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`�� t"�NSTRUCTION <br /> everett PERMIT PEFtMITNO. � 79J4 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> pyn.�Eq � MAIL ADDRE55 QTV Z�P PMONE <br /> Doph Agency 1812 Hewitt Ave. Everett, 98206 252-0611 <br /> RRGNRECT OR DESIGNEN MRIL ADONE55 QTY 21P PMONE <br /> GENER�L CONTP�CTOR M�IL AppRE55 LitY 21P PNONE LiCENSE� <br /> MECHRNIC�L CONTR�CTOR MRIL RD�RE55 diY ZiP MONE LICENSE� <br /> Evergreen State Sheet Metal Inc. P.O. Box 1508 Everett 98206 252-3114 <br /> FWM9ING GONTRRCTOR MPIL RDDRE55 QTV IIP %1�NE LICENSE• <br /> EVERGRSS315RE <br /> CLA55 Oi\VORN <br /> fC] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAWATION Oi WORN <br /> S <br /> DESCRIBE WOI1K ' <br /> Install Gas/Elec Furnace <br /> HE�TSOURCE <br /> � ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTNER <br /> PROPOSEO USE OF DUIIDiNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Of�ices APPLICATION AND kP:OW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOfMiOPERTV�5HOW0ELOWORATTACNfOURCOPiES1 CORRECT. ALL PROVISIOi:S OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF W�RK WILL BE COMPLIED WITH <br /> wr_oioc� _ oF WHETHER SPECIFIED HEFEIN OR ypT. THE GRAHTING OF A <br /> PERMIT DOES NOT i-RESUME TO GIVE AUTHORITY TO <br /> V10LATE OR CANCEL THE PROVISIUNS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> T . ERFORMANCE OF CONSTRUCTION. <br /> JOB RODRE55 5 GNRT NE OF CONTRACTOP.RUTMO 2E0 AG[NT.OR OWNFR ORT� <br /> B8Y3 1614 Broadway � .�� �*� <br /> PLUMBING MF. IC L <br /> NO. TYPE OF FI%TURE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE I <br /> WATEH CLOSET�TOILET� A/C—A/HNDLG UNITS—!1 P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV�WASH DASIN) �OILERS—0.T U./H P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. L <br /> KITCHEN SINK d OISP. FORCED AIR SYSTEMS—�.T.U. M EA. _ <br /> DISHWASHER WALLFIEATERS—D.T.U. M <br /> IAUNDRVTRAV UNITMEATERS—B.i.U. M <br /> CLOTMES WASHER EVAPOHATIVE COOLEfiS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DFAINS—RAINLEADERS WOO�STOVE <br /> SINK(SERVICE—BAR,ETCJ METAL fIREPLACE 6 CHIMNEY <br /> fIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SU9TOTAL <br /> PEflMIT S PERMIT <br /> TOTIILFEE f TO��LFEE <br /> FaoNTSETOACK REARSEtBncK Si0E5Ei0nCK PLANCNECKNUMBER FEE RECEIPTNO. <br /> USEZONE LOTpREF yAC�NT5ITE <br /> ❑vEs ❑r+o FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPANCVGPOUP NOOfDWELIINGUNITS BUILDING S <br /> PLUMBING �� ���H � �� <br /> 512E OF OLDG NO.OF STORIES MA%OCC LORO <br /> MECHANICAL ��00017954 2 <br /> �r. <br /> INVESTIGA7ION FEE �(e) � <br /> FIRE SPRINKIERS REOUIRED YES NO <br /> STATE DUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATION ACC OV PLANS CNECNED�V NPPR FOR i55UANCE BY <br /> DfiNEWAV PERMIT <br /> S.H. TOTAL 24 OO <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED QN THIS SPACE)THIS IS VOUR PERMIT <br /> �� <br /> �..�� <br /> Q� <br /> �` <br /> r� <br /> � � �')i111i.-"� Fii 1 � <br />