br /> TYPEOFCONST. OLCUPANCYGROIIP NOOFDWELIINGUNITS BUILDING S <br /> oLUMBING <br /> SIZE OF OLDG NO OF STORIES MA% OGC lOFO <br /> MECHANICAL 13 OO <br /> INVESTIGATION FEE Sec.3041e) <br /> FIRE SPRINKIERS REOUIRED ❑�ES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLIG\�fIONPC.; f1Y PLFNSCHWKEDOY A�CR GONISSUANC[UV <br /> DRIVEWAY PERMIT <br /> YOTAL 48 00 <br /> PERMIT VALIDATION <br /> \VHEN PROPERU'VALIDATED�IN TI IIS SPACE�THI$IS VOUR FEiih71T <br /> � <br /> U <br /> � <br /> L` <br /> t� <br />