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everett � ��STRUCTION �* ^ <br /> 259 -8745 PERMIT PERMITNO. � �70� <br /> O DEMf3LITION � COMBINATION [$BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONNER M4ILRDDRESS CITY ZIP PMpNE <br /> Robert Jungaro P.O. Hox 363 Mukilteo, WA 98275 742-4 2894 <br /> �qLHITECTON0E51GNER MRILADDREFS CITY ZIP MONE <br /> GENENALCONTRAGTOR M�ILADDPE55 CIiY 21P R10NE LIGENSE� <br /> Dev Mar P.O. Box 363 Mtilcilteo, WA 98275 742-2894 DEVMAC162JW <br /> MECHANICALCONTqACTOR MRILROORE55 CITY Z�P PHONE UCENSEr <br /> VLUMBING CONTq�CTOR MpIL ADDRE55 CITY 21P MONE IICENSE� <br /> CLASSOF WORK <br /> ❑ NEW ❑ ADDITION � ALTERATION � REPAIR ❑ DEMOLITION ❑ BUILDIN6 pEIOCATON <br /> V�LUATION OF WJRN <br /> S 5�024. <br /> OESCRIBE WORN � <br /> Tnterior partition walls <br /> ' ME\TSOURLE <br /> O ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTNER <br /> � Ai0oO5EC USE OF BUILDING <br /> Pzcific Medical Buildinq I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> ; �Ecu,pes�nlPfIONOFPROPEHT��ShOWBELOWOR�TT�CNFOURCOPIE51 CORRECT. ALL PROI�ISIONS OF LAWS AND ORDINANCES <br /> 1 b 732 Plat of Everett Div H GOVERNING THIS TVPE OF WORK WILL BE COMPIIED WITH <br /> �o��x eiocK _ or 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 ANV OTHER <br /> .. PROPERTY MANAGER'S OFFICE STATE OR C�LAJV REGULATING CONSTRUCTION OR <br /> THE PERF AN E OF CONSTFUCTION. <br /> � JOB ADDRE55 SIGNRTURE Of O fipCT .AUTMGRKED AGENT,OP O 'I�DJ�jE <br /> � 1100 Pacific Ave X <br /> � V V <br /> � PLUMBING MECHANICAL <br /> � NO. TY►E OF fl7ITURE OR ITEM FEE NO. TYPE OF E�UIPME7IT FEE <br /> WRTER CIOSET(TOILET) AiC—AMNDLG UNItS—H P. <br /> B�TNTUB REFRIGEHATION UNITS—H P.EA. <br /> � LAVATORY(WASHBASIN) BOILERS—B.T.U.MP. <br /> SHOWER GAS FIRED AL.UNITS—D.TL. <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEMS—BS.U. M EA. <br /> DISHW�SMER WALLHEATERS—BT.U. M <br /> LAUNDRV TFAV UNIT HEATERS—B T.U. M <br /> � CIOTMES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION�AN <br /> FLOOR DRAIN RANGE Ii00D <br /> � BACKFLOW PREVENTERS WATER HEATEF <br /> ' FOOF DRAINS—RAINLEAOERS WOOD STOVE <br /> SINK�SERVICE—BAF.ETC.) MEl FL FIREPLACE 8 CHIMNEY <br /> , HREPLACEINSERi <br /> � HEATPUMP <br /> - G45 PIPING <br /> E1:HAUSTFAN � <br /> SUS TOT11L { SUB TOTAI <br /> PERMIT t PENMIT <br /> TOT11L FEE f TOTAL FEE <br /> FaONi SETBnCK REnR SErBACK StoE SETBaCK PLAN CHECK NUMDER FEE RECEIPT NO. <br /> --- --- --- 88/19700 46.80 95413 <br /> USE 20NE LOT RRER yqCAM SITE <br /> R-4 L�YES j7r+o FEES VALUATION FEE <br /> TYPEOI'�ONST. OCCUPANLYGROUP NOO'DWELIINGUNITS BWLDING 55,824. 81 00 <br /> V — 1 HR H-2 0 PLUMBING <br /> SIZE OF BLDG NO OF STORIES MR% GCC LOAD <br /> 416 S£ 1 5 MECHANICAL <br /> ----- k�Xftic3tQ�tiAA�kfc�t8�i ��eE.�Soelc� 5 85 <br /> FIHESPRINKL£RSREOUIRED �ES NO � <br /> S7ATEBUILDING SURCHARGE 3 .�i0 <br /> STA7EENERGYSURCHARGE <br /> APPLIJ�TIONACC BP PUNSGMECKEUBY APPIi FORISSU4NCEDV <br /> ORIVEWAY PERMIT <br /> Be BE 70TAL 90 35 <br /> PERMIT V�LIDIITION <br /> SEPARATE PERMITS T�QUIRED FOR PLUMBING, WNEN PROPENLV VALIDATEJ(IN THIS SPACE)THIS IS YOUR PERMIT <br /> MECHANICAL AND ELECTRICAL � <br /> O <br /> L�- <br /> � <br /> � <br /> ADDFcSSI,LL <br />