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everett � �NSTRUCTION � �' <br /> 259 -8745 PERMIT PERMITNO. 21044 <br /> ❑ DEMOLITION ❑ COMBINATION �I BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEN MAILADORESS CITY 21P PMONE <br /> Steven .vielsen 4858 W. Glenhaven Dr. Everett, WA 98203 259-3508 <br /> NBLMITECTORDESIGN[R MAILADORESS CITV 21P PNONE <br /> GENEH�L CONTR�CTOR Mnll AUDRE55 CITY ZIP VNONE LIGENSE• <br /> Quality Roofing 6404 Heverly Blvd Everett, WA 98203 355-9345 1�l7S QUAL226BK <br /> MEGMRNiCAL CONTPACTOR MRIL AOUPESS CITV ZIP PMONE LICENSE r <br /> PWMBINGCONTPRCTOR MAILAOORE55 CITV ZIP PMONE LICENSE• <br /> CLASS OF WORK <br /> f�7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUFTION OF WORK <br /> S [}�000. <br /> DESCRIBF NORK . <br /> Tear off ioof, renaper, reroof, add a?r vents, flashing <br /> MEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF BUILOING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEWLCESCRIPTIDNOFPROPENTY�SHOWOELOWORATTACHPoURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior_29_o�ocK _ oF C nhav GOVERNWG THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEqEIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STA�iE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> TNe PERFORM.INC'e OF CONSTRUCTION. <br /> iOB�ODRE55 S�SNATURE OF CONTRACTOR.AUTNORIZ[D AGENT,OR ONTJER DATE <br /> 4858 W Glenhaven Dr. X /o / <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATE R CLOSET(TOILET) A/C—A/NNDLG UNITS—HP. <br /> BATHTUB qEFRIGERATION UNITS—H.P.EA. <br /> l AVATORY(WASH BASIN) OOILERS—B.T.0/H.P. <br /> SHOWER GAS FIRED AQ UNITS—B.T.U. <br /> KITCHEN SINK 8 OISP. FORCED AIR SVSTEMS—O.T.U. M[A. <br /> DI34WASMER WALLHEATERS—B.T.U. M <br /> LAUNDRY THAV UNIT MEATERS—8 T.U. M <br /> CLOTHE3 WqSHER EVAPORATIVE COOLEFS <br /> URINAL CLOTHESDRYERS <br /> DRINNING FOUNTAIN yENTILATION FAN <br /> FLOOR DRAIN HANGE HOOD <br /> BACKFLOW PHEVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEAOERS WOOD STOVE <br /> SINK(SEFYICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSEFT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> � PEHMIT S PERMIT <br /> TOTALFEE S TOTALFEE <br /> FPONT SETBACK RERR SETBRCK SI�E SEtOACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE I.OTANEA ypCANT5ITE <br /> ❑res ❑rvo FEES VALUATION FEE <br /> TYP[OFCONST. OGCUP�NCYGROUP NOOFOWELUNGUNITS BUILOING S4OOO.00 63 00 <br /> PLUMBING 1��17�6$ 8�5 pN OO�Aq3009 ��� <br /> S12EOFOLDG NOOFSTORIES MAX.00CLOAD <br /> MECHANICAL � <br /> INVESTIGATION FEE BL�1G,7041e) SG .00 <br /> FIRESPRINKLERSREOUIFED ❑YES NO <br /> STATE BUILDING SURCHARGE 3 SO <br /> STATEENERGI'SURCHARGE <br /> PPPUCATIONACC DV PLANSGHECKEDDY �PPR FORISSUANCEOY <br /> DRIVEWAY PERMIT <br /> M.M. TOTAL 66 50 <br /> PEAMIT VALIDATION <br /> WHEN PROPERLV VALIDATED I�N THIS SPACE)THIS IS YOUR PERh11T <br /> '�' <br /> �� <br /> � <br /> � <br /> N <br /> f; �., �.;:; r:. ._ <br />