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`��" C'1NSTRUCTION -� - AC <br /> everett PE R M iT PERMIT NQ:_ � ��`�`� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SIUN <br /> ON?IER Mnll�DDRE55 CITv ZIP MONE <br /> C.E.D. 3614 Smith Everett 983 98201 <br /> •RCHITECT OR DESIGNER MAIL RD�RESS CITV ZIP PMONE <br /> GENER�L CONTR�CIOR MAR��DRE55 CITV ZIP PHONE UCENSE� <br /> Bellingham Signs 2434 Alder Grove Ferndale 98248 BELLI160SR <br /> MECN�NIC�LCONTRIICTOR MFILPDORE55 CITY ZIP PMJNE LILENSE� <br /> PLUMB�NG CONTR�CTOR MML�DORE55 CITY 2iP VNONE LiLENSE� <br /> GLASS OF WpiN <br /> {] NEW ❑ ADDITON O ALTERATON ❑REPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br /> WLU�TION OF WORN <br /> s 300. <br /> DESCRiBE WORK <br /> Install & maintain non-electrical sign <br /> HE�TSOURCE <br /> ❑ ELECTIIICITY ❑ GAS O WOOUSTOVE ❑ OTMER <br /> PROPOSEO USE OF BUILOING <br /> I HEREBY CFRTIFY THAT i HAVE READ AND E7(AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPROPENTY�S�IOWBELOWOPATIACHfOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK _or_ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED RJITH <br /> WHETHEH SPECIFIED HEREIN OR NOT. THE GRANTING t.'� A <br /> PEFMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATF. OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE F�ERFORMANCE OF CONSTRUCTION. <br /> J09�OIXiE55 SIGNA} E OF CONTRACiOR.PUTIIORRE[1 RGENT,OR OWNER DI.TE <br /> 3614 Smith Ave X , h ��L.--..� 10/2/86 <br /> PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N4. TYPE OF E�UIPMENT FEE <br /> WATER CI OSET(TOILET) A/C—A/NNOLG��k:T^- —MP. <br /> BATHTUB REFRIGERATIUN UNITS—H P.EA. <br /> LAVATORY�WASH BASIN; BOILERS—h T UlH P. <br /> SHOWER GAS FIRED A C.UNITS—8 T.0 <br /> KITCHEN SINK 8 DISP. FORCED AI4 SYSTEMS—B T.U. M EA. <br /> DISMWASHER WALLNEATERS—B.TU M <br /> LAUNOFY TRAY UNIT HEATERS—B T.U. M <br /> CLOTNES WASMER EVAPORATItiF..^.00LERS <br /> URINAI CLOTNES DRYERS <br /> DRINKING FOUNTAIN VENTILATION°AN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATEP • <br /> ROOF DHAINS—RAINLEADERS 1Y00D STOVE <br /> SINK(SERVICE—BAR,ETCJ METAL FIPEP�ACE 8 CMIMNEY <br /> FIHEPLACLINSERT <br /> � HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL f <br /> PERMIT f VENMIT <br /> TOTALFEE S TOTALFEE <br /> vRONT SETBACK nUa 5[TonCK Sio[SETBnCn pLAN CHECN NUMBER FEE RECEIPT NO. <br /> USE20NE IOTI.REP <br /> vncnNTsrce FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST OCCUPANGYGROUP NOOFDWELLINGUNITS BUILDING S 300. 6 OO <br /> PLUMBING <br /> SIZE OF BIDG NO OF STORIES M4%OCC LOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIRED VES NO <br /> STATEBUILDINGSURCHARGElO/OZ/B6 Il�i ODO{�Ne�.2�F2 �K��� <br /> STATE tNEfiGV SURCHARGE � <br /> R{`PUCRTION RCf.OY PLANS CNEGKEC�Y APPR (OP ISSUpryCE DY <br /> Elec NV l)RIVEWAV PERMIT ELDG S .00 <br /> L.C. TOTAL 6 00 <br /> M.M. <br /> PLRMIT VIILIDRTION <br /> WNEN PROPERLY VALIDAIED�IN 7HIS SPACE�THIS IS VOUR PERMIT <br /> �� <br /> � <br /> N <br /> N <br /> � <br /> I_���;,i: � f.�� "c <br />