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--z <br /> `�� �'"`� C�NSTRUCTION � ""`` �� <br /> everett PERMIT PERMITNO. � 9 `+6O i <br /> 259 -8745 <br /> i <br /> ❑ DEMiDLITION ❑ COMBINATION ❑ BUILDING �J MECHANICAL � PLUMBING ❑ SIGN ; <br /> OWNER MAILAODRE55 GtY ZIP PMONE � <br /> Lee and Smith Clinic 10810 •- 19th Ave SE Everett, WA 98208 <br /> ARCHITECT OR OESIGNER MNIL A�DRL55 CITV 21P PHONE <br /> � <br /> GENEflAL CONTRACTOR `+sq qOOR[SS CITY ZIP PHONE LICENSE x <br /> CL'onin HOmes 713 SE Everett Mal� Way Everett, WA 353-G500 <br /> MECMRNICAL LONTRNCTON MAIL ADORESS LITY ZIP PHONE LICENSE� <br /> Electric Furnace Center 14613 Three .Lakes Rd. Sx03t�xi Snohomish 98250 568-7029 <br /> PLUMBING CONTRACTbR M�IL ADDPESS CITY ZIP PHONE LICENSE• <br /> ELECTI226BW <br /> CLAS$OF WOPK <br /> Z7 NEW ❑ 4DOITION ❑ AITEflATION ❑ flEPAIR ❑ DEMOLITION ❑ 9UILDING RELOCATION <br /> VALUATION OF WORK <br /> S <br /> OESCRIBE WORN � <br /> Install heating and air conditioning and gas piping for water heaters <br /> HEATSOURCE <br /> O ELECTHICITY � GAS ❑ WOODSTOVE Ll OTHER <br /> VROPOSED USE OF BUIL�ING <br /> BQt[Ya� Dental clinic and lab I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNUW TH[ SAME TO BE TRUE AND <br /> �EGALDESCNIPTIONOFPROPEqtY�5HOW0ELCWOPATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <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 AUTHGRITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> gTATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBNDORESS SIGNA EOF ONTRACT T RIZEDA�'iENT,OROWNER DATE <br /> 10830 19th Ave SE j( 1/21/88 <br /> PLUMBING MECHAHICAL <br /> NO. TYPE OF FIXTUHE OR ITEti! FEE NO. TYPE OF EOUIP�.iENT FEE <br /> WATER CLOSET(TOILET� A�C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFFIGERATION UNITS—H.P.EA. <br /> LAVATOFV(WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHOW ER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATE(iS-9.T.J. M <br /> � LAUNOflV TRAV UNIT HEATERS—�.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDHVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HO00 <br /> BACKFLOW PqEVENTERS 3 WATER HEATER ,19 SO <br /> ROOF OflAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETCJ METAL PIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTA� 46 50 <br /> PEHMIT S PERMIT ZS OO <br /> TOTAL FEE S TOTAL FEE 61 SO <br /> �AONT;E70Ac.N REaRSETBnCK SioESETBnCK PLANCNECKNUMBER FEE F7ECEIPTNO. <br /> USE20NE LOTAqEA yp�pNT517E <br /> ❑YES ❑No FEES VALUATION FEE <br /> T'�PEOFWNST. OCCUPANCYGROU? NOAFDWELIIN' 7NIT5 BUILDING S <br /> PLUMBING i <br /> SIZE OF OLUG N0.OF STORIES M�%.OfC.LOFD I <br /> MECHANICAL 61 50 j <br /> INVESTIGATION FEE Sec.30�t�e) . � � 'I - <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE . <br /> APP4CATION PCC.DY PLANS CHECNEO AY APPfi FON ISSUANLE�V -- <br /> DRIVEWA�PERMIT <br /> M.b1. TOTAL 61 50 <br /> PERMIT VALIPATION <br /> WNEN PROPEI7LY VALIDATED�W THIS SPACE)THIS IS YOUR PERMIT <br /> � <br /> L� <br /> �' <br /> Q� <br /> � <br /> � . _.. I � �� ` � <br />