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r��n.,p+xn <br />an oF <br />everett <br />259-8745 <br />i �NSTRUCTION - <br />PERMIT �PERM� a:16723 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBIN(i ❑ 810N <br />�R MAII �DDRES$ CITY ZIP P11pNE <br />UNION OIL PO BOX 76 SEATTLE WA 98111 <br />AHCHITECTOROESIGNER MAI�ADORE55 CITY 21P PHOIIE <br />GENERAL CONTRACTOR MAIL ADDFESS GITY pIV VHO�'�[ 4CENSE � <br />MECMANIC�LCONTR�LTOfl MAILAODRE55 CITY 21P PMONE LICENSF.• <br />MUMBINGCONTflACTOH MAILAODRESS dTY ZIP PHONE LICENSE• <br />ROBINSON PLUMBING 607 SE EVERETT MALL WAY EVERETT WA 98204 355-6171 <br />C1ASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ DEMOUTION ❑ BUILDING HELOCATION <br />VALU4TION OF WOflK <br />{ <br />Install water line from meter to washdown racks <br />HEAT SOIIHLE <br />❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br />lOT _ BLOCK _ <br />9826 - 7th Ave SE <br />PLUMBING <br />ITEM <br />WATER CLQSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIW <br />NITCHEN SINK 6 DISP. <br />DISHWASHLR <br />LAUNDRVTRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN7ERS <br />ROOF DFAINS — RAINLEADE <br />SINN (SERVICE — BAR, ETC.) <br />water line <br />SUBTOTAL <br />TOTALFEE <br />LOT AflEA <br />OFBIOG. � kO.OFSTOPIES <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORD!'NANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME"TO GIVE AUTHORITY TU <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA� OR LOQA�L LAVjL$EGULATING CONSTRUCTION OR <br />PGF�NT,OROWNER DFTE <br />� 6/20/86 <br />!EE � NO. � TYPE OF EOUII <br />A/C — A/HN�LG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCEDAIRSYS7EMS—B.T.U. MEA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION fAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />HEA7PUMP <br />GAS PIPING <br />EXHAUSTFAN � <br />s S OO SUB TOTAL <br />S 10 00 PERMIT <br />= 1S 00 TO7ALFEE <br />SiDE SETBnCK pLqN CHECK NUMBER FEE <br />VACANTSITE FEES VALUATIOI <br />❑YES ❑NO <br />NO.OF�WELUNGUNITS BUILDING S <br />PLUMBING <br />MA%.00G lOAO <br />MECHANICAL <br />INVESTIGATION FEE Sec.304�e) <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DFIVEWAV PERMIT <br />TOTAL <br />� <br />WHEN PROPERLY VALIDATED (IN Th15 SPACE) THIS IS VOUR PERMIT <br />n.onrEss ru F <br />�� <br />N <br />L�- <br />Ca <br />� <br />