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`�� '`, t'�NSTRI��TIO�J �� ^ nnA <br /> �verett RERN�IT PERMIT NO. � � J J`� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION Q BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> MAILAOONESS GITY 21P VMONE <br /> OWNEP Wt� 98204 <br /> George R. Ne�cxalciak Nevratakis 11223 19th Aoe SE L'verett, _ _ <br /> qRCHITECT OP JESIGNEB <br /> MAILADDPE.'+S CITY Zlf` PNONE <br /> GENENALCONTRFCfOR <br /> AIAILAD�PESS CITY ZIP PMONE LICENSEx <br /> Roberts Construction 23206 Yeager Rd. Monroe, WA 98272 ROBERCI194D6 <br /> MECHAN:CNLGbNTPACTOR <br /> MRIL AODRE55 CITY ZIP PMUNE LICENSE� <br /> PLUMFIYu CONTRACTOA <br /> MAILAOC9ESS CITY 21P PHONE LICENSE� � <br /> CL�SS OF WORK <br /> [�yKyp— #] ADOITION 0 ALTERATION ❑ REPAIfl ❑ DEMOLITION ❑ BUILDING HELOCATI N _ <br /> VALURTION OF WORK <br /> s �rJQ�. <br /> DESCFIBE WORK <br /> Cover under existing canopy <br />� HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOJDSTOYE ❑ OTHER <br />' PflOPOSEDU5E0fS �=01NG I HEREDY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />�� restaurar. � APPLICATION AND KNOW THE SAME TO BE TRUE ANU <br /> I LEGRLDESCNPTIONOFPROPERTY�SHOWBELOWONATTACHFOURGOPIESI CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCFS <br /> GOVERNING THIS TYPE OF WORK WIIL BE COMPUED WI-T�N <br /> LOT__BLOCK __ OF WHETHER SPECIFIED H'cREIN OR NOT. THE GRANTING ()F A <br /> PERMIT DOES NOT PRESUME T� GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVIaIONS OF ANY OTI�ER <br /> STATE OR LOCAL LAW REGULATING CONST9UCTION OH <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> SIGNhTURE OF CONTR/+CTOR.�UTHORIZED AGENT.OR OWNER DATE <br /> JOBAODRESS y ��3� � <br /> 11223 19tn Ave SE � <br /> PLUMBING MECHANICAL <br /> kp, TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET) NC—A/HNDLG UNITS—H.P. <br /> 6ATHTUB REFRIGERATION UNITS—HP.EA. � <br /> LAVATORY(WASH BASIN) BOILERS—B T.U.iH.P. <br /> GAS FIRED A C.UNITS—B.T.U. <br /> SHOWER <br /> KITCHEN SINK d DISP. FOfiCE�AI3 SYSTEMS—BS.U. M EA. <br /> WALLHEATERS—B.T.U. M <br /> DISHWASHER <br /> LAUN�RV TRAV UNIT HEA7ERS—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> CLOTHESDRVERS <br /> URINAL <br /> DflINKING FOUNTAIN <br /> VENTILATION FAN <br /> FLOOR ORAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINL_ADERS WOOD STOVE . <br /> SINK(SERVICE—BAR.ETC.� METAL FIREPLACE 8 CHIMN�iV <br /> FIREPLACEINSERT <br /> HEATPUMP � <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTpL S SUBTOTAL � <br /> PENMIT f PEPMIT <br /> TOTALFEE S T9TALFEE <br /> RECEIPT NO. <br /> FRONTSETBAGK AE/RSETOPCK SIDESETOACN NA PLANC87%17994R FEE z2�75 89560 <br /> NA NA <br /> USEZONE LOTr1REA y�CqNT51TE FEES VALUATION FEE <br /> B_ZA ❑ves 29No 35 00 <br /> iVPE OF CONST. OCCUPRNGY GROUP RO OF DWELLINOG UNITS <br /> BUILDING S 1500.00 <br /> V-N B-2 PL7MBING <br /> SIZE OF BLDG. NO.OF STOFIEc MA% OCC.LOAD <br /> 450 Sf 1 NA MECHANICAL <br /> HA���XHE6��8BXA�XnIZR��sX INVESTIGATION FEE pq, ._�..,��?(�1:7,�q�f OOORtS4959 �k_g�.k:k <br /> FRE SPRINKLERS REOUIREO ❑YES �NO — STATE BUILDING SUqCHARGE � 1 SO <br /> STATEENERGYSUHCHARGE �.��.., �y' ,OO <br /> APGLICATIONACC �V PLANSCHECKEO�Y A'�PR FORISSUPNCE�� ORIVE6YAYPERlAIT F: SFi�C}{ 1.SIJ <br /> * <br /> Be L.C. TOTAL - �- <br /> 7ERMIT VALIDATION <br /> —r WHEIJ PROPERLV VALIOATED�IN THIS SPACE)THIS IS YOUR PEPMIT d. <br /> South P/L to be established by property � <br /> owner. Q7 <br /> ti <br /> a�-- <br /> nr,o';�ss n..E <br />