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`"'��� ��� '1 �'ONSTRUCTION -`� �'' <br /> everett PERMIT PERMITNQ' � 5��� <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL fl PLUMBING ❑ 816N <br /> oH.���+ unn norni[sti r.iiv zm rrwr+c <br /> Broakw s Co. 3020 Rucker Ave Everett, WA 98'l01 <br /> en[ro�r[ronnt.s�or�ru n+ainnon[ss r.nv zir r+�orv[ <br /> cv+[eei coNrn�cton uAn.eoro¢sti crtr nr rr�on[ LILENSE i <br /> M[C11nNILnLCOMn4C10R MnII �DORC55 LIIY IIP fM�ONF. LIGENSE� <br /> cLlMP18GCONi��CtOR M�II �D�RC55 CIIY 211' f'NONE UGENSE• <br /> Northwest Energy Systens 20815 - 52nd Ave W Lynnwood, WA 98036 774-2980 NORTI�S204P2 <br /> L14550f WORK <br /> ❑ NEW ❑ ADDITIOH �7 ALTERATION ❑ REPAIR ❑ DEMQLITION ❑ BUILDINa RELOCATION <br /> v�w�now o� wonK <br /> s 400. <br /> p[KR111[N'OAK <br /> Znstall one (1) sink ._ <br /> HWT$DURCf. <br /> ❑ ELECTRICITY ❑ G�S ❑ WOODSTOVE ❑ OTMER <br /> MOPOSED USE OI DUrtDiNG <br /> office I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TQ DE TRUE ANO <br /> ieceiocscn�anor+ovm+orcntrisr�oweE�owonnTTncH�ouncoo¢s� CQRRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_aiocK _ or WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OF LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�ODHE55 SIGNAT �E Q��CONTRnCTO AUTnORI OAGENT,OR ON%ER DRiE <br /> 3020 Rucker Ave Suite W305 !( 9/15/87 <br /> PLUMSING CHANIC <br /> NO. TYPE Of FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILETI A/G—A�MNDLG UNITS—H P <br /> BATMTUB REFRIGEflATION UNITS—M P EA. <br /> LAVATORY�WASN BASIN� BOILERS—8 T U111 P. <br /> SHOWER GAS FIRED A C.UNITS—B TL <br /> KITCMEN SINK 8 DISP. fOACED AIR SYSTEMS—8 T.0 M EA <br /> DISHWASHER WALL MEATERS—B T U M <br /> LAUNDRY TRAY U`IIT MEATERS—�T U M <br /> CIOTMES W/SHER EVAPOPATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DAINKING FOUNTAIN VENTILHTION FAN <br /> FLOOR�RAIN RANGE HOOD <br /> 811CKFLOW PREVENTER$ WATER HEATER • <br /> AOOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK�SFRVICE—BAR,ETC� S OO ME1Al FIREPLACE d CHIMNEY <br /> FIREPLArE1NSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL f S OO SUB TOT�L <br /> PERMIT f 1Q QO PERMIT <br /> TOTAI FEE = LS OO TOT11L FEE <br /> FRDni SETB�CK nEaR SEieACN siOC SETnACK PLAN CHECK NUMOER FEE F7ECEIPT NO. <br /> use zoNe �o*�AE" vncnr�r sire FEES VALUATION �E <br /> ❑r[s ❑r+o — <br /> TY{�EOFCONST OLCUPANCYGRDUP NOOFDWEIUN^uUNi15 �UILDING � <br /> PLUM�ING ZS UO <br /> SIZE Of BLDG NO OF STORIES MI%OCC LOAD <br /> MECHANICAL _ <br /> INVESTIGATION PEE Sec.30d�e) <br /> FIRESPRINKLERSREOUIRED YES NO STATEBUILDINGSU(iCHARGE <br /> STATE ENE(iGV SURCHAf7GE <br /> pPPLICRTIONACC BY PLPNSCN[CNEO�Y APPR VORISSIIANL[OV <br /> DRIVEWAV PERMIT <br /> M.M. TOTAL 15 00 <br /> PEPMIT VALIDATION <br /> — WHEN PROPERLV VAIIDATED�W THIS SPACF.�TNIS IS VOUR PERMIT �' <br /> �Irp�1.3G1.0 Ilvl� 7 � �� Q� <br /> L` <br /> � <br /> � <br /> �., :!:�r65 � � I <br />