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everett � C�1�STRUCTION � ^ � 1cG <br /> 259 -8745 <br /> PERMIT PERMIT NQ�^ � 1 U`�� <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING �l MECHANICAL C�PLUMBING ❑ SIGN � <br /> OWNEH MAILAOORE55 GITY ZIP PHONE <br /> lyth Ave. Station 19125 N. Creek Parkway Bothell 98011 483-9036 <br /> ARCHITECT OR DESIGNER MAI�/OORESS QTY 21P PHONE <br /> GENERAL CONTRACTOR MAIL AOORESS CITV 21V PMONE �ICENSc V <br /> AIECHANIGIL GONTRACTOF MAIL ADOPE55 CRY ZIP PNONE IICENSE��� <br /> Mid-Valley Pliunbing 515 124th Ave. NE Bellevue 98005 462-197E MIDVAP141CC <br /> PLUMBING CONTRALTOR MAIL AODRESS CITV 21P PHONE LICENSE d <br /> CLASS UF WORK <br /> ❑ NEW ❑ ADDITION � AITERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VFLUATION OF WORK <br /> t <br /> OESLRIBE WORK <br /> Plumbing/mech <br /> NEATSOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF 9UILDING <br /> Retail I HEREBY CERTIFY THAT I HAV[ READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THL" SAME TO BE TRUE AND <br /> LEGALOESGRIPTIONOFPROPERTY�SNOWBEIOWORATTACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK _OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHF.THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT FRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF AN'f OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> Tiles and Interiors THE P FORMANCE OF C S RUCTION. <br /> JJBAODRE55 SIGNAT OFCONTRACTOR.AUTMO AGENT.OR OWNER OATE <br /> 10730 19th Ave. SE Suite G. X � ��'`'l.- � <br /> PLUMBING MECHANICAL <br /> N0. TVPE OF PIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE� <br /> 1 WATER CLOSE7�701LET1 A/C—A/HNDLG UNITS�—H.P. <br /> � P4THTU8 REFRIGERATION UNITS—H.P.EA. <br /> , j LAVATORV�WASHBASIN� BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A�C.UNITS—6.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> . DISHWASHER WALLHEATERS—BT.U. M <br /> LAUNDRVTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER tVAPORATIVE COOLERS <br /> URINAL CLOTHESORVERS <br /> ' ORINNING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEN7ER • <br /> ROC'F DRAINS—RAINLEADEflS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUST FAl l <br /> SUB TOTAL S SUB TOTAL 6 SO <br /> PERMIT S PERMIT 15 00 <br /> TOTALFEE S TOT 't SO ��� <br /> FPONT SETBACK REAR SF.TBACK SIOE SETBaCK pLAN CHECK NUMBER FEE RECEIPT NO. <br /> k00021653 <br /> USEZONE LOTAflEA yqCANT5ITE <br /> ❑YES ❑No FEES FEE <br /> TYPEOFCONST. OCCUPANCYGf1011P NO.OFOIY[LLINpUNIT� BUILDING �txCH S 1.JU <br /> PLUMBING � � <br /> SIZE OF BLDG. NO.OF STORIES MA%.OCC.LOAO <br /> MECHANICAL 21 O <br /> INVESTIGATIbN FEE Sec.304(e) <br /> FIRE SPflINKLEFS REOUIRED ❑YES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATE ENERGY SURCHA!iGE <br /> APPUCATION ACC.BY PLANS CHECNEO BY APPR FOR ISSUANCE OY �- <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL <br /> PENMIT YALIVATION <br /> WHEN PROPERLV VALIDATE�(IN'fH15 SPACE)THIS IS YOUfl PERMIT <br /> M <br /> I.L7 <br /> GO <br /> � <br /> N <br /> annrt�ss t��,�.E � <br />