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lill•�;t'1`l�jl'1YY1 <br />����, �,� <br />everett <br />259-£i745 <br />r 7NSTRUCTION '' � p <br />PERMlT PERMIT NQ.. �� `�� f <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING $l� MECHANICAL ❑ r_UMBING ❑ SIGN <br />O1YNU1 AIAII AI)UIICtiS IAIY 11V PI�ONE <br />Everett Dfental Iaealth Services 2719 Rockefeller Everett, WA 98201 <br />nn.:run.crono[Sir.Nui r,unnunnrs, r.�rr z�r r�wNE <br />GCNfRAI CPNiIi�Li011 MVl �IlOfRSti C�IY JIP PIIONf LICENSE� <br />r.ICC114NIGl CONLR�QOII AIAII �DDIIC55 CIiY ZIP PIIONi LICENSE� <br />Erickson D1fg. Ent., inc. 5522 208th SW Lynnwood, WA 98036 775-3587 ERICKI212L7 <br />PI.UMpiNGCON111nC10R MML�ODf1[::S Cliv IIP PIIONE LICENSE� <br />CUSti Oi W0f1k <br />❑ IIEW ❑ ADDITION <br />S <br />0[sCnioe wnnn <br />Install range hood <br />❑ ELECTRICITY ❑ GAS <br />Mental health facility <br />L EG4 DESCPIPTyJN 0� 1`FOVKRTY ISHOW P <br />�ot _ n�cr. __ or <br />2719 Fackefeller <br />PLUMBING <br />TYPE OF FIXTURE C <br />V•'4Tcp CLOSET �TOILET� <br />BA'MTUB <br />LA\'ATOqV �WASM �ASIN� <br />SMOWEa <br />KIT�MEN SINK 8 DISP <br />D�SHV�ASMER <br />LAI �NDRV TqAY <br />CLOTMES WASHEii <br />UR'NAL <br />DtiINKING FOl1NTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — BAR. ETC � <br />rvr� or cor+st <br />SiZE Of OIOG <br />❑ ALTERATION ❑ REPAIH <br />SUBTOTAL S <br />PERMIT f <br />TOTALFEE f <br />RERR 5[TO�CN 511 <br />LOTAREA �p <br />❑ <br />oGcuP�NCv GRouv N< <br />NO OF STCRiES M� <br />❑ yFS ❑ NO <br />PLANSCIIECN[OOY AI <br />❑ WOODSTOVE <br />LRNT SITE <br />VES ❑NO <br />� Of DWELLiNG UNIiS <br />�% OCC tOAp <br />'PR fOR �SSl1ANC[ OY <br />❑ DEMOLITION <br />❑ OTMER <br />❑ BUILDING RELOCATION <br />1 HEREBY CERTIFY'''AT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND n�JOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINA�.CES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WI'� H <br />WHETHER SPECIFIED HER[IN OR NOT. THE GRANTING OF A <br />PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />TNE PERFORMANCE OF CONSTRUCTION. <br />SIGI,41U{l�OGCONTR,ICT�RA�1iMORl$EOAG[NT,0f10WNER 0/�TE / <br />X <br />V <br />NO. TYPE OF EOUIPMENT <br />A/C — NNNOLG UNITS — N P <br />REFRIGERAiION UNITS — N P EA <br />BOILEflS — B T U'H P <br />GASFIREDAC UNITS—�TU. <br />FORCED AIR SYSTEMS — B TL M EA <br />WALL HEATE9S — B T.0 M <br />UNIT HEATERS — B T U. M <br />EVAPORATIVE COOLERS <br />CLOTHES�RVERS <br />VENTILATION FAN <br />1 RANGEMOOD <br />WAT�R HEATER � <br />WOOD STOVE <br />MFTAL FIREPLACE d CHIMNEY <br />FIREPLACEINSEqT <br />HEAT PUAIP <br />GAS PIPING <br />1 E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />NUM�ER IFEE / <br />H00021492 <br />�UILOING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATIONFEE <br />STATE BUILDING <br />STATE ENERGV SUFiCHARGE <br />DRIVEWAY PERMIT <br />CRSH <br />Sec.3041e� <br />FEE <br />FEE <br />�/.1'.] � � <br />TOTAL I I 28100 <br />PERMIT VALIDATION <br />WHEN PflOPLRLY VALIDATED �1N TFIIS SPACE) THIS IS YOUR PERhVT <br />�� <br />Q� <br />� <br />\� <br />N <br />t,!�LI.1 � �. � <br />