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�� "` G�NSTRUCTION �� '" <br /> everett PERMIT PF.RMITNO. 2� � SB <br /> 259 -8745 <br /> � DEMOLITION O COMBINATION � BUILDINC ❑ ME.'HANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER M1IAILApDRESS CITY 21P PMONE <br /> Roy Alexander 6902 Columbia Everett 98203 353-2387 <br /> ARCHITECT OR DESIGNEN MAI�A�ORE55 CITY ZIP PMJNE <br /> GENERAL CONTMGTOH MRIL A�DRESS Clri ZIP PHONE LICENSE� <br /> Damage Repair Service P.O. Box 2045 Everett 982U3 337-4222 DAMAGI238D3 <br /> MECNANICRL CONTPACTOR MRIL ADDRESS CITY 21P PMONE LICENSE� <br /> PLUAIPINGCONiRAGTOR MRILADDRESS CITY ZIP PHONE LIC[NSE� <br /> CUSS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ AITERATION �REPA�R ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> VALUATION OF WORI( <br /> S 15��.�� <br /> DESCRIBE WORK � <br /> Fire damaqe repair to garage/house wall <br /> MEATSOURCE <br /> ❑ ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> GROPOSED USE OF BUILDING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> APPLICATION AND KNOW "fHE SAME TO BE TRUE AND <br /> lEGr1LDE5CRIPTIONOFPqOPERTY�5HOW0ELOWOqATTALMFOURCOFIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_OLOCK _ OF 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 GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW iiEGULATWG CONSTROCTION R <br /> THE PERF RMANCE OF CONSTRUCTION. <br /> JCtl AODRE55 SIGNATUR O .A ORIZEC AGENT,OR OW UATE <br /> 6902 Oolumbia X ° Q�/' r/�� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIl(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT F'cE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H,P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATOR"1 WASH BASIN� BOILERS—B.T.U./HP. <br /> SHOWE9 GAS FIRED A�C.UNITS—BS.U. <br /> NI'CH�KSINK801SP. FORCEDAIRSVSTEMS—OT.U. MEA, <br /> DI:�HkJASHER WALLHEATERS—B.T.U. M <br /> LAUNDHY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVECOOLERS <br /> URINAL CLOTHES ORYERS <br /> DRINKING FOUNTAIN VENiILAT10N FAN <br /> FLOGR ORAIN RANGE HOOD <br /> BACKFLOW PREVENTERS 1 WATER HEATER <br /> ROOf DRAINS—RAINLEAD::RS 1 WOOD STOVE <br /> SINN(SERVICE—BAR.ETr� METAL FIREPLACE 8 CHIMNEV <br /> FIREFLACEINSERT <br /> HEAT 1'UMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUBTOTAL <br /> PENMIT S PEflMIT <br /> TOTALFEE S TOTALFEE <br /> FROrvT SETBACK REAR SET9I CN SIDE 5[ionCK PLAN CHECK NUM�ER FEE RECEIPT NO. <br /> li/07/8B 10: OOOAN3^c88 ##KK <br /> USE20NE LOTAREA yq�qNT51TE <br /> ❑res ❑r+o FEES VALU TION FEE <br /> TYPEOFGONST. OCCUPANCVGROUP NOOFD\YELLINGUNRS BUILDING L <br /> 35 00 <br /> PLUMBING MECH q3 .SO <br /> SIZE OF OIDG. NOAF STORIES MA%.OCC LO/D <br /> MECHANICAL 3G SO <br /> INVESTIGAfIONFEE Sec.304(e) � <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑NO I <br /> STATE BUILDING SURCHARGE 3 50 � <br /> I <br /> STATEENERGYSUPCHARGE I <br /> pPPLICNTIONACGOY PLANSCNECNEDEY APPR.FO(iISSUANCEBV <br /> ORIVEWAY PERMIT � <br /> S.H. TOTAL 75 00 �. <br /> PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED pN THIS SPACE)TNIS IS VOUR PERMIT <br /> � <br /> � <br /> r� <br /> r <br /> N <br /> r,.,_,-.F_.. 'l; '_ <br />