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���° � C"�NSTRUCT�ON � <br /> everett PERMIT RERMITNO. ZO� '+4 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECMANICAL � PLUMBING O SIGN <br /> OWNER MAILADORESS CITY ZIP PHONE <br /> Joshua Shaw 1050 Crown Everett, WA 841 96201 <br /> A(iCHITECTORpE51GNER MRI�ADORESS CITY ZIP PHOtJE <br /> GENERAL CONTRRGTOR MRII ADDRESS CITY 21P PHONE UCENSE� <br /> MEGHANICRLCUNTRACTOR AIRILApORE55 pTY ZIP PMONE LICENSE• <br /> PLUM0INGCONTRACTOR MAILAD�PE55 CIiY ZIP PNONE LICENSE• <br /> Ken's Plutnbing 12832 77th SE Snohomish, W:� 98290 568-3615 KENSPC201KG <br /> CL�SS OF WORK <br /> ❑ NEW ❑ ADDITION C�ALTENATION ❑ REPAIR ❑ DEMOLITION ❑ BUI�DING HELOCATION <br /> VALUAT!ON OF WORK <br /> 5 <br /> OESCRIBE WORN � <br /> Plumbing for remodel. <br /> NEAT SOUFCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE � OTHER <br /> PROPOSE�USE OF BUILDING <br /> Single family residence I HEREBY CERTIFY IHAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LECALUESCRIPTIONOFPqOPERTY�SHOW�ELOWORATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_o�ocK _ ov GOVCRNING 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 AUTI�ORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE UR LOCAL LAW REGULATING CONSTRUCTION UR <br /> THE PERFOR NCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGN UP!OF C RACTOR UTMORIZED A NT.OH ER �ATE �eU <br /> 1050 Crown Dr. X � � � p <br /> PLUMBING MECHA ICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE N(1. �' TYPE OF EOUIPMENT FEE <br /> 1 WATERCLOSET�iOILET) S OO A�C—A/NNDLGUNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H P.EA. <br /> 1 LAVATORY�WASHBASIN� S OO BOILEFS—BSL./H.P. <br /> SHOWER GAS FIRED A C.UNITS—B.T.U. <br /> 1 KITCHEN SINK d DISP. S OO FORCED AIR SYSTEMS—B.T.U. M EA. <br /> 1 DISHWASHER S OO WALLHEATERS—B.TL. M <br /> LAUNDRVTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN qANGE HOOD <br /> BACKPLOW PREVENTERS WATER HEATER <br /> FOOF DFAINS—PAINLEADERS WO00 StOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIqEPLAGE 8 CHIMNEV <br /> FIREPIACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUST FAN <br /> SUB TOTAL f ZO 00 SIIB TOTAL <br /> PERMIT f 10 O PEPMI7 <br /> TOTAL FEE f O OO TO <br /> FRONT SETBACI.� REAR SETBACK SiOE SE78ACK PLAN CHECK NUMBER / C I N . * <br /> USEZONE �OTPREA ���tt <br /> VFC.INT 51T! FEES ATION FEE <br /> ❑YES ❑NO _ <br /> TVPEOFCONST. OGCUPANCYGROUP NOAFOWEILINGUNITS BUILDING <br /> PLUMBING <br /> 512E OF BLDG. NO OP STORIES MAX.OLC LOAD <br /> MECH�NICAL <br /> INVESTIGATION F[E Sec.a04(e) <br /> FIRE SPRINKLERS REOUIRED ❑VE$ '�]NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLILRt10N ACC.UY PLPNS CIiECNE00V RPPq GOR ISSUANCE�Y <br /> DfiIVEWAY PERMIT <br /> S.H. TOTAL 30 00 <br /> PEflMIT VA�IOATION <br /> WHEN PROPERLV VAIIDATED(IN iHIS SPACE)THIS IS YOUR FERMIT <br /> �� <br /> �� <br /> T� <br /> � <br /> N <br /> �,s�.,,:_: <br />