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ever�ett � �NSTRUCTION � � _ � �81 � <br /> 259 -8745 PERMIT PERMITNQ'- _ <br /> ❑ DEMOUTION ❑ COMBINATION C BU�LDING ❑ MECMANICAL C�PLUMBING ❑ fIGN <br /> oM+c� u�ii�ooness cin no vnor� <br /> PLt1lff. 14^G 6920 Seaway Blvd Everett WA 98206 347-6100 <br /> 11RCMITECTORDESIGNER MML�DORE55 GITY ZiP RIONE <br /> OENERALCONTR�CTOR MIRADORE55 qTV 21P MONE LICEl6E� <br /> TOWN & COJNTRY FENCE <br /> MECH�NIpAL CONTNALTOR M�IL RDORESS GITY 21P PMONE LILENSE/ <br /> 0.UA181NG CONTR�CTOR M�IL�O�RE55 QTV ZIP PNONE I.IGENSE� <br /> PILCHUCK PLUMBING PO BOX 1328 Everett WA 98206 258-1636 PILCHI159MB <br /> ClASS pF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTEp�T10N O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATON <br /> V�LWTIONOf WORN <br /> f <br /> OESCRIBE WORN <br /> MEATSOURCE <br /> ❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> anoroseo use oF euno:r+c <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> lEGl1l0E5CRIPPONOFI'ROPERTY�SNOWOELOWORRTTAGMfOUPCOPIES� CORRECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br /> ior_e�ocK — ov GOVEFNING THIS TYPE uF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE C�RANTING OF A <br /> PERMIT DOES NUT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFO CE OF CONSTRUC ION. <br /> JOB�DDRESS SIGNATURE O T CTOR. EO�GEN R ONTJER DnTE <br /> 6920 Seaway Blvd j( ;� 7/14/86 <br /> PLUM91N6 MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATEF CLOSET(TOILET) A/C—A/MNDLG UNITS—NP. <br /> BATNTUB REFqIGERATION UNITS—HP.EA. <br /> LAVATORY�WASM BASIN) BOILERS—B TLhI P. <br /> SHOWER GAS FIP.ED A C.UNITS—B.T.U. <br /> NITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> OISMWASMER WALLHEAiERS—B.T.0 M <br /> LAUNDRYTRAV UNITHEATERS—BT.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTMBSDRVERS <br /> DHINNING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN RANGE MOOC <br /> BACKFLOWPREVENTERS WATFqHEATER • <br /> ROOF DRAINS—RAINLEAOERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPIACE 8 CNIMNEY <br /> 3 E e wash 1S Q FIREPLACE INSERT <br /> HEATPUMP <br /> GAS PIPINu <br /> E%HAUSTFAN <br /> SUBTOTAL f LS OO SU <br /> PEXMIT f PENMIT <br /> TOTALFEE t TOT L <br /> LRONT SETBnLK P[nR SETOACK Sr�E SET9nCK P�AN CHECK Nl1MBER 11 IPhT NO` <br /> .�� o�' I <br /> USEZONE LOTARER <br /> VA.^,ANT SITE FEES VALUATION FEE <br /> ❑YES CINO <br /> TYPEOFCONST OCCUPANCVGROl1P NOOfDWELUNGUN115 BUILDING S <br /> PLUMBING <br /> SIIE OP BLDC NO.UF STORIES MAN OCC LOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRE SPRINKLERS REOUIRED ❑VES NO <br /> STATE BUILDING SURCHARIiE <br /> STATEENERGVSURCHARGE <br /> •VPLICPTIONACC OY PLRNSCHEGNEODY APPP LORISSU/NCEBY <br /> ORIVEWAV PEf7M1T <br /> TOTAL <br /> PERMIT V�LIDAr10N <br /> WHEN PflOFERLV VALIDATED�IN TNIS SPAGE�TMIS IS VOUR PERMIT <br /> Q� <br /> �� <br /> � <br /> �� <br /> r� <br /> r ,,�, '�,IirJ I '.. L <br />