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� �� ' Cr)NSTRUCTION <br /> everett PERMIT PERMIT NO. � 8 1 5O <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I� MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONNEN MAILADOFE55 CITY ZIP PHONE <br /> Gerald Boden 8915 FFhierson P1. Everett 98204 355-7810 <br /> ARCMITECTORDESIGNER MRIIApORESS CITY IIP PIIONE <br /> GENEflALCOYTR�CTOfl MAILAOORESS CITY ZIP PMONE IICENSE� <br /> MECH�NICALCONTRRCTOq MNLROORESS CITY 2P PHONE 4CENSE♦ <br /> �!!fY Owner <br /> PLVMBINGCONTR�CTOR MAI�AUDRE55 CITY 21P PMONE LICENSE� <br /> ClAS50F WJRK <br /> ❑ NEW ❑ ADDITON I� AITERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�WATION OF WORK <br /> t t <br /> DESGRIBE N'OHK <br /> WOOCIStOVO <br /> NEATSOURLE <br /> O ELCCTRICI7Y ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PfiOPoSED USE OF BUILDING <br /> Sin le famil residence I HEREBY CERTIFY THAT I HAVE READ AND EXP.MINED THIS <br /> LEGALDESCRiPTIONOFVqOPERTY�SNOWBELOWORATfACHFOURCOPIES) APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN _OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOl' 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 /> J09AODRE55 SIGN�TUREO CONTPPCTOR.AUTM09ljEDNGENT.OROWNER D�TE <br /> 8915 F2nerson Pl. X � <br /> �7r)it'o� 9-,?_fr7 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYpE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> UIVATORY(WA54 AASIN) BOILERS—B.T.0/HP. <br /> SHnV✓�p GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WA�(,HEATERS—B.T.U. M <br /> UUNORV TRAV UNIT HEATERS—BS.U. �1 <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> DFINKING FOUNTAIN VENTILATION FAN <br /> FLOOH DRAIN RANGE HOOD <br /> dACKFLOW PREVENTERS WATER HEATER <br /> ROOFDRAINS—RAINLEADERS 1 WOODSTOVE 3O O <br /> SINK(SCRVICE—BAR,ETC.) METAL FIREP.ACE 8 CHIMNEY <br /> FIREPLACE I'•75ERT <br /> MEAtPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> BUETOTA� f <br /> SUBTOTAL 0 <br /> PEHMIT s <br /> PERMIT <br /> TOTALFEE = TOTALFEE <br /> FPfNJi$ETB�CK REr1R SETBACM 51DE SETBRCN P�qN CHECK NUMBER FEE RECEIPT NO. <br /> USEZONE �pTAREA <br /> VAGNT SITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPANCVGROUP NOOFDWELLINGUNITS BUILDING E <br /> PLUMBING <br /> SIZE OF BLDG. NO OF STORIES MA%.OCG LORD <br /> MECHANICAL <br /> INVESTIGATIONFEE �y���C,�3sq��e) I=i.�fH OQl)'i�7c.i��il �F:,�.; �. <br /> FIRE PRINKLERSREOUIRED YES NO <br /> STATEBUILOINGSURCHARGE �y��`�j��-��� �- <br /> STATE ENERGV SURCHARGE ^�`-�' �� `' D.L'� <br /> �PPLICATION ACC.BV Pl�NS CHECNEO BY APPq.FOq ISSUANCE�V �'���' <br /> DRIVEWAY PERMIT v <br /> S.H. TOTA�. <br /> PEHMIT VALIGATION �� <br /> WHEN PflOPERLV VA�IDATED�IN 7H15 SPACE)THIS IS YOUR PERMIT <br /> 0 <br /> �..�7 <br /> �` <br /> � <br /> l'�• <br /> i,JUH[SS i ILi <br />