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�� � �'�NSTRUCTIt�N r r . qp n 1 <br /> 9 -8e� �G��I� PERMITNQ�_ I o�J� � <br /> DEMOLITION ❑ COMBINATION (c7 BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> ONTJE4 MPILApDRE55 GItY 21P PHONE <br /> Donald F. Williams 13020 27th Dr. SE Everett 98204 337-4919 <br /> �qLNiTECTORpE51GNER MARADDNESS CITY ZiP PHONE <br /> GENEMICONTRACTOR M�ILADDPE55 CIiY 2�P PNONE LICENSE� <br /> Owner <br /> MECH�NIGI CONTRACTOR MRIL�pOPESS pTY 21P FHONE IIGENSE� <br /> PLUMBINGCONTR�CTOR MPIIApDRE55 CITY IIP PHONE 4CENSE• <br /> CLASS OF WOHK <br /> ❑ NEW ❑ ADDITION ❑ ALTEHATION C�REP111R O DEMOIITION ❑ BUILDING RELOCATION <br /> VALU�TION CF WORN <br /> s � 10��.�.�� <br /> pE5LRi8E WORK . <br /> Peplace unsound mts. in both porches, rott or damaged IXYft1t%7( �lCY17CK beams 3nd skirting _ <br /> HEATSOURGE <br /> ❑ EIECTRICITY ❑ GAS ❑WOODSTOVE ❑ OTHER <br /> vaovoseo use or euaon+c <br /> Residence I HEREBY CERTIFY TI1AT I H11VE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTY�SMOWBELOWORATTACHFOUNCGWES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> n)J' � <br /> �or�e�ocK J3� oF �V�r� -�r ���N�� � -S GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HERE!N OR NOT. THE GRANTING OF A <br /> PEFMIT 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�DORESS Sl�i[{A\RE OF CONT ApiOR.AUTIIORIZEO AGENT.OR OWNEP OPTE <br /> ��' LS1 GC � �• �`l' �7 <br /> 3118 Hroadway X . �r`� <br /> PLUMSING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE _ <br /> WATER CLOSET�TOILET� A/C—A/HNDLG UNITS—HP. <br /> BATHTUd REFFIGERATION UNITS—H.P.EA. _ <br /> LAVATORY�WASIi BASIN) BOILERS—B.T.0/HP. <br /> SMOWER GAS FIRED A.C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—8 T.U. M EA. _ <br /> DISHWASHEP WALLNEATERS—BTL. M <br /> LAUNDRVTRAV UNITHEA?ERS— B.T.U. M <br /> CLOTMES WASHER EVAPOFATIVE COOLERS <br /> URINAL CLOTHES DRVEiiS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RnNGE HOOD <br /> BIICKPLOW PREVENTERS WATER HEATEri • <br /> ROOF DHAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC) METAL FlREPLACE 6 CNIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPWG <br /> E%MAUSTFAN <br /> SUlTOTAL f SUB TOTAL <br /> VERMIT f PCHMIT <br /> TOTALFEE f TCT!LFEE <br /> FRONT SEta�CK REnN SETBnCK SIDE SETBRLN P�AN CHECK NUMOER FEE RECEIPT NO. <br /> USEZON[ ��TAREA V�GANTSR! <br /> ❑ves ❑r+o FEES VAlUAT10N FEE <br /> TVPEOFCONST. OCCUPANCYGNOIIP NOOFDWRLINGUNITS BUILDING S lOOO.00 ZS OO <br /> PLUMBING llb/04/8'l 2�3 �F'�'� ��F1�5553 ���������G <br /> 512E OF BLDG. NO OF STOFIES MR%.OCC LOAD / <br /> MECHANICAL <br /> INVESTIGATION FEE r;��f.304!e) �'� ;,(Jp <br /> FIRE SPRINKLERS REOUIREO O�ES ❑IJO C SRCH � ..SO <br /> STATE BUILDING SURCHARGE 1 SO <br /> � r <br /> STATEENERGVSURCNAFGE � <br /> �PPLICATION�CC BY �LANS CNECNED BY APPR FOR ISSURNCE 9Y <br /> DRIVEWAV PERMIT <br /> S.H. TOTAL 26 50 <br /> PERMIT VALIDATIQN <br /> WNEN PROPERLY V4lIDATED�1N THIS SPACE)THIS IS VOUR PEPMIT <br /> �� <br /> Q� <br /> N <br /> � <br /> � <br /> ADDP,ESS FILE <br />