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�� � C'�1NSTRUCTION � . <br /> ever ett PERMIT PERMIT NQ:: � SO� 7 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING <br /> OWNEfl ❑ MECHANICAL ❑ pLUMBING Q SIGN <br /> MRII qDDRESS CITY <br /> Charles G. Spoelstra 2923 Oakes 21P PMONE <br /> �erett 98201 252-4633 33181 <br /> �RCHITECT Ofl DESIGNER MAIL RpDRESS <br /> CITV ZIP PHDNE <br /> GENEM�CONTR�CTOq � MAIL ADORES$ <br /> OWIIET dTY ZIP PHONE <br /> LiCENSE� <br /> MECH�NICAL CONTR��Tpp MrIIL AODflE55 <br /> CITV 21P pHpNE LICENSE• <br /> PWMBING GONTA�CTOR MAIL ApDRESS <br /> CITY ZIP PHONE <br /> 4LENSE� <br /> CLASS OF WORK <br /> � N� ❑ ADDITION ❑ALTERATION ❑ REPAIR ❑ DEMOLITION <br /> V�LU�TION Of WppK ❑ BUILDIN6 RELOCATION <br /> s 14��.�� <br /> DESCHI9E WOqN <br /> Placement of 4x8 sign on property <br /> NEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br /> anoroseo use ov euaoiNc <br /> Retail I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI� <br /> LEOALOESCPIPTIONOFPqOPEflTV�SHOWBEIOWpRqTTqCHFOURCOPIES� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �Ot�B�OCK � �F GOVERNING THIS TYPE 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 /> JOBADDRE55 THE PERF MANCE OF NST CTIO <br /> SIG NTRR R.AU IOR12ED NT.OR E <br /> 2923 Oakes, Ave. X o^TE <br /> PLUMBING - <br /> MECHANICAL <br /> NO T'PE OF FI)ITURE OR ITEM FEE <br /> NO. TYPE OF EOUIPMENT �E <br /> WATER CLOSET�TOILET� <br /> BATHTUB A/C—A/HNDLG UNITS—HP. <br /> HEFfiIGERATION UNITS—H.P.EA. <br /> LAVATORV�WqSHBASIN� <br /> SHOWER BOILERS—9.T.U./H.P. <br /> GAS FIRED A C.UNITS—B.T.U. <br /> KITCHEN S�NK 8 DISP. <br /> DISHWASMER — <br /> FORCED AIR SYSTEMS—B T.U. M EA. <br /> LAUNDRY TRAV N�ALL HEATERS—B.T.U. �,� <br /> UNIT HEATERS—BSL. M <br /> CLOTHES WASHER <br /> UliINqL EVAPORATIVE COOLERS <br /> DRINKING FOUNTAIN CLOTHES DRVERS <br /> FLOOR DRAIN �ENTI�ATION FAN <br /> BACKFLOW PREVENTERS RANIiE HOOD <br /> ROOF DRAINS—qpINLEAOERS �'�'ATER HEATEP • <br /> SINN(SERVICE—BAR,ETG) �'�'�OD STOVE <br /> MF.TAI,FIREPLACE d CMIMNEV <br /> FIqEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING — <br /> EXHAUSTFAN <br /> SUBTOTAL S <br /> PEHMIT SUB TOTAL <br /> f <br /> TOTQ FEE <br /> PEHMIT <br /> s TOTAL FEE <br /> FRONTSETBRCN REARSETBACK SIOESETpACN <br /> PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTRREA <br /> IACRNT SiTE <br /> ❑res ❑r�o FEES VALUATION FEE <br /> TYPEOFCONST OCCUPANCVGPOOP NOOfDWEILINGUNITS BUILDING <br /> �7 A:l: <br /> SIZE Of BLDG NO OF STONIE$ MAX OGC LpqO PLUMBING � <br /> MECHANICAL ` <br /> : , s .uo <br /> INVESTIGATION FEE CIfficI�3pA(e) .00 <br /> FIRE SPRINKLERS REOUIRED VES ❑NO <br /> STATE BUILDING SURCHARGE <br /> AVPUCATION4CC pY PLqNSCMECKEDOY STATE ENERGVSURCHARGE <br /> /PPq FOR ISSUANCE pv <br /> E12C. N.V. DRIVEWAYPERMIT <br /> S.H. L.N. Callahan TOTAL S�Ov <br /> PERMIT VALIDATION <br /> WHEN PPOPERLY VALIDATED(W THIS SPACE�THIS IS YOUR PERMIT <br /> L` <br /> �� <br /> � <br /> � <br /> r� <br /> AUDf?EiS F��.� <br />