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`�� t"�NSTRUCTION '� "-' <br /> everett PERMIT PERMITNO. � 70�� <br /> 259 -8745 <br /> ❑ DEMOI ITION ❑ COMBINATION ❑ BU�LDING %� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MTILAOOFESS CITY 21P PMONE <br /> M/M Thomas Hingson 7811 E. Glenn Everett, WA <br /> PRCMITECT ON�ESIGNER MAIL AODRESS CITY ZIP PMONE <br /> GENEPRLCONTRPGTOR MAILApORE55 CITY ZIP PHONE LICENS[� <br /> MECNANIC�LCONTRACTOR MAILAOORESS CITY 2�(' PMONE LICErvSE• <br /> PLUMBING CONTRACTOR MAIL ADORESS CITV ZIP PHONE LICENSE• <br /> CUSS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � DEMOLITION BUILDING RELO <br /> VALUATION OF WORN <br /> S <br /> OESCRIBE WORK <br /> Wood stove installation <br /> MEATSOUPLF. <br /> � ELECTRICITY ❑ GAS ❑ WOO 'STOVE ❑ OTHER <br /> PROPOSEDUSEOFBUILOING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iecn� scnivnonoF OPENTY�SMOWOELOWORNTTACMiOURCUVIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_o�ocK _ oF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR C.4NCEl THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JUB A�DRE55 SIGNATURE Of CONTR TO AUiHORIZEO�GE Ofi QWNE DATE <br /> 7811 E. Glenn X � /���'- -�=�* �8/15/86 <br /> PLUMBING MECHANI AL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF EUUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HN�LG UNITS—M P. _ <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BPSIN) BOILERS—B.T.U./H.P. <br /> SMOWER GAS FIRED A.C.UNITS—B.T.U. <br /> NITCHEN SINK 8 DISP. FOFCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUN�RY TRAV UNIT HEATEFS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEADEHS 1 WOOD STOVE 3O OO <br /> SINK(SERVICE—BAR.ETG) METAL FIREPLACE 8 CHIMNEV <br /> FIPEPLACE INSERT <br /> HEATPUMP <br /> GAS PIFING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUB TOTAL S 30 00 � <br /> pEpM1T S PEHMIT ', <br /> TOTAL FEE S T0TI1L FEE 3O OO <br /> FRONTSETBACK REARSETBFCK SIUESEi�AC1( PLANCHECKNUMBER FEE RECEIPTNO. <br /> USEZONE �dTAREA yqCANiS1TE FEES VALUATION FEE �� <br /> ❑YES ❑NO � <br /> BUILDINC� S I <br /> TYPEOFCONST. OCLUP�NCYGROUP NOOFDWELLINGUNITS � <br /> PLUMBING I <br /> SIZE OF BLDG ND.OF STORIES MA% OCC LOAD 3O OQ I <br /> MECHANICAL <br /> INVESTIGATIONFEE ���r�j4�e13,� P� OQQA�iSiS �� <br /> FIRE SPRINKLERS REOUIREO ❑�ES ❑NO STATE BUILDING SURCHARGE � <br /> S7ATE ENERGV SURCHARGE ��H S3 .�m <br /> APPLICATIONACCOY PLANSCHECKEODY APPRFORISSUANCEOY ORIVEWAYPERMIT �M a �w <br /> M.M. TOTAL 30 00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOl1R PEFIMIT � <br /> N <br /> O <br /> N <br /> � <br />