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'�� C7NSTRUCTION �� � /� <br /> everett PERMIT PERMIT NO. 21 6`�� <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owr+En <br /> R1niLADDRESS CItY ZIP PIION[ <br /> James E Stutzman 1912 Hewitt rverett y8201 �SQ-���ti p��ONE <br /> AqCHRECTORDE5IGNER MAILADDR[SS ��TY ziP <br /> GENERALCONTRRCTOfi <br /> MRIL AOORF.55 CITY ZIP �'NONE LICENSE• <br /> udI110 Z�p PIIONE LICENSE� <br /> MECNANICAI CONTPRGTOR MRIL ADORESS CITY <br /> PLUMBING LONTHACTOR <br /> MARAOOFESS GTY 21P PMONE LICENSE� <br /> CLASS OF WORK <br /> C NEW ❑ ADDITION E1 ALTERATION ❑ REPAIR C] DEMOLITION ❑ BUILDING RELOCATI <br /> WLUATION OF WORN <br /> s <br /> OESCRIBE WORK <br /> install t <br /> HEATSOURCE <br /> ❑ ELECTRICITY � GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Salg> and ser� ' APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LOESLRIPTIONO��OfERTY�SNOWOELOWORATTACMiOURCOPIE`I CORRECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�BLOCN _OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO 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 AUORESS 51 RTURE OF CONTRAACTOR.9UTMORI2[D AGENT.OR OWNER pA�TE /� <br /> ZL C . �[._ �'�J�/ [�"[� <br /> o' ( <br /> PLUMBING CHANICAL <br /> Np, TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(iOILET� A�C-A%HN�LG UNITS-HP. <br /> BATIiTUU REFRIGERATION UNITS-H P.EA <br /> LAVATORV(WASH BASIN� DOILEFS-B T U�H P. <br /> SHOWER <br /> GAS FIRED A C UNITS-BS.U. <br /> KITCMEN SINK d DISP. FORCED AIR SVSTEMS-B T.U. M EA <br /> �ISHWASHER WALLHEATERS-BT.U. �� <br /> LAUNORVTRAV UNITHEATERS-BT.U. M <br /> LIOTHES WASHE�7 EVAPORATIVE COOLEPS <br /> — CLOfMESDRVERS <br /> URINAL <br /> DRINNING POUNiAIN 3 VENTILATION FAN <br /> FLOORORAIN RANGEHOOD <br /> CACKFLOW PREVENTERS WATER HEATER <br /> RGOF DRPINS -RAINLEADERS WO00 STOVE <br /> SINh�SERVICE-6AR.ETCJ METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> MEAT PUMP <br /> GAS PIPING <br /> — E%IIAUST FAN <br /> ., - :k:t <br /> SUB TOT11L S SUB TOTAL <br /> PERMIT s PER <br /> TOTALFEE S TOT ^ <br /> GRONT SETORLI( REAP SETOALN SioE SETunCK PLAN CHECK NUMBER F�EC', $p R�EIPT NO. <br /> USE 20NE LOT RREA yqC4NT SITE FEES VALUATION FEE <br /> ❑YES �NO <br /> TYPE OF CONST <br /> OCCUFRNGYGROUP NOOFDWELLINGUNiTS BLIILDING S <br /> PLUMBING <br /> SiZE OF OLOG NO OF STORIES MA% OCC LOAD <br /> MECHANICAL 28 SO <br /> INVESTIGATION FEE Sec.304(c) <br /> FIRESPRINKLENSNEOUIRED YES NO $7qTEBUILDINGSURCHARGE <br /> STATEFNERGYSURCHARGE <br /> RPf��ICATIONACC (lY i'LI.NSCHEGR[DOY APPO fO�155URNCE�Y <br /> �RIVEWAY PERMIT <br /> S.H. TOTAL 28 50 <br /> PERMIT VALIOATION <br /> WHEN PROPERLV VAUDATEO pN THIS SPACE)THIS IS VOUR PERMIT � <br /> �' <br /> �n <br /> r� <br /> N <br />