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"�E"Q�'� � ''�DNSTRUCTION <br />eve�rett��_as�,�, PERMIT <br />PERMIT NO. ��� J J <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEIi MMLAp0�E55 CITY ZIP PMGNE <br />Snohomish Cuunty Physician Corp. 7G00 Ever.gmen Way �ver�tt, WA 98204 <br />PRCMIiECTOP�ES�GNEP M1IAILADDRE55 CiTY LIP PHDNE <br />GENERFICONTRRCTOR MAILRD��[55 CITY ZIP PHONE LICENSEM <br />Kir.tley Cole Assoc. P.O. Rox 605 Snohomish, WA 9II290 <br />MEC��ANICALCONTRACTOt1 ��AILRDDNE55 CiTV 21P PMONE LiLENSE� <br />Everett Sheet Metal 2nc. P.O. Box 2557 Everett, f9A 98203 252-1434 EVERESM162DF <br />PLUMBIN6 CONTRACTOR MAIL �DO�ESS CITY ZIP P/IONE UCENSE � <br />O NEW ❑ ADDITION <br />t <br />� ALTERATION ❑ REPAIR <br />,._.._...__ ..__.. <br />Ass heat pump and associated ductwor <br />IEAT SOURCE <br />❑ ELECTRICITY ❑ GAS L] WOODSTOVE <br />Offices <br />�pT _ OLOCK � <br />Evergreen Way <br />PLUMBING <br />TYPE OF FIXTU <br />WATER CLOSET (TOILETI <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />SHOWER <br />KITCHEN SINK A �ISP. <br />DISHWASHER <br />LAUN�RYTRAV <br />CLOTHES WASHER <br />URINAL <br />DFINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFIOW PREVENTLRS <br />ROOF ORAINS — RAINLEI <br />SINY. (SERVICE — BFR. El <br />CONST. <br />SIZE OF <br />ACC BY <br />M.M. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COPRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE Gf VJORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. TFiE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLP'i E OR CANCEL THE PFiOVISIONS OF ANY OTHER <br />STATL- OR LOCAL LAW flEGULATING CONSTRUCTION OR <br />l HE PERFORMANCE OF CONSTRUCTION. <br />SIGN� r• OF CONTIIACTOi H RIZED AGENT. OR OYlNER OATE <br />x - � �-Y-s� <br />MECNANICAL <br />OR ITEM FEE NO. TYPE OF EOUIPMENT <br />A/C — AMN�LG UNITS — H P. <br />REPFIGERATION UNITS — M.P. EA. <br />BOILEfiS — B T.U1HP. <br />GAS FIPED AC. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALLHEATERS—BT.U. M <br />UNITHEATERS-6T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEfl <br />�5 WOOD STOVE <br />METAL P�REPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />G�S PIPWG <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />AREA <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />S�DE5E1NnCK PLAN <br />VACANT SITE <br />�VES ❑NO <br />:UPANLY GROUP NO OF OWELLING UNITS <br />OF STORIES MA% OCC LOAO <br />] YES O NO <br />�NS CHECKE� BY APPP FOR ISSUANLE �Y <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E BWLDING SURCHARGI <br />STATEENEHGYSURCHARGE <br />DRIVEWAY PERMIT <br />'EE RECEIPT NO. <br />VALUATION FEE <br />5 <br />nsm.:ia� -'.F��a nn��.;':5�n' �,_; <br />� 24 00 <br />Af�F(y J <br />Q�C t.i. <br />��asH :i.ea <br />TOTAL � I <br />PEHMIT VALIOATION <br />WHEN PPOPERLV VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />