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�� � t'`')NSTRUCTIO�V ��� �"� g� <br />everett �ERMIT PERMIT�10. 184�2 <br />259-8745 <br />❑ DEMOI.ITION � COMBINATION c�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAODRESS GI!Y IIP PHONE <br />Mel�n & Smitn P.O. Box 552 Iake Stevens 98.:23 653-2025 <br />ARCHITEGf ON OESIGNER IAMIL ADORESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MFIL AUpR°$S CITY ZIP PHONE IICI NSE h <br />Same MG'LUMC180P7 <br />MECMANICALCONTRACTOH MAILFOCRESS CITY ZIP PIIONE IICENSE• <br />PIUMBING CONTflACTOF MAIL ADDRESS <br />� NEW ❑ ADDITION <br />ULWTION OF WORK <br />f 1���00�I.0� <br />�Ii�lEX <br />❑ ELECTHICITY ❑ GAS <br />Duplex <br />LOT 31 BLOCK <br />908 A&B 52nd St. SE <br />PLUM8ING <br />Z WATER CLOSET (TOILET) <br />2 BATHTUB <br />� LAVATORY�WASHBASIN) <br />SHOWER <br />z KITCHEN SINK 8 DISP. <br />Z DISHWASHER <br />LAUNDRVTRAY <br />Z CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FlOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAq, ETC.� <br />u <br />R-2 <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />❑ ALTEHATION ❑ qEPAIR <br />❑ WOODSTOVE <br />fY ZIP PHONE LICENSE � <br />❑ DEMOUTION ❑ BUILDING RELOCATION <br />❑ OTHER <br />I HEP.EBY CERTIFY TH,4T I HAVE READ AND EXAMINED TFiIS <br />APPLICATION AND KPJOW THE SAME TO BE TRUE HND <br />CORRECT. ALL PROVI:iIONS OF LAWS ANC ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED Hf:REIN OR NOT. THE GFANTING OF A <br />PERId1T DOES NOT PFiESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL 'iHE 'ROVISIONS OF ANY O'iHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTIO� OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNFTI� EOFCONtRACTOR.AUTH091ZE0AGENT.OROWNEP _ %�OAT � <br />X .�.-, �P�r�.-� N�� � � <br />MECHANICAL <br />FEE NO. TVPE OP E�UIPMENT <br />I. OO AiC—A/HNDLGUNITS—H.P. <br />I.O OO REFRIGERATIONUNITS—H.P.LA. <br />ZO OO BOILERS—B.T.U./HP. <br />GAS FIRED AA. UNITS — B.T.U. <br />-LO OO FORCED AIR SVSTEMS — B.T.LL M EA. <br />LO.�.JO WALLHEATERS—B.T.U. M <br />I UNITHEATERS—B.T.U. M <br />EVAPOflATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />RREPLACEINSERT <br />HEATPUMP <br />GAS �IPING ' (.: i.;", <br />E%HAUSTFAN <br />.iuncn sioe seroacK PLAN CHECN NUMBEF <br />:.0' �' 67/18442 <br />�A VACr\Ni51TE <br />c�� CBvea ❑Ho FEES <br />TVPEOFCONST ' OCCUr'RNCYGROUi <br />V-N R-3 <br />S12E OF BLOG NO OF STORIES <br />2300 1 <br />FIRE SPRINKLERS RECUIRtD ❑ VES {.j{JO <br />APPUCATIONACC BY PLANSCMECNEO�V <br />S.H. B.E. <br />2 <br />MA%.00C LOAD <br />N/A <br />APPR FOR ISSl1ANCE BY <br />L.C. <br />SUBTOjAL <br />PENMIT,'�; _ <br />mru crv . .. m <br />tt .:�� FjEi;EIPTN( <br />, 415 66 -_�.. 90455 <br />FEE <br />BUI�DING <br />�J:00000. 00, ` i ' J <br />PLUMBING ...,...-- . <br />MECHANICAL � _ ,�,,-� <br />INVESTIGATION FEE � -aec:304�e) �'- � �,�� <br />STATE BUILDING SURCHARGEI � � � �. - - � ,,� J <br />S7A7EENcRGYSURCHARGE -� -�� �� �••����' <br />DRIVEWAV PERMIT <br />TOTAL <br />P'cPMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN THIS SPACE� THIS IS VOUR PERMIT <br />f.i����.:�,�:".S F!L:_ <br />