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�"a's,.�„ ,.� <br /> everett C�NSTRUCTION � � <br /> 259 -8745 PERMIT PERMITNO. Z��U�t <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ g�(+N <br /> OWNER MAIL PODfiE55 1'HONE <br /> Ted W. Trepanier 3201 Broadway E�erett, WA 98201 259-5556 <br /> �RCHiTECT OR OESIGNER MAiL��DRESS MDNE <br /> Douglas Enqelson 3201 Hroadway Everett, WA 98201Y 259-5557n <br /> GENERALGONTq�CTOR MRILAODRE55 PNONE <br /> Carl Laraon 9801 76th S.W. Mukilteo� WA 98275crY 355-4745 ZCI�RLCI160NH �IGENSE• <br /> MECHqNICAL GONTPRGTOR MAIL RO�RESS CITY IIP PHONE LICENSE� <br /> PIUMBiNG CONTR�CTOR MqIL�DOBE55 QiY 21P PMONE LICENSE• <br /> ClASS pF WOPK <br /> ❑ NEW ❑ ADDITION &1 ALTERATION ❑ REPAIR ❑ UEMOLITION ❑ BUILDIN(i qELOCATION <br /> V�lURT10N OF WORN <br /> f 1�5����.��� <br /> DESCRIBE WONN <br /> RBn10del. <br /> . HEATSOUPCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROVOSED USE Of BUIIDING <br /> Prof. Offices I HEREBY CERTIFY THAT I HAVE READ qND E%AMINED THIS <br /> LEO�LOESCRIVTIONOfPROPERTY�SHpWBELOWORATTACN�OURCOVtES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT_BLOCK _ OF GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHEFl SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO uIVE AUTHORITV TO <br /> VIOLATE OR CANCEI THE PROVISIONS OF ANY OTHER <br /> � STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> � THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AOOHESS SiGNRTURE�NT TOR.AUTNORRED AGENT,OF Oy.T1ER OATE <br /> 1420 Hewitt Ave. X �— S—/B � <br /> PLUAiMING MECHANICAL <br /> MC• TYPE OF F1IITURE OR ITEM FEE NO, rvoE OF EOUIPMENT �E <br /> WAiER CLOSET(TOILET� AiC—AMNOLG UNITS—H.P. <br /> B�TMTUB qEFRIGERATION UNITS—HP.EA. <br /> � LAVATORY�WASHBASIN� 601LER5—B.T.U./HP. <br /> SMOWER <br /> GAS FIRED A C.UNITS—B.T.U. <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEMS—B.TL. M EA. <br /> DISMWASHER WALLMEATERS—BT.U. M <br /> LAUNDRYTRAV UNITHEATERS—BS.U. M <br /> CLOTHES WASMER EVAPORATIVE COOlERS <br /> URINAL C�OT4E5 DRVERS <br /> DRINNING FOUNTAIN yENTILATION FAN <br /> FLOOR DRRIN RANGE NOOD <br /> BACKFLOW PREVENTERS WATER MEATER <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINN(SERVICE—BAq,ETC.) METAI FIREPLACE 8 CHIMNEV <br /> FIREPLACE WSERT <br /> NEATPUMP <br /> GAS PIPING <br /> EXNAUSTFAN <br /> 8UlTOTA� f SUBTOTAL <br /> PENMIT S PEqMIT <br /> TOTALFEE S TO <br /> FNONT SETB�LR R[RR SETBRCN SI�E SETOACN PLAN CHECK NUA7BEfl FEE � RECEIPT NO. <br /> usezone IOTARFq 88/20064 MOOOP6lBb5 97663 <br /> VACRNi SItE <br /> B-3 ❑vcs �lr+o FEES TION FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NOOFOWELLINGUNITS BUILDING � 6S7 OO <br /> V-N B'2 0 <br /> PLUMBING B �{ � �� <br /> SIZE OF BIDG NO OF STORIES MAA.00C LOAO <br /> 1257 1 1 2 30 MECHANICAL ` <br /> INVESTIGATION FEE Sec.30d�e) <br /> fIRE SPRINKLERS REOUIRED YES ryp <br /> S7ATE BUILDING SURCHARGE 3 50 <br /> MttICNTiONACC �Y PLANSCNECNEDOV APPR fORI55L14NCEBV STATEENERGYSURCHARGE <br /> DRIVEWAV PERA11t <br /> h1.Df. B.E. B.E. TOTAL 660 50 <br /> VERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS I$YOUR PERh1�T <br /> d� <br /> CO <br /> O <br /> O <br /> N <br />