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`�� �'7NSTRUCTION � ^ n Cn <br /> eV� PERMIT PERMITNQ:-. � J�uJ <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL '❑ PLUMBING ❑ SIGN <br /> OWNER MARq00RE55 CITY 21P PNONE <br /> Medical Psycology Assn. i 3114 Oakes Everett, WA 98201 <br /> ARCMITECT OR OESIGNER MAIL p00RES5 GTY 21P PMONE <br /> GEN4RAL CONiRRCTOR MAIL ADDPESS CITY ZIP PMONE IIGENSE� <br /> MEGHRNICAL LONTRACTOR MAIL RODHESS �kes CITY 21P PHONE IIGENSE� <br /> Electric Furnace Center 14613 Three SkYAl1L Rd. Snohomish, WA 9829� 568-7029 <br /> PWMflINGCONTRRCTOR MAILADDRESS CITY IIP PNONE LICENSE� <br /> ELECTI226BW <br /> CLASS OF WORK <br /> O NI�.W ❑ ADDITION C$ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATON <br /> VAWATIONOf WORk <br /> S 2300.Oi1 <br /> OESCRIBE WONN <br /> Vent bath fans, gas pipe, roof unit, rework duct work. <br /> MEATSGURGE <br /> O ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSE�USE OF BUILOING <br /> Offices I HEREBY CERTIFY TI1AT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRiPT10NOFPPOPERTV�5HOW0ELOWORATTACMFOURL01'�ES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK _ov GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PiiESUME TA GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AppRE55 SIGNA OF CO TRACTOR.A T DRI D AGENT.OR OWNER DATE <br /> 3114 Oakes j( ��_jp�7 <br /> PLUMBIN(i MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. riPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) A/C—A/HNDLG UNITS—HP. <br /> BATHTUB HEFRIGEHATION UNITS—M.P.EA. <br /> UVATORY�WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIREO A�G UNITS—B.T.U. <br /> KITCMEN SINK 8 DISP. 1 FORCE�AIR SYSTEMS—BS.U. M EA. 9 OO <br /> DISHWASHER WALLMEATERS—BS.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTMES WASHEF EVAPORA7IVE COO�ERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATI(�N FAN <br /> FLOOR�RAIN RANGE HOOD <br /> BACKFLOWPREVENTERS WATERHEATER � <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE j <br /> SINK(SEFVICE—BAR,ETC.) METAL FIREPLACE 8 CMIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOT�L <br /> PERMIT S PERMIT <br /> TOTALFEE S TOTALFEE <br /> FRONT SETBACK REPR SETBRCK SIOE SETOACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTRREA <br /> VACANT SITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST OCCUPANCYGROUP NOOFOWELUNGUNRS BUILDWG S <br /> PLUMBING <br /> SIZE OF BLDG. NO OF STOqIES MR% OCC lOr1D <br /> MECHANICAL 37 OO <br /> INVESTIGATION FEE . �.�41e) - � <br /> FIRc SPRINKLERS REOUIRED ❑YES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> RPP�ICATION PCC �Y PUNS CNECNEO�Y APPR FOR ISSpANLE OY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 37 00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUN PERMIT <br /> Q� <br /> �� <br /> �� <br /> Q7 <br /> �� <br /> f:i�I . �..:5 , ,_ <br />