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��° ''`� ��NSTRUCTIC�N � '"`' <br /> everett PER11AiT PERMITN4= �0�� � <br /> 259 -8745 <br /> ❑ CEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN � <br /> OWNER �NANT: Hody Fixm M�•��AODRESS CITY 21P PHONE <br /> 19th Ave Station 10730 ].9th Ave SE Everett,- WA <br /> ARCHITECi OR DESIGNEN IARIL ADDRCSS CITY ZIP PHONE <br /> GENERALCONTRACTOfl MAILAODRESS CITV IIP PHONE LICENSEM <br /> W. L�ase ?,ewis <br /> MECMANICRLCONTFPfTON MAILAOORE55 CITY TIP PHONE UCENSE� <br /> Evergreen Refrigeration 727 S. Kenyon St. Seattle, WA 763-]744 EVERG1201D7 <br /> PLUMBING CONTRACTOR MAIL ADpRE55 QTY LIP PIi::N�i LICENSE e <br /> CIASS Uf WOqK <br /> �IIEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VFLU/TION OF WORN <br /> s 81�0. <br /> DESCRIBE WORK <br /> HVA� <br /> MEATSOURCE <br /> ❑ ELECTNICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> VNOPOSED USE OF BUILUING <br /> I HEREBY CERTIFY THAT I HAVE READ AN� EXAIAINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCRIPTIONOF,^AOPERTY�SMOWBELOWORATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND OADINANCES <br /> LOT�BLOCN _ OF GOVERNING THIS TYPE OF WORK WILL BE COMFLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'TING OF A <br /> PEFiMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> HODY FIRM STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> TH ERFORMANCE OF CONSTRUCTION. <br /> JOBADDPE55 GNNTU E NTRACTOR.NUT GENTOROW F OATE <br /> 10730 19th Ave SE � ���,�� <br /> PWMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR�7EM FEE NO. TVPE OF EOUIPMENT FEE <br /> WAiER CLOSET(TOILET) A/C—P./HNDLG UNITS—H P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> i.AVATORV(WASr!BASIN) BOILERS—B7.U./H.P. <br /> - SHOWER GAS FIRED AL.UNI7S�—B.T.U. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRV TRAV UNIT HEATE9S—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLEFS <br /> URINAL CLOTHES DRYEflS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS ' WATER HEATER � <br /> ROOF DRAINS—RAINLEAOERS � WO00 STOVE <br /> SINK(SERVICE—BAR.ETQ) METAL FIREPLACE 8 CH;MNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> x GASPIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUB T07AL 9 OO <br /> PERMIT f PENMIT <br /> TOTAIFEE S TOTALFEE � <br /> FqoNTSETBACK REARSETOnCN Si�ESETBnCK PLANCHECKNUMBER FEE RECEIPTNO. <br /> 1J5E20NE LOTARFA '� '�, <br /> VACANTSITE FEES VALUA ION , FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST. OCLUPA�:f,l'GROUP NO.OFDWCLLINGUNITS BUILDING 3q�pO2p991 <br /> PLUMBING <br /> SIZE OF BLOG. N0.OF STORIES MAX OCC.LOAO <br /> MECHhNICAL <br /> 2 <br /> I�:VESTIGATION FEE Sec.304(e) <br /> FIRE SPflINKLERS REOUIRED ❑YES ❑NO � <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> AVPUCATION ACC.�Y PLANS GHECKED DY APPp FOfl ISSUANCE OY <br /> DRIVEWAY PERMIT <br /> M.M. JF] TOTAL 24 0 <br /> PERMIT VALIOATION <br /> WHEN PPOPERLV VALIDATED(IN THIS SPACE)THIS IS VOUq PERMIT <br /> T� <br /> «1 <br /> Q� <br /> 0 <br /> N <br /> annriFss ���r <br /> � <br />