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`�� "'"` C`�NSTRUCTION � �'°"� <br /> everett PERMIT PERMITNO. � 9746 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ CUMBINATION ❑ BUILDING � MECHANICAL ;�( PLUMBING ❑ SIGN <br /> OWNER MAILADORE55 CITY ZIP PMONE <br /> Everett Parks and Recreation Dept. 3002 Wetmore Everett, WA 98201 259-0300 <br /> RRCMITECTORDESIGNEP MRILADDRE55 CITY 21P PHONE <br /> GENERALGONTRACTOR MAILRODBE55 CITY ZIP PMONE LICENSE� <br /> MECNRNICAI CONTPNCTOP MAI�F�Of1E55 CITY 21P PNON[ UGENSE• <br /> FWMBINGCONTP�CTOR MAILApORES$ qTV ZIP PIIONE IICENSE• <br /> A-1 Plumbing 1969 SUnset Ave. Bellingham, Wa 98226 734-7701 Ai PLi3���32i�(3 <br /> ClR55OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUIIDING RELOCATION <br /> VALUFTION OF WORK <br /> s <br /> OESCRIBE WORK � <br /> MERTSOUPfE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE � OTHER <br /> vnoroseo us�oF euaoiNc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Park restroom facility APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LOESCRIPTIONOFPR01'ERTY�SMOWOELOWONATTACHFOUPCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ioT_o�ucK _ ov GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> 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 ANY OTHER <br /> STATE OR LOCAL LAW RE6ULATING CONSTRUCTION OR <br /> THE PER ORMANCE OF ONSTRUCTION. <br /> JOB RDDRESS SIGNATU� F CO TRnCiOR 4 OR12f �GENi. P OWNER O�T <br /> 400 Smith Island Rd. X { <br /> PLUMBING MEC A ICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> j WATER CLOSET�TOILET) I.S OO A%C-A�NN�LG UNITS-H P. <br /> BATHTUB �EFRIGERl.TION UNITS-H P.EA <br /> Q LAVATORV�WASHBASIN� ZO OO BOILERS-OS.UiHP. _ <br /> Q SHOWER ZO OO G: J FIRED A�C.UNITS-�TL <br /> NITCHEN SINK A DISP FORCED AIR SYSTEh15-BSL. M EA. <br /> DISHWASHER WALLNEATFfi3-BTU. M <br /> ], LAUN�RV TRAY S OO UNIi HEATERS-E3 T U. M <br /> CLOTHES WASHER EVnPORATWE COOLERS <br /> Z URINAL ZO OO CLOTHES�RYERS <br /> DRINKMO FOUNTAIN VENTILATION FAN <br /> �j FLOOH�RAIN Z�"j RANGE HO00 <br /> BACNFLOW PREVEN7ERS WATER HEATER <br /> ROOF DRAMS-RAINLEAOERS WOOD STOVE <br /> 1 SINK�SEHVICE -DAR.ETG 1 5 METAL FIREPLACE 8 CHIMNEY <br /> FIREPLALEINSERT <br /> HEAT PUIdP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBlOTAL S ' SUBTOTAL <br /> PERMIT f PERMIT IS OO <br /> TOTAL FEE f TOTAL FEE 39 00 <br /> raorvi sErancK �[Al15ETOFCN SioE SFrnncrc PLnN CHECK NUM�ER FEE RECEIPT NO. <br /> USE20NE LOTnP[A ypCANT51iE <br /> ❑ves ❑r+o FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPPNGYGf10UF NOOFDWELIINGUNITS BUILDING S <br /> PLUMBING 100 0 <br /> SIZE OF OLUG. ND OF STORiES M4% OCC LOnD <br /> MECNpNICAL 39 � <br /> INVESTIGATION FEE Set.30d(e) <br /> FIRE SPRINKLERS REOUIFlEO ❑YES ❑NO _ <br /> STATE�UILOING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> RPMICATIONPCC �Y �'L/NSCMECREO�Y 4PPR FOPISSOANCEI3Y <br /> D(iNEK'AV PERMIT <br /> S.H. TOTAL <br /> PENMIT VALIOATION <br /> WHEN PROPLRLV VALI�ATEO�IN TI II$SPACE)THIS IS VOUR PERMIT <br /> �� <br /> d� <br /> �� <br /> Q� <br /> t� <br />