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��° � �NSTRUCTION ' � - �7 qC <br />e�erett PERMIT PERMITNQ:-� ! � t J <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING O SION <br />OWNER MAILApORE55 CIT`! ZIP PMpNE <br />Ivers Lawson 607 Leain:+ Dr Everett 259-2614 4frYx 252-8091 <br />ARCHITECT ON UESIGNER MAI� ppDRESS GITY 21P PMONE <br />GENERAL CONTRAGTOR MAIL AODRESS CITY ZIP PMONE LICENSE • <br />MI-IA ThermabiJ.t Homes Inc. 2216 - 131st NE La}:e Stevens 98218 334-1915 <br />MECMANICALCONTHACTOR MRILAOORE55 CITY ZIP PHONE UCENSE� <br />MILOTHI153D9 <br />PLUMBING CONTRRGTOR MAIL /DDRESS QTY ZIP PHONE UCENSE • <br />GLASS OF WORK <br />F7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION <br />V�WRTIO'1OF WORK <br />S.rJ�I���. <br />OESLRiBE WORR <br />New construction, block, wood frame, mechanic's shop <br />ME�TSOURCE <br />❑ ELECTNICITV ❑ �;AS ❑ WOODSTOVE ❑ OTHER <br />8afas�� Auto Vclinic <br />26 & 27 <br />LOi � BLOCK 630 <br />IOBAOORE55 <br />2708 McDougall Ave <br />PLUMBING <br />WATEP CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />�ISHWAyNER <br />CIOTHES WASMER <br />URINAL <br />DRINhING FOUNTAIN <br />FLOOF DRAIN <br />BACNFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />0 <br />USE20NE <br />C-1 <br />TYPE OF CONST <br />V-N <br />SIIE OF BLDG <br />13A8 :;f <br />FIRE SPRINN' <br />narucn� ; ov <br />$ <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />9EARSETpnC4 <br />0 <br />LOTAREA <br />6000 <br />OCCUPANCYGROUP <br />H-4 <br />NO OF STORIES <br />1 + mezz. <br />i ❑ vEs L}no <br />PLGNS CHECNED DY <br />JEF <br />0 <br />vFC/ Ni SiTE <br />PGYES ❑NO <br />NO OF OWELII <br />0 <br />7 <br />APPR fOR <br />I.0 <br />FEE <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 PROb'ISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE CONST UCTION. <br />SiGN�CONTRACTO A HOR12ED ENT.OR OWNER DATE <br />�. G_v,�� <br />A/C — A/HNOLG UNITS — H P. <br />REFRIGER4TION UNITS — HP. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRED A C. UNITS — O.T.U. <br />FORCEDAIRSVSTFMS—BT.U. MEA. <br />WALI HEATERS — 8 T.U. M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVE COOLEFS <br />CLOTHESDRYERS <br />VENTILATION FA� <br />FANGEHOOD <br />WATER NEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECH NUME <br />86/16878 <br />FEE <br />SUBTOTAL S <br />PEPMIT f <br />TOTALFEE f <br />ff�/04/86 12: ?PfF�lOOpAl797 <br />269.p3 80263 <br />FEE <br />BUILDINC � Q Q14 <br />PLUMBING B S(iCH St.SO <br />MECHANICAL <br />xasr�swsx�moimeaePlan c. e�p�p�gm 90 <br />STATE BUILDING SURCHARGE � f 1 <br />c � <br />STATEENERGVSURCHARGE SL�Z—S SS. .L4 15 <br />DHIVEWAV PERMIT 35 <br />TOTAL ' S56 <br />PEflMiT YALIDATION <br />WHEN PROPERLV VALIUATED �IN THIS SPACE) THIS IS VOUR PERMIT <br />c, ;,r,�_'s F e � <br />