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the ES,e,grpen <br />GTY Or <br />everett <br />259-8745 <br />� C�INSTRUCTION �� <br />PERMIT <br />PERMIT NQ: � J S u J <br />❑ DEMOLITION ❑ COMBINATION ❑ �UILDING [I MECHANICAL '� PLUMBING ❑ SIGN <br />OWNEP MAILADDRECS CITY ZIP PMONE <br />Village Peddler 1724 W tdarine View Dr. Everett, WA 98201 259-278g <br />RRCIIrtECTOqDESIGNER MAIL�DDRE55 �ITY ZiP PMONE <br />GENENRL CONTRAC'OR MqIL ADDPESS GTY ZIP PNONE LICENSE • <br />S.S.T. Inc. 1509 83rd Ave SE �verett, WA 98209 339-3932 SSTIN322JA <br />MECMANICALCOIlTlVACTOR M1IqILAD�11E55 CITY ZIP PIIONE LICENSE� <br />PWMBINGLONTPACTOH MAILAD�RELS PHONF LICENSE• <br />1fmxX�iY�taxxx:cxxfi48xBa}��CxRxaxxxr t3xaxegkKxNRxxfl88�}xxx88�3HE1icYdf1t8i34M8 <br />CLA55 OF WJRN � <br />❑ NEW ❑ ADDITION ❑ ALTF.pqT10N ❑ pEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VA W RTION OF WORK <br />S <br />UESCRIBE WONK <br />Install 1 toilet and 1 bathroom sink <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />PROFOSEO USE OF 6UILDING <br />Retail <br />LEGAI DFSCRiPTiON OF PROPERTY �SNOW �[LOW pR ATTRCN FOUh COPiE9 <br />LOT _ pLOCN �_ <br />1724 W Marine View Dr. <br />PLUMBING <br />N0. TYPE OF FIXTURE f <br />WATEH CLOSET (TOILET� <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />NITCFI�N SINK 8 OISP. <br />OISHWASHER <br />IAUNDRYTRAV <br />CLOTHE$ WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />F�pOH DRAIN <br />❑ACKPLOW PREVENTERS <br />HOOF ORAINS — RAINLEADEFS <br />SINK �SERVICE — BAP, ETC � <br />usE zor+E <br />or <br />r�.r�. <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />cnouv <br />FEE <br />❑ OTHEq <br />I HEREBY CERTIFY THAT I HAVE READ A.VD EXAMINED THIS <br />APPLICATION AND KNOW THE SAME �i0 BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF 1VOFK WILL UE 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 REGULATING CONSTRUCTION OR <br />THE ERFORMANCE F CONSTRUCTION. <br />SIGN�qE OF CONiRACTOR. : fHORiZ j0/�GENT.OR OWNER I, pi IE /�� <br />X � / <br />NO. TYPE OF EOUIPMENT <br />A/C — 4iHNDLG UNITS — H P. <br />FEFRIGEFATION UNITS — 11 P. FA. <br />901LERS — BS.U1H P. <br />GAS FIRED A C. UNITS — B.TL. <br />FORCED AIR SYSTEM$ — B.TL. M EA. <br />WALLHEATERS—BT.U. M <br />UNIT MEATENS — BS.0 M <br />EVAPORATWECOOLERS <br />CLOTHESDRVERS <br />VENiILATION FAN <br />RANGEMOOD <br />WATERHEAiER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CMIMNEV <br />FlREPLACEINSEHT <br />HEATPUMP <br />GA$ PIPING <br />E%IiAUST FAN <br />s 0 0� <br />S Q <br />f <br />SiDESETpACK pLANCH[( <br />VFCANT SiT[ <br />❑YES ❑ND <br />no oFowE�ur+cunrts �UILDING <br />PLUMBING <br />STORIES h1A% OCC lOAO <br />ev � nvr�n ron issunNcc �ar <br />MECI IANICNL <br />INVESTIGATION FEE <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />STATE OUILDING SURCHARG <br />STATEENERGVSURCMARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />FEE <br />NO <br />VALUATION FEE <br />5 <br />zo,af� <br />Sec.304(c) <br />ZVJ <br />PEflMIT VALIOATION <br />WHEN PqOPERLV VALIDATED �IN THIS SPACE) THIS IS YOUR P[RMIT <br />i�il��li: S ( IiE <br />• i <br />• <br />• <br />