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`�� '�`� C'�NSTRUCTION r � (�c <br />everett PERMIT PERMITNQ:� � JUO� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING J�MECHANICAL 'f] PLUMBING ❑ SIGN <br />OYMEfl MAIIPDORE55 QTY ZIP PNONE <br />Lunch Room Deli Terriy Lewis and �$hg'r��Foresman 1230 W. Marine View Dr. <br />ARCMREC70RDESIGNER / MRI�AODflESS CITY 21P PMONE <br />Everett, WA 96201 <br />GENER�LCONTRACTON MAILADDflESS CITV ZIP PNONE LICENSE• <br />MECMANICALCONTqRGTOR MAILRDDRE55 CITY ZIP PHONE LIGENSE� <br />Owner <br />PLUMBING CONTRRCTOR MAIL ADDRESS CITY ZIP PMONE UCENSE • <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION <br />V�LUATION OF WOPN <br />s <br />[�ALTERATION ❑ REPAIH <br />6i[A1F Gas piping and new stove. <br />1EAT $OURGE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />LOT _ BLOCK <br />JOB ADDRE55 <br />28[ 1230 W. Mari.ne View Dr. <br />PLUMBIN6 <br />NO. <br />. WATER C�OSCT (TOILET/ <br />BATHTUB <br />� LAVATORY �WASH BASIN) <br />ISHOWER <br />' KITCHEN SINK 6 DISP. <br />� DISHWASHER <br />i LAUNDaVTRAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOH DRAIN <br />BACKFLOW PREVENTEHS <br />ROOF DRAINS — RAINLEA <br />SINK (SERVICE — BAR, ET <br />USEZONE <br />BY <br />S.H. <br />NO <br />OR ITEM <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING pELOCATION <br />I HEREBY CERTIFY TliAT 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 PROVIRIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE CTION. <br />SIGNATURE CONTR�CTO UTNORIZEOAGE .OHOWNER 0/TE <br />X ���` ..Z -/ p-Ps� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNULG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIfiED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — BS.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATWECOOLERS <br />CLOTHESDRYERS <br />VCNTILATION FAN <br />], RANGEHOOD StOV2 <br />WATER HEATER • <br />wOODSiOVE <br />METAL FIREPLACE B CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SITE <br />❑ NO <br />SUBTOTAL <br />PERMIT <br />PLAN CHECK <br />FEE <br />NO. <br />FEES � VALUATION � FEE <br />BUILDING 3 . <br />PLUMBING <br />MECHANICAL z <br />INVESTIGAI iON FEE Sec.30a(c) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />ORIVEWAY PERMIT <br />TOTAL pZ I <br />PEflM1T VRLIDATION <br />WHEN PROPERLV VALIDATFD (IN THIS SPACE) TNIS IS VOUR PERMIT <br />r,,:; , :;���r <br />