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evere �'�NSTRIJCTIONr '� = � 17257. <br /> 259 -8745 PERMIT PERMITNQ:_• _ <br /> ❑ DEMOLITION ❑ COMBINATION ❑ HUILDING f�l MECHANICAL ❑ PLUM6ING � SIGN <br /> OWNEfl MRIlNO�PESS CITY ZIP PHONE <br /> B-99 Associates 10121 Ev?rgreen Way 12-20, Everett, WA 98203 743-7601 <br /> pRCHITECTOHDE5IG?!ER MAILADDNESS CITY ZIP PHONE <br /> GENER4�CONTPACTOR MAILADDRE55 CITY 21P PHONE LICENSEt <br /> MECMANICALCONTRACTOR MAILADDRESS CITY 21P PHONE UCENSEt <br /> Natural Gas Equipment 1625 E Marine View Dr. Everett, WA 98201 258-2441 NATURGE320N6 <br /> PLUMBINGGOIITRRCTOR MPILADDPESS GITY ZIP PMONE LICENSE� I <br /> GLAi50F WORN <br /> �I NEW ❑ ADUITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALU/TION OF WORK <br /> b <br /> pESCRIBE WONK <br /> Install 3 hot water heaters & gas piping. <br /> NEATSOURCE <br /> ❑ ELECTNICITY CJ GAS � WOODSTOVE ❑ OSHER <br /> Pf1GPO5ED USE OF BUIL�ING � <br /> I HERE6Y CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> WomPn's Ha; APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCRIPTIONOiPPOPE Y�SNOWOELO'NORATiACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_6LOCK _ OF GOVERNING THIS �fYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMtT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLA"i E OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STPTE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> Northwest Women's Health C1 THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AOORESS SIGI�AT RE OF CONT TOR.AUTHORREO AGENT,OR OWNER DATE <br /> 10121 Evergreen Way, Suites 12-20 J( „ �< I Y�SL 10/6/86 <br /> PLUMBING MEC ANICA' <br /> NO. TYPE OF FIXTURE OR ITEM FEE 110. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNI7S—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—B.T.UJH.P. <br /> SHOV✓ER GAS FIRED A�C.UNI15—B.7.U. <br /> KITCHEN SINK 6 OISP. F7RCED AIR SYSTEMS—B.T.U. M EA. <br /> �ISHWASHER WALLHFATERS—B.T.U. M <br /> L4UNDflY THAV UNIT HeATERS—H.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHEiDRYERS <br /> DRINKING FOUNTAIN VENTILHTION FAN <br /> FLOOR DtiAIN RANGE HOOD � <br /> BACKFLOW PREVENTERS WATER HEATER • i <br /> ROOF DRAINS—flA1NLEAC�ERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) MEiAL FIREPLACE 8 CHIMNEY <br /> FlREP4ICEINSERT <br /> HcATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUFITOTAL S SUBTOTAL 19 SO <br /> PEFIMIT S PENMIT LS OO <br /> TO'fAL FEE S TOTAL FEE 34 S O <br /> FHONT SETBRCK REAR SET9ACK SIOE SETBACK PLAN CHECK NUMBER FEE PECEIPT NO. <br /> USEZONE LOTPNEA yqCANTSITE <br /> ❑�es ❑ruo FEES VALUATION FEE <br /> TYPEOFCONST. OCGUP4NCYGROUP NO.OFDWE�LINGUNITS BUI�DING S <br /> GL I <br /> PLUMBING I <br /> SIZE OF BLDU N0.OF SiORIES MAXALG LOAD <br /> MECHANICAL HOOO1�t�.SY 34 O <br /> INVESTIGATION FEE �304�e) <br /> FIHE SPRINKLERS REOUIRED Q YES ❑NO <br /> STATE BUILDING SURCHARGE <br /> S7ATEENERGVSURCHARGE <br /> APPLICATION ACC.9V RANS CNEGKEO DY APPR.FOR ISSUANCE BY <br /> DRIVEWAVPERMIT <br /> �.M. TOTAL 34 50 <br /> PEflM1T VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> r� <br /> �..�� <br /> N <br /> � <br /> � <br /> AC�DRFSS FILE <br />