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"`"EOe/��" � TRUCTION 1 <br />��TYOF �' �NS - � 18829 <br />e�erett PERMIT PERNIIT NQ:-_ <br />259-&745 <br />❑ DEM(SLITION � COMBINATION ❑ BUILDING _ � MECHANICAL � PLUMBINoNE ❑ SIGN <br />M <br />OWNEP <br />Lvrerett Professional Properties <br />MRIL <br />MPIL <br />MAIL <br />aE55 <br />2722 Colby Ave. <br />M�IL /+ODRE55 <br />Ll1MBING f.ONTRACTOR <br />Coal�uell Mechanical Marysville, WA 252-1861 <br />;LASS OF WORN <br />❑ NEW O ADDITION � ALTERATION ❑ REPAIR <br />/PLURTION OF WOAK <br />S <br />DESC9ifiE WORN <br />Install plwnbing for restroom <br />MEAf50UACE <br />❑ ELECTRICITY ❑ GAS <br />MiOPOSED USE OF GNLDING <br />Office _ <br />�pT � BIOCN � O� <br />Z7 ZI <br />�vt Ave. <br />PLUMBING <br />NO. TYPE OF FIXTUflE <br />WATER CLOSET �TOILET� <br />BATHTI;B <br />LAVATORV (1YASH ��SIN) <br />SHOWFR <br />NITC��EI� SINK S DISP. <br />L:ISNVlASHER <br />LAUNDRVTRAY <br />Cl0'MES WAS4IER <br />URINAL <br />�RINKII.IG FOUNTAIN <br />FLOOR DRAIN <br />DACKFLOW PAEVENTER$ <br />ROOF DRAINS — RAIM1LEPDE <br />SINN �SERVICE — 8��7. LTC 1 <br />❑ WOODSTOVE <br />GRV ZIP <br />Everett 98201 259-3911 ext.219 <br />GTY ZIP PHONE <br />w� <br />CITY <br />cur <br />CAALY7M151SN <br />❑ DEMOLITION <br />MO4E IICENSE � <br />PNONE LICENSE i <br />ihiONE IICENSE • <br />❑ BUILUING RELOCATION <br />❑ OTHER <br />I HEREBY CERTIFY THAT I NAVE READ AND EXAMINE� THIS <br />CORRECTIOALL PROV SOIONS OF IAWS AND ORD NANCE9 <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITFi <br />PERM TE DOESyINOT� PRESUMER TO TGIVE AUTHORITYO TO <br />VIOLATE OR CANCEL THE PROVISIONS O(� ANY OTHER <br />STATE OR LOCAL LAW HEGULAT!NG CONSTRUCTION OR <br />THE PERFORDAANCE OF CONSTRUCTION. <br />SiGNATUdEO�CONTPPCTORAUT�O�iZE��GENJ.O�iOYFNER �AT� <br />X.`,'� .�..J l� ���� � �� <br />r.. ,-�,_.�'F-; <br />OR ITEM FEE � NO. TVPE OF EOUIvn <br />A� C— �: HNDLG UNITS — H P <br />�� FEFRIGERA710N VNITS — H P F <br />�OILERS — 8 T U/H P <br />GAS FIREO A C. UNITS — B T U <br />FORCED AIR SVSTEMS — B T U <br />WALL HEATEPS — B T.0 <br />UNITHEATERS —BT.U. <br />Eyqppi7ATIVE COOLERS <br />CLOTNESORVERS <br />VENIILATION FAN <br />RANGEHOOD <br />1 WAiEfiNEATER � <br />�S WOODSTOV� <br />METAL i1flEPlACE 8 CHIMNEY <br />FIPEP�ACE INSERT <br />HEAT Pl1MP <br />� GAS PIPING <br />�E%HAUSTFAN <br />$UBTOTAL <br />P£RMIT <br />TOTALFEE <br />tVPE OF CONST �' <br />S12EOFBLDC NO <br />FIFESPRINKLERSREOUIRED I <br />nCPiIU'ION/CC2r P� <br />S.H. <br />f �S <br />S 1� � <br />siod SErnncrc <br />yq�ANT SITE <br />❑YES ❑NO <br />NC OF OYlELL�NG UNrtS <br />Mn% OCC LOFD <br />APi'B fOfi 155lIPNCE [IY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />CHECK <br />M EA <br />M <br />M <br />FEE <br />N0 <br />BUILDING 5 <br />PILMBING <br />MECHANIC�.; <br />INVESTIGATION FEE SeC.3041e) <br />STATE OUILDING SURCHARGE <br />STATEENEFGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT VMLIDATION <br />WHGN FROP[RL'/ VAl IDM1TED IIN THIS SP�CEI THI515 YOVR PERMIT <br />