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`�� � Cr`'�NS�'RU�TION �` '�" Cc <br /> ever�tt P�RMIT PERMIT NO. 21 �%J� <br /> 259 -�?145 <br /> ❑ DEMOLITION ❑ COMBINATION x G BUILDING � MECHANICAL � PLUMBING ❑ SIGN <br /> OWNER MAILADORESS CITY ZIP PHONE <br /> 19th Ave. Station 19125 N. GYeek Parkway Bothell 96011 463-4036 <br /> ARCNITEGT OR DESIGNEP MAIL AUORESS CITY ZIP PHONE <br /> GENERALCONTRACiOR MAILAOORE55 CRY ZIP GHONE LICENSEx <br /> MECMPNIGALCONTRACTOR <br /> M/ILAD�RESS CITY ZIP PNONE LICENSEx <br /> Mid-Valley Plumbing 515 124th Ave. NE Bellewe 98005 827-6580 MIDVAPI4 C <br /> PLUAIBING CONTRAGTOR MAIL AOORE55 CITY ZIP PMONE LICENSE M <br /> CLRSS OF WORN ' <br /> ❑ NEW ❑ ADDITION I�ALTENATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REiOCt` <br /> VALVNTION OF WJHN <br /> 5 <br /> OESCqIBE WORK <br /> Plumbing/mech. <br /> HEPiSOURCE <br /> � ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER _ <br /> PROPOSEOUSEOFBUILOING I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br /> Travel Agency APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGPLDESCflIPTIONUFPpOPERTY�SNOWBELOWORATTACMFOURCCP�ES) CORRECT. ALL PROVISIONS OF LAWS AND ORDWf:NCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIEU WITH <br /> LOT��BLOGK _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of' A <br /> PERMIT DOES NOT PRESUME 70 GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> Travel Agents International THE PERFORMANCE OF CO TRUCTION. <br /> SIGNFt F CONTFACTOF.AUI D AGENT,OR OWNER �A <br /> JOBADDRE55 V � Z �'7 <br /> 10730 19th Ave. SE Suite F. ^ � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE NO. TVPE OF EOUIPMENT <br /> FEE <br /> 1 WATER CLOSET(TI.ILET) -- MC—A/HNDLG UNITS—H.P. <br /> BATHTUB flEFRIGERATION UNIT:i—H.P.EA. <br /> 1 LAVATORV(WASH BASIN) -- BOILERS—B.T.0/H.P. <br /> SHOWER GAS FIflEO A.G UNITS—8.T U. <br /> KITCHEN SINK 8 DISP. FOfiCED AIR SVSTEMS—B T.U. M EA. <br /> DISHWASNER WALLHEATERS—B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS—BT.U. M _ <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DFIYERS _ <br /> DRINKING FOUNTAIN VENTILATION FAN _ <br /> FLOOF DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS <br /> 1 WATER HEATER B SO <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE — <br /> SINK(SEFVICE—BAR,ETCJ METAL FIREPLACE&CHINNEY <br /> FIREPLACEINSERT <br /> HEATPUMP �. <br /> GAS PIPING � <br /> E%HAUSTFAN i <br /> •, �:K , <br /> SUBTOTAL S SUBTOTAL 6 50 � <br /> pep ? 15 00 � <br /> PERMI7 S <br /> TOTAL FEE f TOT '� <br /> FHONT SFTBf.CN REAR SETBACK SIOE SETOACK PLAN CHECK NUMBER F�p0021652 RECEIPT NO. � <br /> NECH 4 1.50 <br /> USE 20NE �CT AREA VACANT SITE FEES ATION FEE <br /> ❑YES ❑NO <br /> TVPEOFCONST. OCCUPANCYGROUP NO.OFDWELLINGUNITS <br /> BUILDING g <br /> PLUMBING <br /> SIZE OF BLDG. NO.OF STPRIES MA% OCG LOnD � <br /> MECHANICAL <br /> INVESTIGATIUN FEE Sec.3041e) �; <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑NO STATE BUILDING SUflCHAflGE - <br /> STATEENERGYSURCHAPGE <br /> APPLICATIONACC.HY PLRNSCNECKEDb" /PPRFORISSUANCE�V DRIVEWAYPERMIT <br /> S.H. <br /> TOTAL `_. ;:) �� <br /> PEpM1T VALIDA710N <br /> WHEN PROPERLY VALIDATED�IN THIS SPACE)THIS IS YOUH PERMIT �' <br /> �� <br /> �� <br /> r� <br /> N <br /> AOuRE55 Fl:.e � <br />