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`��� - C NSTRUCTION � '� <br /> everett PERMIT PERMITNO. 2� J� �7 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINAT�ON ❑ BUILDING �l MECHANICAL K] PLUMB�NG ❑ SIGN <br /> OWNER MAIL�DDRE55 CITY ZIP [�MONE <br /> James E. Ska Stutzman 1912 Sewitt Ave. Everett 98201 259-2126 <br /> ♦RCMiTECTOR0E5iGNER MRILpDD11E55 CITY 21P PIIONF. <br /> GENERRL CONTRr1CTOR MAIL ADDHE55 CrtY IIP PHONE LICENSE� <br /> MECMI.NICAICONTRTCTOR MRILAODRESS CIT\ 21P PMONE ��CENSEr <br /> PLUMOING CONTRRCTJR MAIL AODRESS CIiV 21P PHONE LIL.'NSE• <br /> Owner <br /> C1F550F WORN <br /> ❑ NEW ❑ ADDITION Scl ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VRLWTION OF WORK <br /> S <br /> ❑ESCRiBE WORK � <br /> Plambing <br /> HEATSOUPGE <br /> ❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPJSED USE OF BUII OING <br /> Appliance sales and repair I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATII.N AND KNOW THE SAME TO BE TRUE AND <br /> IEGAL0E5GRIPT�ONOFPRO>EHTY�SMOWOELOWOiiATTACHiOUPCOPIE51 CO'1RECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_o�ocK _ or G!�VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETF:ER SPECIFIED HEREIN Oii NOT. TH5 GRANTING OF A <br /> PERM!� DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIOhS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�ODRE55 51 ATUREOPCONTRACTOR.AUTHORIIEDAGENT.OROWNEH OFTE <br /> 2202 Ewerett Ave. � r.- O <br /> PLUMBING M CHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� 1S On AiC—A�MNDLG UNITS—HP <br /> BATHTUB REFRIGEFA710N UNITS—HP.EA. <br /> LAVATORY�WASHBASIN) LS OO �OILERS—BT.UiHP. <br /> SHOWER GASPIREDAC UNITg—B.T.U. <br /> KITCMEN SINK 8�ISP. S OO FOFCED AIR SYSTEMS—B i.U. M EA. <br /> DISHWASHER WALLHEATERS—�T.U. M <br /> LAUNDRY TRAV 0p UNIT HEATERS—B T.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> UFINAL" CLOTHES DRVEFS <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN (7ANGE HOOD <br /> BACKFLOIY PREVENTERS 1 WATER HEATER SO <br /> ROOF ORAINS—RAINLEAOEfl$ l'JO(�(l STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE&CHIMNF.Y <br /> FIREPLACEINSERT <br /> HEAiPUMP <br /> GA$PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S q SUBTOTAL SO <br /> PERMIT S PEN Q $ <br /> !.'1TAL FEE S TOTRL f-E <br /> FRONTSETEACK RiaaSETBnce soESEioaCK PLANCHFCKNUMBEF FE RECEIPTNO <br /> PLP�C S 0.00 <br /> USE ZONE lOT RREA yq�qNT SITE <br /> ❑res ONo FEES FEE <br /> TYPEOFCONST OCCl1PRNGYGHOIIP NDOFOWELLMGUNRS BUILDING sELEC S I.W <br /> PLUMBING � � ' 40 00 <br /> SRE Of BLOG NO OF STORi[5 MA% OCC IOAD <br /> MECFIANICAL <br /> INVESTIGATIONPEE Sec.9W�e) <br /> FIRESPRINN�ERSREOUIRED YES NO <br /> STATE BUILDING SURCHAtiGE <br /> STATEENERGVSURCHARGE <br /> ni'PIICRTION/CC OY PLAkSCNEGNE00V APPfl iORISSURNCEBY <br /> DRIVEWAV PERMIT <br /> TOTAL <br /> S.H. <br /> PERMIT VALIDATION <br /> WH[N('f70P[RLY VALIDATED pN TNI$$PACLI T�iIS I$VOUR PERA7IT <br /> �� <br /> t�� <br /> Ln <br /> r� <br /> N <br /> ,_ . � , <br />