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fhc E�rryqrcen <br />c�rv or <br />everett <br />259-8745 <br />" C INSTRUCTION <br />PERMIT <br />PERMIT NO. � J� � G <br />❑ DEMOLITION ❑ COM8INATION L7 BUILDING ❑ MECHANICAL I� PLUMBING ❑ SIGN <br />ON'NEN MFILRDDRESi CIiV ZIP P��ONL <br />Thomas Lewis 9701 S. 3rd Everett, S9A 98203 252-6660 <br />nRCHrtELTOROES�GN[P MRILAPDf1E55 CITY Lf` PIIONE <br />GENEFALCONTHACTOR M/.ILPpDRE55 CITV ZiP PIIONE IICENS[• <br />MECHANIC/LCONi(VnCTOR MARADDRESS CITY 2�P PHON[ LICENSC• <br />PLUMBING CONTRnCTOR MnIL ADORE55 C�TV ZIP PHON[ UCENSC � <br />owner <br />CLA550[ WDRN <br />O NEW ❑ ADDITION I� ALTEPATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br />E <br />Plumbing for apt. <br />IEnT50URL[ <br />❑ ELECTRICITY ❑ GAS <br />Apt. <br />LOi � �IOLK � <br />J013ADDR[55 <br />9701 S. 3rd <br />PLUMBING <br />TYPE OF FIXTURE O <br />WATER CLOSET �TOILLT� <br />EiAiHiUB <br />LAVAiORY �1VASH DASIN� <br />SHOWER <br />KITCHEk SINK A OISP. <br />DISHWASHE:N <br />LAUNDRYTRAV <br />CLOTNES N'ASNER <br />URM�L <br />DRINNING FOU�TAIN <br />FLOOIi �RAIN <br />DACNFLOw PREVENTEflS <br />ROOf ORAINS — RAINL@ADcRS <br />SINK (SERVICE — B�R, ETC � <br />cUBTOTAI <br />PEPMIT <br />TOT�LFEE <br />iRONiSEi�nCN �EA1i5ET0ACn <br />USEZONE LOtnP[A <br />TVPE OF CONST. OCCUVANCv GR <br />512E OF BL00 NG O� STORIES <br />nr��ir,nnoN nCJ nr <br />S.H. <br />r�n�+s cr�ec veo ov <br />❑ WOODSTOVE ❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIO� AND KNOW THE SAIv1E TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF CAWS ANO ORDINl�NC[S <br />GOV[RNING THIS TYPE OF WOFK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NC�T. THE GRANTING OF A <br />PERMIT DOES NOi PRESUME TO GIVE AVTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF AN:' OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />51GN�AlI1R[O�f,� NiF� R 1Wi110R2CD�GfNi.OflOYMCP D TE <br />X �'.� . ", 3��� ��sS/ <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />S OO ��C- �HNDLGUNITS—HP <br />RE�RiGCRATION UNITS — N P EA <br />5 00 ooi�e�s-�ru+�r <br />5 00 crsFuaer,nc uNiTs-nru <br />r� fORC[DAIRSVSTEMS—�.TU. MEA <br />WALL NcATEFS — 0 T U M <br />UNITNEAT[RS- �TU bl <br />EVAPOfiATIVE COOLERS <br />CLOTIIES DRYERS <br />1 ��ENTILATION FAN <br />RANGEHOOD <br />WATER HEATEP <br />'NOO� STOVE <br />METAL FIREPLACE 9 CNIMNEY <br />FIREPLACEINS[RT <br />HEA1 PUPdP <br />GAS PIPING <br />EXHAUSTFAN <br />�[ SEntnCr, pLAN CHECN <br />CrINT SIT[ I <br />YES ❑ NO <br />i oFowE�un�cumns <br />IOFD <br />APPII l Ofi 65UANGE PV <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />euu_owc <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHAflG <br />STATE[NERGVSURCHARGE <br />DI7IVEWAY PERMIT <br />Fi <br />Sec.304�c1 <br />FEE <br />RECEIPT NO. <br />T�7TAL I I 4C� 00 <br />PldM1T VALIOATION <br />\9i IEIJ PROP[ Hl YV'AIJf�AI ED dN T Hic SP,:/'q THIS I; YOC�i RCf�A91T <br />