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: � � � <br /> theEoergrYOF � (�'�NSTRUCTION � - C c ��- v` ` �� �k�-. <br /> everett pERMIT PERMlTNQ:= � U�U � <br /> 259 -8745 <br /> C� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SlGN <br /> OIYNER ' MRIIADORE35 CITV plP PMONE •` e-�i <br /> Northwestco Inc. 301 116th Ave SE Bellewe 98004 453-108E i ,�v ....t- �,�F <br /> ARCHITECTORDESIGNEF I �� � �F � � �'A' �Z" <br /> MAR A�DRE55 C�TY 21P PHONE ���, � �'��E <br /> ��x�, �.i <br /> GENERAL CONTRACTCR MBIL AODRESS QTY ZIP PHGN LICENSE e �� U ' S� � <br /> Vicon 301 fl 116th Ave SE#301 Bellevue 98004 VICONI�74NK �,=.,�;� ��� " <br /> �r'eEri <br /> MECHANICALCONTRACTOR �,IqILqD�PES$ CITY ZIP PNONE �ICENSE� � gt�� � <br /> �� <br /> N:� <br /> Z'4Y <br /> PWMBMGCONTRACTOR M11FiLA0URE$$ C11Y ZIP PryONE LICENSEx j rt� ���f,y+� '.�� 3-tp � <br /> � $ <br /> ��. r <br /> CLASSOFWORK , 9µ� �i' k 'r . a�qy �� . <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR g] DEMOLITION ❑ BUILDING RELOCATION I .y��� '� � F.`� <br /> VqWATIONOFWOFH '�� �.�r yr� `� <br /> 5 r'� :..:.w_��j�.+�. e'!EL �. J' ��y� <br /> DcSCfiIBE WORN ���'.-"�{at'�' ��, �� �£ � ��� <br /> Demolish structure (burned 4/13/83) ���'b;k �" � C�",,, �� <br /> •" .,a r'�xer �d^', <br /> NEATSOURCE �-_ ��, .«^ ,�. �� <br /> ❑ ELECTRICITY � GAS L� WOUDSTOVE ❑ OTHER <br /> PROPOSED USE OF OUtLDING <br /> I HEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRU[ AND <br /> LEGALOESCFIPTIONOFPROPERTY�SN01YaELOWOlIATTACHfOI1RCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDWANCES <br /> 15 & 16 Hassells Plat GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK � OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOR!TY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAIY REGULATING CONSTP.UCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�pORE55 SiGNATURE OF CONTRACTOR.�UTNOR EO AGENt.OR OItMER DATE <br /> 1413 - 38th St <br /> a � �� <br /> PLUMBING MEC ANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILET� A/C—A/HNDLG UNITS—HP <br /> BAfHTUB REFRIGERATIONUNITS—HP.EA. � � �c" S�C.`-�-::'. <br /> LAVATORV�WASHBASIN) �OILERS—BT.U./H.P. „},;,� �' ���� � <br /> _S .1-. ...J�psr.�sni <br /> SHOWER GASFIREDA.0 UNITS—BS.U. �+' yr e� � ��.F �.a <br /> s=. <br /> KITCHEN SINK 8 DISP. FpRCED AIR SVSTEMS—B T.0 M EA. �� y '��_+� j. �s'� Nt!; <br /> OISHWASHER r " �" �� <br /> WALL HEATEflS—B T.U. M " ��y �r eR_F�i 4'� yf�' <br /> LAUNORV TRAV UNIT HEATERS—B T.U. M a j�^ ��'�+- � <br /> CLOTNES WASHER EVAPORATIVE COOLERS z���� <br /> URINAL CLOTHESORVERS f�'���r . �w t� a <br /> � <br /> DRIMKING FOUNTAIN VENTILATION FAN I M � �`�.�r �'s" �a <br /> FLOOR ORNN qANGE HOOO � ' � � � � � i <br /> � ' �.� _...n"i^�` _.��^ <br /> BACKFLOW PREVEMERS WATER HEATER � � <br /> FOOFDRAINS—RAINLEADERS WOODSTOVE � +'�l � .s5'�-`��.t`�z�°'rv.�'i <br /> � <br /> SINK�SERVICE—BF�R.ETC.� METAL FIREPLACE 8 CHIMNEV � �� �Y"' <br /> - ,�1.: .,r.�._ <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GA$PIPING <br /> [XHAUSTFAN <br /> �7��.''•�� f�:l � 0� . 1 i:i:1..:. <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT S PERMINLU OJ <br /> TOTALFEE f TOTAL�F�A � <br /> FRONTSETBNCK REARSETpACH SIDESET�ACK PLANCHECKNUMBER FEE �{�� � �A �PTNO. <br /> :;'DG <5`8.0� <br /> USE20NE LOTAqEA I{� 7 <br /> VACANTSrtE FEES , <br /> ❑res ❑No �UATION a •• FEE :;',: -+,..�."- .,.:.;:� <br /> n roS"� ��'� <br /> �. <br /> TYPEOFCONST OCCUPANCVGPOUP NOOFOWELLiN�UNiTS BUILDING SDPT�.^O S 1.BI —O— � ��y <br /> PLUAIBING ��� � �J ` � � � � � - ,{� y� <br /> SIZEOFBIOG NOOFSTORIES p1A% OCCLO/D : x __� <br /> MECHANICAL 117S—S Y16 4.21 - - <br /> INVESTIGATION FEE �: (e) <br /> FIRE SPRINKLERS REOUIHED ❑VES ❑NO <br /> STATEBWLDINGSURCHARGE EL�G <br /> STATEENERGVSURCHARGE e ��-RCH .S.SO <br /> nPPLIC4TIONACC OY PL4NSCHECNE�pY pPpR FOBI:SU�NCE[3Y � ^ ^=^^ <br /> ORIVEWAVPERMIT SEI:EIi .G.SO <br /> M.M. L.C. � ` L <br /> TOTAL ` -p- <br /> PERMIT VALIDATION <br /> �VHEN PROPERLY VALIDATED(IN THIS SPACE)TMIS IS YOUR PEFMIT <br /> L� <br /> CO <br /> L�- <br /> C.� <br /> f <br />