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""� �' P�NSTRUCTION � <br /> everett PERiV�I� PERMIT NO. 17150 <br /> 259 -8745 <br /> ❑ OEMOUTION ❑ COMBINATION ❑ BUILDIN6 � MECNANICAL ❑ PLUMBING ❑ 81GN <br /> OWI�q MAIL��DRE55 , CITY 21P PMONE <br /> Frauch Erdle 4912 Elm St. Everett, WA 98203 252-5292 <br /> Md11TECTOP0E51GNER MAILADDRE55 CITY ZIP MONE <br /> OENEMLCONTPACTON MAILAUDRE55 CIiY 21P PHONE LICENSE� <br /> Self <br /> MECNANIGL CdITPAGTOR M�I�nDOHESS GITY IIP PHONE 4CENSE� <br /> PLUMBINACONTRACTpq M�ILADDRESS CITY 21P PNONE LICENSE• <br /> CI�SS OF Wp111( <br /> ❑ NEW ❑ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br /> V�LUATION OF WIXiK <br /> s <br /> DESCNIBE WORN � <br /> If16t811 WOOaBtOVE <br /> NEl1T SOURCE <br /> ❑ ELECTRICITY � 6AS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUI�OING <br /> Single family home I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEQALDESCRIPTIONOFPROPERTYISMOWBELOWORATTRGHFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK _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 GIVc AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTFUCTION. <br /> JOB AODRE55 SIGNRT E OF CONT CT ZEO Af.ENT,OH OWNEiI DRTE <br /> 4912 Elm St. j( � 9/10/8�; <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FDITURE OR ITEM FEE NO. TYPE OF EOUIFMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—M P. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. <br /> LAVATORV�WASH BASIN) BOILEPS—B.T.0/H.P. <br /> SHOWER GAS FIHED A�C.UNITS—B,T U. <br /> KITCHEN SINK 8 OISP. FORCED AIR SYSTEMS—B.TL. M EA. <br /> DISHWASMER WALLHEATERS—B.TL. M <br /> LAUNDRV TRAV UNIT HEATERS—B.TL. M <br /> CLOTHES WASHER EVAPORATIVE COOIERS <br /> URINAL CLOTHESDRVERS <br /> DRIN�ING FOUNTAIN �ENTILATION FAN <br /> FLOOR DRAIN � RANGE HOOD <br /> BIICKFLOW PREVENTERS WATER HEATER <br /> ROOFDR.11N5—RAINLEADERS 1 WOODSTOVE 3O OO <br /> EINN(SERVICE—BAR,E'fC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSIRT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SU!TOTAL f SUB TOTAL �y Q� <br /> PENMR f �Efl.'7.i7 <br /> TOTAL FEE f --� ' TOTAL FEE <br /> FRONT SETB�GK RFAR SETHncK SiOE SEiBACN PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE20NE LOTPREA yqC/NTSITE <br /> ❑res ❑r+o FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPANCVGROUP NO.OFDWELLINGUNITS BUI�DING E <br /> PLUMBING ��IOI� SO= � 1 <br /> SIZE OF BLDG. NO OF STONIES MA%.00C.LOpU <br /> MECHANICAL �171� 30 OO <br /> ' INVESTIGATION FEE '"��1<fe) '� <br /> FIRESPRINKLERSPEOUIRED VES NO <br /> STATE BUILDING SURCHARGE Cq,p� <br /> STATEENERGVSURCHARGE <br /> APPLIGATIONACCBV PUNSCNECNEOOY APPIiiORI55URNCE�Y <br /> DRIVEWAY PEtiMIT <br /> M.M. TOTAL 30 00 <br /> PERMIT VALIUATION <br /> WHEN PROPEFLV VALIDATED pN THIS SPACE)THIS IS YOUR PERMIT <br /> 0 <br /> �� <br /> �� <br /> L` <br /> t� <br /> f�i.'�!�! '-,� � i�i .: <br />