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`�� �'` t�NSTRUCTION °�"� r"` c <br /> everett PERMIT PERMITNO. �1 U� � <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINHTION Cy7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN ` <br /> uqi�qDORE55 CITY ZIP PHONE <br /> OWNER <br /> 19th Ave. Station Inc. L-125 Northcreek Parkway Bothell 98011 483-403 <br /> ARCMITECT OR DESIGNEN MAIi.ADONESS CITY ZIP PMONE <br /> �pA 4230 198th St. SW Lynnwood 98036 771-2300 <br /> GENERAICONTRACTOF MRIIADURE55 dTY ZIP %IONE LICENSE/ <br /> RL Sell Const. 5200 lllth Ave. NE SLik Kirkland y8033 827-6580 BELL*RL160NZ <br /> MECHANICALCONTRACTOfl <br /> MAILAODRE55 CITY ZIP VMONE LICENSEM <br /> PLUMBING CONTRFCTOR <br /> MAIL AD�RE55 GITY 21P PHONE LICENSE� <br /> CLASS OF WORN <br /> ❑ NEW ❑ ADDITION L� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ 6JILDING RELOCA <br /> VP'.UATION OF WORK <br /> S 3U,000.00 <br /> DESLRIBE WOHN � <br /> Tenant improvement <br /> HEATSOUPCF. <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> ofiOPO5EDl15EOFBUILDING I HEREB'/ CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br /> Interior desi n store APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALPESCRIP110NOFPROPEHTYISHOW9ELOWORATTACHiOU�CGPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINAN�ES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT.�_BLOCH �_ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING 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 REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSI51' C�ION. <br /> JOBAOORESS SIGNAT pF6jC IT TO AUTHORIZRb (G T OROWNER � r DAT� <br /> X � 6 �9 <br /> }dp4 10730 19th Ave. NE SuiteG ' <br />" PLUMBING <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br />� � WATERCLOSET(TOILET� A/C—A�HNDLGUNIB—HP. <br /> � BATHTUB REFRIGERATIONUNITS—H.P.EA. <br /> � LAVATORV(WASHBASIN) BOI�ERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCEO AIR SYSTEMS—B.T.U. M EA. <br /> OISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRVTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES ORYEfiS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOO(i DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATEfl <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SEFVICE—BAR,ETC� METAL FIflEPLACE&CHIMNEY <br /> — FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT S PERMIT <br /> TO7ALFEE S TOTALFEE <br /> FRONTSETBhGK <br /> REANSETBnCN SIOESETBACN PLANCHECKNUMBER FEF. RECEIPTNO. <br /> 89,121616 02/1E8849I?1�0 AM �+iW468 kk:KK <br /> USEZONE ��TAREA VACANTSITE FEES FEE <br /> `.�� ❑YES �NO <br /> TYPE Of CONST. OCCUPANL�GROIIP N0.OF OWELLING UNIT3 <br /> BUILDING B .� 2$4 SO <br /> III—N B'Z � PLUMBING �+ �CH • � �� <br /> n <br /> SIZEOFBLOG NO.OFSTORIES MFX.00C LOAD <br /> 1600 1 48 MECHANICAL <br /> INVESTIGSTi�NFEE Sec.304(e) <br /> FIRE SPRINKLERS REOUIRED �YES NO STATE Bl1iLDING SURCH�RGE <br /> STATEENERGYSURCHARGE <br /> APPUCATION ACC.BY PLRNS CHECKED BY APPP.FOR ISSUANCE BY <br /> DHIVEWAY PERMIT <br /> TOTAL <br /> S.H. B.E. B.E. <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE�THIS IS VOUR PERMIT � <br /> �� <br /> �� <br /> C� <br /> N <br /> f.�:��flE�'� . ��.E <br />