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`�� � l JNSTRUCTION `�� " - <br /> everett PERMIT PERMITNQ::-� ���T <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING g7 MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OMMER MAII ROORESS CITY ZIP PMONE <br /> State of Washington 206 General Administration Building Olympia, WA 98504 <br /> APr,NITECT OR pESiGNER MRILAOORESS CITY _IP PNONE <br /> Wilkins Architect 1209 lst S. Seattle, WA 98134 682-0861 <br /> GENEMLGONTRRCTOP MRLLADORE55 CITY ZIP PHONE LICENSE� <br /> Yx�xfcacY J & L Builders 5211 S Langley Rd. Langley 98260 321-6493 JLBUI283NG <br /> MEGHANICRLCONTRRCTOR MRILAODRESS CITY ZIP PHONE LIGENSE• <br /> Thompson & Sons 5678 Rish Rd. Frceland 98249 321-6593 THOMSS28302 <br /> PLUMBING CONTRACTOR MRIL AOORESS CITY ilP MONE LILENSE� <br /> CLASS OF WORN <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DE6iOLITION ❑ BUILDING RELOCATION <br /> v�wnnoN or woAn <br /> S 2500. <br /> DESCRIBE WONK <br /> Tnstall range hood, ductwork and exhaust blower <br /> HERTSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPoSEO USE OF BUILOING <br /> Business & trainingxiufutis National Guard I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRU AND <br /> LEG�L[]ESCRIPTIONOFIMIOPENTY�SNOWBELOWORATTACNFOURCOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK _ OF GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIEU 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 LA�.N REGULATING CONSTRUCTION OR <br /> THE PE RMANCE OF CONSTRUCTI N. <br /> JOBNODHESS SIGNAT OF NTRACTOR.AUTNORIZ GENT. VMER DATE <br /> 2730 Oakes X . 4 6/11/B7 <br /> PLUMBING MECH CAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� AiC—AiHNDLG UNITS— I P. <br /> BATHTUB PEFRIGERATION UNIT�—H P.EA. <br /> LAVATORY�WASH BASIN) BOILEHS—B.T.0/H P. <br /> SHOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUN�HYTRAV UNITMEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FIOOR DRAIN 1 RANGE HOOD SO <br /> BACKfLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEAOEHS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.� METAL FIPEPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> 1 E%HAUST FAN SO <br /> SUB TOTAL f SUB TOTIIL 1 OO <br /> PERMIT f PERMIT 1 OO <br /> TOTAL FEE f TOTAL FEE 2 OO <br /> FRONT SF.TBncK nEnn 5[TOFCK 9DE 5E*oACK PLAN CHECK NUMBER FEE RECEIPT YO. <br /> USEZONE IOTRREA yqCRNTSiTE <br /> ❑ves ❑no FEES VALUATION FEE <br /> TYPEOFCONST OCCUPANCY�ROUP NOOFOWELLINGUNITS BUILDING ���]�jEf'� �(�71„��} '�(��(-�bJ6�7� I�L��P <br /> PLUMDING � <br /> SIZE Of OLDf. NO OF STOPIES MR% OCC LOPD i+lili.i p""' <br /> MECHANICAL ^i;I;H -�°�:.t'�� 26 �O <br /> INVESTIGATIONFEE �ny,t�`3pq��) "����LU <br /> FIPE SPRINKLERS REOUIRED ❑YES O NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> �POUCATIONFCC OY FIANSCNfCNEDOY APPR �ORISSUANCE�Y <br /> DRIVEWAV PEFMIT <br /> M.M. TOTAL 28 00 <br /> PERMIT VA�IORTION <br /> N N PROPERLY VALIDATED�W TNIS SPPCE�iHK IS YGUR PEe7MIT <br /> L� <br /> N <br /> M <br /> � <br /> � <br /> �. _,. , . <br />