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��TM�F r�NSTRUCTION � cC <br /> eLTerett PERMIY PERMITNQ:=-� �U`�� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ��Eq MRIL RDORE55 CITY Z�P YMONE <br /> A Constructio� 1003 Woodlawn Everett, WA 98203 252-4723 <br /> �RCNITECT OR DESIGNER MRIL AD�PESS CITY LP R10NE <br /> GENEN�L CONTRnLTOR MAIL POpRE55 CITY ZIP VHONE LICENSE• <br /> MECH�NICAICONTRAGTOfl � MAllF0URE55 GRY ZIP PHONE LICCNSE� <br /> Northwest Air Conditioning 825 - 7th Ave. Kirkland, WA xd99 98034 827-1323 <br /> PLUMBINGCONTRRCTOR MnIlND011E55 GITY Z�eORInQC163�,yONE ��GENSE• <br /> IY W <br /> cwss oF wonK <br /> ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VRLURTION Of WORK <br /> { <br /> OESCRIBE WORN <br /> Furnace, HWT, gas pipe <br /> NEATSOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> VROPOSEO USE OF OUIl01NG <br /> I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICAT�ON AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL0E5CHIPTIONOfPROPERiVI5HOW0ELOWORATTRGHFOURCOPIE5) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�OLOCK _OF WHETHER SPECIFIED HEREIN OR NOT. THF 3RANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHE7 <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTIGN OR <br /> THE PERFO MANC OF CONSTRUCTION. <br /> JOOAD�RE55 SIGNAII/PCUF NTR4G .PUi110R1 GENT.OROb7JER OATE <br /> X ` �' <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYP EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A/C—��HNDLG UNITS -H P. _ <br /> BATNTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORY(WASM OASIN) �OII.ENS—D.T.0 rNP. <br /> SNOWER GAS FIRED A C UNITS—O.T.0 <br /> KITCHEN SINK 8 OISP. FORCED Alfl SYSTEMS—B T U. M EA. <br /> DISHWASHER WALLNEATERS—BT.0 M <br /> LAUNDP.V TRAY UNIT HEATERS—B TL. M <br /> CLOTHES WASNER EVAPORATNE CODLERS <br /> URINAL CLOTHESDFVERS <br /> DRINKING FOl1NTAIN VENTILATION FAN <br /> PLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF ORAINS—RPINLEADERS WOOD STOVE <br /> SINK(SEHVICE—BAR,ETC) METAL FIREPLACE d CHIMNEV <br /> FIflEPLACEINSERT <br /> HEAT PUMP <br /> — GAS PIPING <br /> EXNAUSTFAN <br /> SUB TOTAL s sue rorn� 18.50 48 $➢ <br /> PEHMII S PERMIT <br /> TOTALFEE S TOTALFEE <br /> rPOHT SEiencK �Ena SE*onCrc SiDE SETnncrc PLAN CMECK NUMBER FEE RECEIPT NO. <br /> USE 20NE LOT nC,EN VACANT SITE <br /> ❑ves ❑r+o ' FEES VALUATION FEE <br /> TYPEOFCONST OCCUPPNCYGROUP NO.O. DNELUNGUNITS DUILDING S <br /> PLUMBING <br /> 9ZE OF GLDG NO OF STORIES M4% OCC.LOAO <br /> MECHANICAL 33 50 <br /> INVESTIGATION FEE 01�9eC 90a���=4 PM 0 ' '�G <br /> fIRESPRINKLERSREOUIRED YES NO <br /> STATE BUILDING SURCHARGE �a�S'765{ <br /> STATEENERGVSURCHARGE MECH 23 .50 <br /> APPLICRl10NACG.BY RRNSGH[CNEDDY PPPR FORISSURNCEOY � <br /> DRIVEN'AV PERMIT <br /> M.M. TOTAL � <br /> PERMIT VALIDATION <br /> Wl1EN PROPERLV VALIDATED�W THIS SPACE�TNIS IS YOUN PERMIT <br /> M <br /> L.[') <br /> CO <br /> N <br /> � <br /> r,l'osFss 1 �'�� _I <br />