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"�� r Q�INSTRUCTION ��� i <br /> everett PERMIT PERMITNO. ZlJ94O <br /> 259 -8745 <br /> � DEMOLITION O COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONNER MAIL AODRESS CITY ZIP {h1pNE <br /> Jack H. Wh3t-eley 24032 823[ 152nd P1. SE Monroe 98272 623-0331 i <br /> ARGH:TECT OR OESIGNER MqR ADDRESS CITY ZIP PHONE <br /> GENERILC6NTMCTOR MAIL��DNESS CITY ZIP PHONE LICENSE• <br /> Owner <br /> MECHANIGLGONTfl�CTOP M41LRD�RE55 CITY Z�P PHONE IIGENSE• <br /> PlUM91NOCONTRl1GTOP M�ILAODRE55 CITY 21P PHONE UCENSE� <br /> CLASS OF WORK <br /> C NEW ❑ ADDITION ❑ AITERATION ❑ HEPAIN Q DEMOLITION ❑ BUILDING RELOCATON <br /> WLUATION�F WOIIK <br /> S <br /> DESCRIBE WORN , <br /> Bu01Y0[ Demolish 1350 sf residence <br /> ME�T SOUfICE <br /> O ELECTIi�CITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PPOPOSED USE OF BUILD�NG <br /> Single family residence 1 HEREBY CERTIFY THAT I HAVE READ AND EXAM�VED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCBIPTIONOFPBOFERiV�SHOWBELOWORATfRCNFOUNCOPIES� COflRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT 25—?g�i�K 823 oF Plat of �+erett Div A GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVF AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE/JF CON TRUCTION. <br /> JOB�DDRE55 SIGNRTUPE f pONTRPCT .AU1M R p NT. OWNER OATE <br /> 3416 Colby Ave. X � �� � ��B" <br /> PLUMBING M ANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H P. <br /> BATHTUB REFHIGERATION UNITS—M P.EA. <br /> LAVATORY�WASM BASIN) DOILERS—BS U/H P. <br /> SHOWER GAS FIRED A C.UNITS—B T.U. <br /> NITCHEN SINK 8�ISP. FORCED AIR SVSTEMS—BS.U. M EA. <br /> OISHWASHER WALLMEATERS—B.T.U. M <br /> LAUNORY TRAY UNIT MEATEflS—B T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS I <br /> URINAL CLO?NES DFVERS <br /> ORINKING fOUNTAIN VENLILATION FAN <br /> FLOOR DRAIN RANGE HOOD Q�/�/Q8 Z;' �IIZ� $ZY� <br /> BACKFLOW PREVENTERS WATER HEAIER <br /> ROOf DRAINS—RAINLEADERS WOOD SLOVE <br /> SINK(SERV�CE—BAR,ETCJ METAL FlREPLACE 8 CHIMN <br /> FIREPLACE MSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXFIAUST FAN <br /> SUBTOTAL 3 SUB <br /> PERMIT i PEq <br /> TOTiU.iEE S TOT <br /> FAOeT SETBacK aEnR SETBncK SiDE 5ETH4CK PLAN CNECK NUMBER FF��3 RECEIPT NO. <br /> �� 2.� <br /> USE20NE IOTRREA yqCnNTSRE <br /> pres ❑No FEES TION FEE <br /> TYPEOFCONSf. OCCUPANCYGROUP NOOFOWEILINGUNI'S BUIIDING S <br /> PLUMBING <br /> SIZEOFBIOG NOAFSTOGiES MA%OCC.IORD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.70Cle) <br /> FIRESPRINKLERSREOUIRED VES NO <br /> STATE BUILDING SURCHARGE 3 50 <br /> STATEENERGYSURCHARGE <br /> APPLICATION RCC.OY PLANS CMECNED OY APPq FOR ISSUANLE 9Y <br /> ORIVEWAY PEFMIT <br /> S.H. TOTAL 3 50 <br /> PERMIT VALIDATON <br /> WHEN PqOPERLV VALIDATED(IN TMIS SPACE)THIS IS YOUR PERMIT <br /> � <br /> � <br /> Q� <br /> a <br /> N <br /> AODRESS FIL[ <br />