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`�� P''JNSTRUCTION � " 1 cc <br /> � everett PERMIT PERMITNQ:= I �U`��, <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAODHE55 pTY Z�p PHONE <br /> Ivo Brajkovich 6511 Commercial Ave. #B Everett, WA 98203 355-5344 <br /> ARCHITECT OR�ESIGNER MAIL AODRESS CITY ZIP f'HONE <br /> GENERAL CONTHACTOfl MAIL AODRESs CiTY ZIP FMONE LICENSE• <br /> MECNANICALGONTRPGTOR MRILADDRE55 CITY ZIP PHONE LICENSE• <br /> same <br /> PWMBINGCONTRACTOR MAILADDRE55 CITY ZIP PHONE UCENSE� <br /> CLA55 OF WORK <br /> ❑ �.EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORR <br /> s <br /> DESCRIBE WORN <br /> Install a fireplace insert <br /> MEATSOURCE <br /> ❑ ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROVOSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Brp�ea Duplex APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCIiIPTIONOFPRO'ERTYISHOWBELOWONATfAC11FOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br /> LOT_BLOCN _OF 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 REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTHUCTION. <br /> JOP�DDRE55 SIGNATURE OF CONTNACTOR.AUTMO ZED..GENT R OWNEfl OATE <br /> 6511 Commercial Ave. #B X ' ��� 1-14-87 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—HP. <br /> BATHTU9 REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASW) �OILEPS—B.T.U.MP. <br /> SHOWER GAS FIREO A C.UNITS—B.T.0 <br /> NITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASMER WALLHEATERS—B.T.U. M <br /> LAUNDRYTRAV UNITHEATERS—B.T.U. M <br /> CLOTh1ES WASHER EVAPORATIVE COOLERS <br /> URINAL � CLOTHFSDRYERS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> FLOOF DRf.IN RA��GE HOOD <br /> BACKFLOW PREVENTERS WATER NEATER • <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNEY <br /> 1 FIREPLACEINSERT 3O O _ <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL 3O <br /> PERMIT S PERMIT <br /> TOTALFEE S TOTALFEE <br /> fRONT SETBACN RERR SETpACK 5i0E 5eienCK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTAREA ypCANT5ITE FEES VALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFGONST OLCUPRNCYGROUP NOOFOWEILINGUNITS BUILDING S •;'.� <br /> PLUMBiNG / <br /> 512E OF BLDG NO.OF STORIES AIA% OGC lOn� <br /> MECHANICAL 3O OO <br /> INVESTIGATION FEE G�041c) $,�, ,OO <br /> FIRESPRINNLEI7SPEOUIRED YES NO $7qTE8UILDINGSURCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACC OY PLANSCMECN[DOV APPf1 FORISSUANCEOY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 3O OO <br /> - PERMIT VALIDATION <br /> WHEN PROPERLV VALIDATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> Ln <br /> �� <br /> N' <br /> r� <br /> i 0i;;,. _. I I, ' <br />