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�� <br />cin or <br />everett <br />259-8745 <br />'"' t'�NSTRUCTION <br />PERMIT <br />� <br />PERMITNQ:: f oo�� <br />❑ DEMOLITIOH ❑ COMBINATION ❑ BUILDING C$ MECHANICAL ❑ PLUMBING ❑ S16N <br />OWNEP MRILAOORE55 CiTv ZIP PHONE <br />Frank Strahm 2940 W. Marine View Clr. Everett <br />ARCHRECT OR DESIGHEP MAIL RODRE55 dTY 21P MONE <br />GENERRL <br />MAIL P�DRESS <br />CITv 2�P <br />LICENSE � <br />MECHANIGALCONTR�GTON M�ILRODBE55 CITY ZIP PMONE UCENSE• <br />Setzer Plwnbing 15617 Westwick Rd. Snohomish 568-9784 SETZEP*217R0 <br />PLUMBINGLONTRqCTOR MRILApDRESS LiTV 21P MONE LICENSE� <br />C��SS OF WONN <br />❑ NEW ❑ ADDITION C�ALTERATION ❑ h�PAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />V�WATICN OF WORN <br />s <br />DESCRIBE WORN <br />Add gas piping/3 hot water heaters <br />HEATSOURCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODS�OVE ❑ OTHEN <br />Health Club <br />EGAL OESCROTON OF PROPERI <br />lOT _ BI�CK _ OF <br />PLUMBING <br />NO. TYPE OF F�XTURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORV �N'ASH BAS�N) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CIOTHES WASHEP <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />� DRAINS — RAWLEADEflS <br />�SERVICE — BAR. EiC � <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />I HEREBV CERTIFY TN,�T I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNC;W THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIO�S OF LAWS AND ORDINANCES <br />GOVFRNING THIS TYPE OF W7RK WILL BE COMPLI[D WITH <br />WHETHER SPECIFIED HEREIN O�' NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME �i7 GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVIS�ONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATWG CONSIAUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNATi/R[ OG CONiRnCj� qNJ110P�Z�D RGENT, OR OWNER OATE <br />4 <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />A%C — >/NNOLG UNIT$ — H P. <br />FEFRIGERATION UNITS — HP. EA. <br />�OILERS — B T U/H P. <br />GAS FIRED AL. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — BS.0 M EA. <br />WALLHEATERS—O.TL. M <br />UNIT HEAiERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGENOO� <br />WATER HEATER • <br />WOOC gTOVE <br />METAL FlREPLACE h CHIMNEI' <br />FlREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PEPMIT <br />TOTALFEE <br />PLAN CHECKNUM�ER FEE <br />VAf.ANT SITE FEES <br />�res ❑No <br />TYPE�FCONSi. OCCUPANCYGROIIP NOOFOWFLLiNGUNITS OUILDIKG <br />SIIE OF flt�f,. <br />APPIICqTION ACC tiV <br />S.H. <br />MA% CCC l0/D <br />PLPYSCM[CNE[��Y � APPR fOR155UANCEOY <br />VALUATION <br />5 <br />PLUMBING � � <br />MECNAN!CAL N��OLBO�9 <br />��� <br />INVEFTIGATION FEE ,i��c �041e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />OFIVEWAY PERMIT <br />RECEIPT NO. <br />TOTAL I I 34I50 <br />PEflM1T VALI�ATION ` <br />WHE4 PROPERLV VALIDATED pN THIS SPACE� THIS IS YOUR PERMIT <br />Qi <br />CV <br />t' � <br />C,J <br />e--- <br />AD(tI:ESS f II G <br />n <br />