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`�� �`` C�NSTRUCTION ^ ' p /► <br /> everett PERMIT PERMITNQ:_ � �o`��. <br /> 259 -8745 <br /> p DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MRIIADORE55 CITY 21P PHONE <br /> Jim Jodock 5324 College Ave Everett, WA 98203 work 347-4355, home 355-3967 <br /> ARCMITELiORDESIGNEH MAILAUORE55 CITY ZIP PMONE <br /> GENERALCONTR�GTOR MAILAD�RE55 dTY ZIP 1'MONE 4CENSE� <br /> self <br /> MECMANICALCONTRRCTOR MAILADDRESS CITV ZIP PMONE LILENSE• <br /> PWMBINGCONTRPCTOR M�ILNDDRE55 CITY 21P PMONE LIGENSE� <br /> CUSS OF WORK <br /> O NEW ❑ ADDITION ❑ ALTENATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br /> VALUFTION OF WORK <br /> 700.�0 <br /> DESLRIBE WORK <br /> install hot water heat pump <br /> MEAT SOIIRLE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> PROPOSED USE OF BUILOING <br /> home I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCR:^TIONOFPPUPERTY�SNOWBEIOWORATTACHiOIIRCOPIE51 �^ORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> tuOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BIOCK � OF WHETfIER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOE� NOT PRESUME TO GIVE AUTHORIT" TO <br /> V�OLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> S�lATE OR IOCAL LAW REG�ILATING CONSTRUCTION OR <br /> THE PER MH�I OF CONS fRUCTION. <br /> JOB AOORESS SIGNl.TUP OF NiR tOR. UTI1 IZED A NT,OR OWNER � OATE <br /> 5324 College Ave X Z�Z5�8� <br /> PLUMBING ME NICA <br /> NO. TYPE OF FI%TURE OH ITEM FEE TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWAGiER WALLHEATERS—B.T.0 M <br /> LAUNDRVTRAV UNITHEATEFS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOl.ERS <br /> URINAL CLOTHESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEA�ERS WO00 STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE d CHIMNFV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUST�AN <br /> 1 hot water heat um 9 0 <br /> sue ror�� s sue rorn� 9.00 34 S <br /> PERMIT S PERMIT 1S O <br /> TOTALFEE S TOTALFEE <br /> FPONT SET9RGK REAR 5[TUACN SIOE SETBACN P�AN CHECK NUMBER FEE RECEIPT NO. <br /> � � l':B:K <br /> USE ZONE �nT A�EA yACANT SITE <br /> ❑ves ❑No FEES VALUA ION FEE <br /> TYPEOFCONST. OGCUPANGYGROUP NO.OFDWELLINGUNITS BUILDING sryOO�1S'I041 <br /> PLUMBING 4� <br /> SIZE OF BL�G. NO OF STORIES MA%.OCC.LOAD <br /> MECHANICAL 2�I 00 <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑NO STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATIONFCC BY PLANSCMECKEDOY APPR FORISSUANCEDY <br /> ORIVEWAV PERMIT <br /> M.M. TOTAL 24 00 <br /> PEflMIT VALIDIITION <br /> WHEN PROPEPLY VAIIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> �� <br /> � <br /> � <br /> �` <br /> �� <br /> nn;;,u_ss n� E <br />