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rhe G eer�reen <br />e�verett r � ;ONSTRUCTIOt� r <br />PERMIT PERMITNO. 164HO <br />CITV NALL P59�B7�5 <br />EVEPEtT,WA9B20t ❑ COMBINATION ❑ BUILDING � MECHANI��AL ❑ PLUMBINO <br />OWHER M�R �DONE55 C�Tv :.iP P��ONE <br />KINGS CROSS PROPERTIES POB X 6034 LYNNWOOD WA 98036 <br />ARCHITEGT OR pE5�04F.R M��L nODRE55 GITV 21P pHpNE <br />OkNEN�LCONTR�CiON MMIAWPESS CITY 2iP PHONE 4CENSE� <br />MERIDIAN BUILDERS 26405 - 70th Ave E Graham WA 98338 847-7045 <br />MEGNANIt�I CONTN�CTOR M�IL ���PE55 CiTY z;P PMpNE UClNSE � <br />PIUMBING fANTMCTOR M�R �ODRE55 CITY plP PHONE LiCENSE I <br />C1A55 OF WORN <br />O NEW R �DDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FF.NCE ❑ SIGN ❑ WOOD SiOVEIFIREPIACE INSENT <br />V�IU�TION OF WONI( <br />i <br />new heat unit and add gas line <br />PROPOSEO UFE OF BWIflINO <br />Entertainment <br />.Ed�l DE6CRIPTION OF P110PEqTY �SHOW BEIOW OR �TT11CH FOUR GOPIESr <br />LOt_CIOCI(_CF_ _ <br />lOB�DOPE48 <br />1021 N Broadway <br />rwrsiNo <br />N0. riPE OF FIXTURE QR ITEM FEE <br />WAl'ER CLOSET ITOILEn <br />BATH7UB <br />UVATORV �WASN BASINI <br />SHOWER <br />1(ITCMEN SINN 6 UISP. <br />DISHWASMER <br />UUNDRVTNAV <br />CLOTHE6WASHER <br />W�TER HEATF.R <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR ORAtN <br />VACUUM BfEAKEPS <br />ROOF DRAINS - RAINLEADERS <br />8UlTOTAL <br />VERMIT <br />TOTAL FEE <br />11VPROVAlB <br />1. ENVIRONMENT�L CHECK LIST <br />3. FIRE MYDRANT <br />E. DRAIN�OE <br />7.ENVIRONMENTALIMPACT6TATEMENT <br />I HEREBY CERTIFY THAT I HAVE READ AP1D EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE ;OMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GriANTIN(3 OF A <br />PERMIT DOES NOT PREGUME TO GIVE AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STPTE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTp(J�TION. <br />SION�OFCON^R�CiOHO�IlI,fOJi12EDl10ENT . __OI1TE <br />MECHANICAL <br />TYPE Of EOUIPMENT <br />AIR COND. UNITS - N.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H,P. ER. <br />6AS FIRED A.C. UNITS - TONNAGE <br />FORCED AIR SYSTF.MS - B1.U. <br />W!.'.L HEATERS - B.T.U. <br />!INIi HEATF.RS - B.T.U. <br />EVRPoRATIVE COOLER3 <br />CLO7MES DRYERS <br />VENiILAT10N FAN <br />HAN6E �100D <br />AIR MAN�LING UNIT - <br />STOVE - W000 <br />METAL FIREPLACE d CHIMNEV <br />FIREPLACEINSERt <br />HEAT PUMP <br />1 <br />i <br />t <br />EAR YARD SETBRCN PLAN CMECN NUA <br />AC�N7 SITE <br />YES :�.NO FEEB <br />IAAX.00C.LORO <br />PLANS CHECRED BY IAPPp.FORI6SUANCE <br />euaoiNc <br />PLUMBINO <br />MEf.HANICRL <br />OTHEfl <br />PEN�LiY <br />BUBTOTAL <br />PERMIT <br />TTO7AL FEE <br />I FEE <br />s <br />M EA. <br />M <br />M <br />C.EM. <br />� <br />! <br />f <br />CHECK FF.E <br />NECEIPT NO. <br />VALUATION I FEE <br />70� <br />�8 <br />rote� � � 16 �50 <br />VERMIT VALIDATION <br />WHEN PRQPEPLY VALIDATED IIN THI$ SP/�,CE) THIS 1SrY��1F�PGNiVT__ (� <br />U 3 '� i I 2S 7 11 �� <br />�' <br />� <br />'. ; ! i ( �--1 <br />, . ..; . ,� <br />.� <br />, I ,,�. �� �� i, <br />ADDRESS FIIE <br />