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`�� '�' C'`1NSTRUCTION � - (] c ? <br /> everett PERMIT PERMITNQ: � JUO `� <br /> 259 -8745 <br /> ❑ DEMOLITION C� COMBINATION C� BUILDING ❑ MECHANICAL 'O PLUMBING ❑ SIGN <br /> OWNER MNLADDRESS CiTY ZIP PHONE <br /> Chris Wilhclm 1021 Edwards Everett <br /> ARCHiTEGtOf10E51GNER MAILRU011E55 CiTV 21P PHONE <br /> GENERRICONTRACTOR MAiLADORESS CITY Z�V PMJNE UCENSE� <br /> Mel Forrey 7532 Lower Ridge Rd. Everett, WA 98203 353-9659 FORREMJ344L2 <br /> MECHANICRL CONTRRCTOR MAI���OR[55 CITY 21P PHOIIE LICENSE� <br /> %.UMBING CONTRACTOR MAIL ADDRE55 QTY IIP PMONE l ICENSE• <br /> CLASS OF WORR <br /> ❑ NEW ❑ AUDITION I� ALTERATION O REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br /> v�weTwr+or wonK <br /> f 8000.00 <br /> OESCRIBE WORN <br /> � Kitchen remodel. <br /> HEATSOUNCE <br /> ❑ ELECTRICITY ❑ GAS Cl WOODSTOVE ❑ OTHEA <br /> PROPOSE�USE OF OUILOING <br /> I hIEREBY CEFiTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sin le family ififYK residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEG�LOESCRIPTIONOFPROPERTY�5NOW0ElOWOf1ATTnCl�GOURCOPIE51 CORRECT. ALL PFlOVISIONS OF LAWS AND ORDINANCES <br /> ior 7 BLOCK 8 oF Friday's 2nd Add to Everett GOVERNING THIS 7YPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN Oi7 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 /> JO�AODf1E55 SIGNAT RE�FCO ��ACTO �AUT��ORI]EOAGBNT,ORONNER UR <br /> 1021 Edwards X <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSE'(TOILET� A�C—A%MNDLG UNITS—H P <br /> �ATHTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORV(WASH Bi SW) BOILERS—0 TL/HP. <br /> SHOWER GAS FI(7ED AC.UNITS—B?.U. <br /> 1 KITCHENSINNBDISP. S OO FORCEDAIRSYSTEMS—�.T.U. MEA <br /> 1 DISNWASHER S OO WALLHEAIERS—B.T.0 M <br /> LAUNORY TRAY UNIi HEATEFS—8 T.U. M <br /> CLOTHES WASMEH EVAPORATIVE COOLERS <br /> UPINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DHAIN PANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF ORAINS—�7AINLEADERS WOOD STOVE <br /> SINK�SERVICE—BAR,ETC.) MEiAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> MEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S ].O OO SUB TOTAL <br /> PEflMIT S PERMIT <br /> TOTALFEE f LO OO TOTALFEE <br /> mor+rSEionCK nEnnSETonCK SiDESEronCK P�ANCHECKNUMBER FEE RECEIPTNO. <br /> USE ZONE �nT p�EA yqCE NT$ITE <br /> ❑res ❑no FEES VALUATION FEE <br /> TVPEOFCONST OCCUPANCYGR011P NOOFDWEILMGl1NlT5 BUILDING S BOOO.00 99 00 <br /> PLUMBING � 10 00 <br /> 512E OF BLpG ��0 OF STO�IES AIA% OCC LO/.D <br /> MECHANICAL <br /> INVESTIGATION FEE Sec 3041�) <br /> FIRE SPRINNLERS REOUIRED YES 1 NO <br /> STATE BUILDING SURCHARGE 3 SO <br /> STATEENERGYSURCHARGE <br /> �PPLICRTIONACC UY PLANSCNFCNEDOY APPp FORISSURNL80V <br /> DRIVEWAV PERMIT <br /> S.FI. <br /> L.CR TOTAL 112 50 <br /> PERMIT VALIDATION <br /> WHLN PROPERLV VALIDATED�W THIS SPACE�THIS IS YOUfl PERAIIT <br /> �� <br /> � <br /> �� <br /> Q) <br /> t� <br /> l..�,°� , i,.i ! �. .. <br />