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�� "' �ONSTRUCTION - - <br />ever�tt , PERMIT PERMIT NO. 18160 <br />�►� ���° <br />❑ DEMOLITION ❑ COMBINATION [� BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />UWNER MAILADORESS CITY ZIP PHONE <br />i.i�y Corliss 910 - 52nd St. Everett, WA 98203 <br />FHCHITEC OR UESIGNER MAIL AOORE55 CITY 21P PHONE <br />GENERALCONTRACTbR MRILADUBE55 CL' ZIP PMONE LICENSEx <br />Melum & Smith P.O. Box 592 Lake Stevens 653-2025 MELUMG180P7 <br />MECMANICAL CONTqqCTOR MAIL AO�HE55 CITY ZIP PHONE LICE'!SE M <br />CONTRACTOP <br />MPIL ADDRESS <br />CITY <br />PHONE LICENSEM <br />CLASS OF WORK <br />j �I NEW O ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATIOW <br />VALUATION OF WORK <br />5 4�0��. <br />UESCPIBE WO�iN <br />New construction <br />❑ ELECTRICITY ❑ GAS ❑ WOOOSTOVE ❑ OTVIER <br />LOT30 BLOCN _ OF <br />�oenooAess <br />71V — 7LI <br />PLUMBING <br />ChA� <br />Fair View <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WF.SH BASIN� <br />SHOWER <br />KITCHEN SINK & DISP. <br />[•]:IYIA'1 <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOORDRAW� <br />BACKFLOW PREVENTERS <br />RUOF DRAINS -- RAINLEACEflS <br />SINK (SERVICE — BAR, ETC.) <br />20' <br />� <br />TYPE OF CONST <br />V-N <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />REANSETEOCN <br />20' <br />�or nnEn <br />7910 sf <br />OCCIIPFNCY GROI <br />rf-1 <br />NO OFSTORiES <br />1 <br />RS RCOUIRED ❑ YES � NC <br />J BY PiANSCNECNEDB <br />SH <br />� <br />S <br />f <br />SiDE SETBACN <br />5' <br />V4CANTSiTE <br />❑YES �NO <br />NO OF OWELL W G UNITS <br />0 <br />MA% OCC. LOAD <br />NA <br />APPR FOP ISSUANCE BV <br />L.C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISION3 OF LAWS AND ORDINANCES <br />GOVERNING TNlS TYPE OF WpRK WILL BE COMPLIED WITH <br />WHETHER SPE(;IFIED HEqEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF <br />STATE OP LOCAL LAW REGULATING CONSTRUCTION C�R <br />THE PERFOqMANCE OF CONSTRUCTION. <br />SIGNATU E OF CONTRI TOR. AUTHOR12ED AGENT, OR OWNER OATE <br />x ,�v _ �� o__ / � /�` <br />MECHANICAL <br />NO. TVPE OF EOUIPME <br />A/C — A/HNDLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATEFS — B.T.U. <br />UNIT HEATERS — 9.T.U. <br />EVAPORATIVECGOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIqEPLA:C INSERT <br />HEAiPUMF <br />GAS PIPING <br />E%HAUSTFAN <br />M EA. <br />M <br />M <br />FEE <br />cUBTOTAL� s <br />PEHFr1i�UUl;�lf, y <br />TOTAU�. .' ::'O.1 O <br />;NUMBER � �GK �� P6 EIPTNO. <br />160 70.20� 866i <br />FEES VALUA710N FEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION �EE <br />S 9, 000. � lOBI 00 <br />6�I�.J�I�i! 11�� {11�! ���'�1iHJJ�� .��I..i..�. <br />STATE BUILDIA7G SURCHARGE �4GC}: 7�SU' �. �C <br />STATEENERGYSURCHARGF <br />DRI`/EWAV �'ERMI7 <br />TOTAL <br />PERMIT'/ALIDATION <br />WHEN FROPEPLY VALIDATED (IN THIS SPACE� THIS IS YOUR PERMIT <br />;;.�:�.ii:.. '�IL� <br />50 <br />