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�� ;ONSTRUCTIO�! "� <br /> everett PERMIT PERMITNO. 17406 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBlNATION � BUILDIPIG O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OwN°R MAIL AOORES� C�TY 21F PHONE <br /> Elin Danner 11116 - 7th Ave SE Everett, WA 98204 353-1248 <br /> ARCMTEGTORDESIGNER MRILADCPE55 C�TY ZiP MONE <br /> GENER�LCONTMCTOR MAILnODRE55 dTY 21P PMONE IICEHSE� <br /> Self <br /> MECNANICAICONTRAC�OR MAILAOORESS CITY 2iP PnONE I.CENSE• <br /> PLUMBING WNTR�GTOR MRIL ApDf1E55 CITY IIP PMONE LiCENSE� <br /> GLA55 OF WORN <br /> ❑ NEW ❑ADDITON ❑ ALTERATION K] REPAIH ❑ DEMOLIT�ON I] BUILDING RELOCATION <br /> W WATION OF WORK � <br /> s 900.00 <br /> DESCRIBE WONN , <br /> RCY00£ <br /> HERTSOURCE <br /> ❑ ELECTi11CITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROVOSED USE OF pU1LDING — <br /> Single family home I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIPTIONOFPROPERTV�SMOW6ElOWORATTACNFOUflCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BIOCK _ OF GOVERNING THIS TYPE OF WORK WILL BE COMPL��D WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JO�R��RESS SiGNAT E F�CONTqqCTOR.ApTHORIZE[]AGENT.OR OWNER DATE <br /> 3120 Broadway j( 11/4/86 <br /> PLUMBING ECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYpE OF EOUIPMENT FEE <br /> WATER CLOSET�TOIIET) A/C—A/NNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORY�WASH BASIN� BOILERS—67.U.iHP. <br /> SMOWEF GAS FIHE�A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 OISP. FOfiCED AIR SVSTEMS—B.T.U. N EA. <br /> DISHWASHER WA�LHEATERS—BT.U. M <br /> LAUNDRVTRAV UNITHEATEflS—BS.U. M <br /> CLOiHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTNESDFYERS <br /> DFINKING FOUNIAIN VENTILATION FAN <br /> FLOOfi DRAIN qANGE HOOD <br /> BACKFLOW PRcVENTERS WATER HEATER <br /> ROOF DRAINS—FAINLEADERS WOOD STOVE <br /> SINN(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PEpMIT f PEPMIT <br /> TOTALFEE S TOTALFEE <br /> FNONTSETBRCN R[aa5[TBnCK Si�[SFTUacN PIANCHECKNUMBER FEE R[CEIPTNO. <br /> USE20NE IOTAREn <br /> vacnrursrte FEES VAWATION FEE <br /> OYES ❑NO <br /> TYPEOFCONST. OCCUPANCYGROUP NO.OiOWftIINGIINITS OUILDING $�IOO.00 IS OO <br /> PLUMBING <br /> SIZE OF OL�G. N0.OF STOPIES MA%.OCC.LOAD <br /> MECHANICAL <br /> INVESTIGATIO.'JFEE IS/�t��q��p� ���� ��K <br /> FIRE SPRINNlERS REOUIRED ❑YES ❑NO <br /> — STATE DUILDING SUHCfiARGE M(�17406 1 50 <br /> STATEENERGYSURCHARGE �� $ • <br /> APPLICRTIONRCC BY RqNSCHECKED�Y qPPR fORI55UANCE�Y <br /> ORIVEWAVPERMIT �p�{ $1 -.S� <br /> M.M. TOTAI 16.50 3� YY <br /> PEPMIT VALIDATION <br /> WHEN PROPBRLY VALIDATED�IN THIS SPACE)THIS IS YOUR PERMIT <br /> �0 <br /> � <br /> C}' <br /> �• <br /> ■� <br /> n.:�:�i_: :, • r . <br />