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`�� '°"` C'"iNSTRUCTION � '"`' <br /> everett PERMIT PERMIT NQ; �� � " '• <br /> 259 -8745 � <br /> ❑ DEMOLITION O COM8INATION ❑ BUILDING �1 MECHANICAL �1 PLUMBING ❑ SIGN . <br /> OWNER MAILA�DRESS CITV 21P VHONE <br /> 19th Ave Station Inc. 19125 North Creek Parkway Bothell, WA 98011 483-4036 <br /> ARLHITECTOROESIGNER '�AILFDORE55 CITY 21P PHONE <br /> GENEflAL LONTRACTOR MAIL ADDRE55 CITY ZIP PMONE LICENSE� <br /> W. Lease Lewia 1205 2nd Ave Seattle, WA 98121 522-1666 <br /> MECNANICr1LCONTR4CTOR MAILFDDRESS CITY 21P PMONE UCENSEr <br /> // Mid-Valley Plumbing 515 124th Ave NE Bellewe, WA 462-1976 MIDVAPI4CC <br /> �PLUMBING CONTRACTOR MAIL ADORES$ CITY ZIP PHONE LICENSE t <br /> CLASS Oi WORN <br /> O NEW ❑ AODITION �1 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION �i <br /> VALUFTION OF WORN ', <br /> s <br /> DESLRIBE WORK <br /> Tenant improvement, top oui, plumbing <br /> HEATSOUHCE <br /> ❑ EiECTRICITY ❑ GAS ❑ WOOD5TOVE ❑ OTHER <br /> P1iOP05�11:'JSE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> Ret:ail AP?LICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDlSCRIPTIONOFPROPERTY�SHOWBELOWORATTACNFOURLOPIES� CORRECT. ALl PROVISIONS OF LAWS AND OROINANCES <br /> LOT_BLOCK _ OF GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIiVG 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 REGULAT'ING CONSTRUCTION OR <br /> TENANT: TAKE FIVE VIDEO THE PERFORMANCE OF CO�STRUC'TION. <br /> JOB PDORESS SIGN/i F CONTR�CTOR.AUTM I 0 AGENT,OH OWNER TE <br /> 10730 19th Ave SE X � �� � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEF. <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> 1 LAVATORY�WASHBASIN) — BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED AC.UNITS—B.T.U. <br /> KITGHEN SINK 8 DISP. FORCEO AIR SVSTE.MS—B.T.U. M EA. <br /> OISHWASMER WALLHEATERS—B.T.U. M <br /> LAUNDflYTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL GLOTHES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN HANCaE HOOD ' <br /> 6ACKFLOW PREVEN7ERS 1 WATER HEATER • fj SO <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.� METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TO7AL S — — SUB TOTAL SO <br /> PENMIT f PEPMIT jrj �Q <br /> TO7Al FEE S TOTAL FEE <br /> FRONT SETBACK REAR SETBACN SIpE SETBACK PLAN CHECK NUMBER FEE RF.CEIPT NO. <br /> USE ZONE LOT AREA ypC�NT$ITE <br /> ❑ves ❑r+o FEES • ;� <br /> TYPEOFCONST. OCCl1PANCVGROUP NO.OPDWi�IINGU111T5 BUILDING S � <br /> PLUMBING � <br /> 512E OF BLOG. NO OF STORIES MA% OCC.LOAO <br /> MECHANICAL MECH S I.SO 21 SO <br /> INVESTIGATION FEE .'JO-0�e) ' <br /> FIRE SPRINKlERS REOUIRED ❑YES ❑�O <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATION ACC.9Y PLANS CMECNEO DY APPR.FOR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> TOTAL 21 `J <br /> PENMIT VA�IDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> �'��l�- �' �o20��d�5 �`' <br /> � <br /> �Qww�,Q,.�„�c� c�.,� 5!��Il y.i.�n�vu� r' <br /> .— <br /> c�.� <br /> nonarss ru E . <br />