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' i <br /> `�� � �7NSTRUCTION ' p <br /> everett PERMIT PERMITNQ: _ � ���J <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I� MECHANICAL 'O PLUMBIN,oNE ❑ SIGN <br /> M�IL�DDRE55 ��TM Z" <br /> OWNER <br /> Ernie Goshorn 4618 Dar.linton Lane Everett, WA ZIP98203 34�7�NE320 <br /> ARCMITECi OA DESIGNER <br /> NAIi ROORE55 ��TM <br /> ���, Z�p MONE LIGENSE� <br /> GENERAI.CONTNACTOR MAIL ADOPESS <br /> MECHANICALCONTRAGTOR <br /> MML�UORESS CITV 21P PHONE LICENSE� <br /> owner Z�p PMONE LICENSE• <br /> PLUMBING CONTR�CTOR <br /> MAIL PDDRESS CITV <br /> CIASS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ Al7ERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATI <br /> VALURTION OF WOHN <br /> f <br /> OESGRIBE WORK . <br /> Install insert. <br /> HEATSOURCE <br /> ❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br /> VROPOSEOUSEOFBUILOINO I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence qppLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPEPTY�SHOWBELOWOtiAiTACHFOURCOP1E51 CORRECT. ALl PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�BIOGN � OF W;�ETHER 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 CONSTRUCTION. <br /> SIGNAIURE OF CONiRAGTOfi.AUTMOR�2E0 T.OR OWr1ER DATE <br /> JOBAOOPE55 y �' � . ' Z � <br /> 4618 Darlington Lane ^ � <br /> PLUMEING MECHANICAL I <br /> FEE NO. TYPE OF E�UIPMENT �E <br /> NO. TYPE OF FIXTURE OH ITEM I <br /> WATER CLOSET�TOILET) A/C-A/HNDLG UNITS-H.P. <br /> BATMTUB REFFIGERATION UNITS-H.P.EP. <br /> LAVqTORY IWASH BASIN) BOILERS-B T.0/H.P. <br /> GAS FIRED A.C.UNITS-0?.U. <br /> SMOWER <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS-B.T.LL M EA. <br /> WALL HEATERS-B,T.U. M <br /> D�SHWASMER M <br /> UNIT HEATERS-B.T.U. <br /> LAUNDRVTRAY <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> CLOTHESDRVERS <br /> URINAL <br /> DRINKING FOUNTAIN <br /> VENTILATION FAN <br /> FIOOR DRA�N RANGE HOOD <br /> BACKFLOW PREVENTERS WATEN HEA7ER • <br /> ROOF DRA�NS-RAINLEAOERS WOOD STOVE <br /> SINK(SERVICE-BAR.ETG) METAL FIREPLACE 6 CHIMNEY <br /> 1 FINEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAI 30 00 <br /> VEHMIT S PENMIT <br /> ' TOTAL FEE f TOTAL FEE 3 O O O <br /> FRONT SETBACK REAR SETOACK SIOE SETBRCN PIAN CHECK NUMBER FEE <br /> RECEIPt NO. <br /> USE ZONE ��t pREA VACRNT SITE FEES VALUATION FEE <br /> ❑YE$ ❑ND <br /> OCCUPANCYGROUP NOAFOWELIINGUNITS BUILDING a <br /> TYPE OF GONST. - , . . .. � <br /> PLUMBING ' � � <br /> SIZEOFBLW NO.OFSTORIES �0.% OCCLOAD <br /> MECHANICAL 30 00 <br /> INVES7IGATION FEE �������) � ��- <br /> fIRESPRINKLERSREOUIRED YES NO STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC.BY PLANSGMECKEDOY APPRFON�^aSWNCEBY DRIVEWAYPERMIT <br /> TOTAL 30 00 <br /> S.H. pEqMn yI1LID11TON <br /> WHEN PROPERLY VALIDATEG(IN THIS SPACE�THIS IS VOUR PERMIT a' <br /> M <br /> N <br /> � <br /> � <br /> ADDRESS FILE <br />