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`�E�'�" " C'�NSTRUCTIC)N ry n <br /> CITY OF <br /> everett p�RMIT PtRMIT NQ:_ i � lJ�� <br /> �59 -53745 <br /> []{DI?MOLITION ❑ COMBINATION f}� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OYiNEI MAILPDDRE55 CItY ZIP PIIONE <br /> MARTIN LUMEER 27�0 Broadway Everett WA 982G1 <br /> �pCMIfECTORDE5IGNER MAILA�DRE55 CITY ZIP PHONE <br /> GENERMCONTPACTOR MAILADDRESS CITV ZIP PHONE LICENSEM <br /> Fuller & Sons PO Box 1134 Everett wa 98206 424-5640 FULLES150L4 <br /> MECHANICALCONTHACTOF M4LLADORE55 CITV ZIP PHONE LiCENSE• <br /> PWAIOINGCONTl1ACTOR AIA�LA�DRESS CITV ZIP PHONE LICENSE� <br /> CLASS OF WOFK <br /> O NE��I/ ❑ ADDITION ❑ ALTERATION ❑ REPAIR C}�DEMOLITION ❑ BUILDiNG RELOCATION <br /> VP W 0.TI ON O��+ORK <br /> } <br /> OESCRipE WOPN <br /> De�.�olish single family residence <br /> HEATSOURCE <br /> ❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHFR <br /> PROPJSEO JSE OF BUiL�iNG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EX/. 1INED THIS <br /> APPLICATION AND KIJOW THE SAME TO BE TRUE AND <br /> LEGALDESLFiPTiONOFPFOPERTYI�NO'NBELON�ORATfACMfOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 9�OB�oCK fi29_oF P1 ai- nf F.varn4-t GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. iHE GHANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVI�IONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> TNE P RFORMANCE OF CONSTRUCTION. <br /> JOB4DORESS SIG1lA I OFCOkiPAC A 10 EOfGENT,OROWNER D4TE <br /> 2719 Lombard X -- _ <br /> PLUMBING NIECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A/C—A/HN�LG UNITS—H P. <br /> BATHTUB REPRIGERATION L1NIT5—H.P.EA. <br /> LAVATORY(Y'ASH BASIN) BOILERS—BSL/H P. <br /> SHOWER GAS FIRED A.C.UNITS—B TL. <br /> NITCHEN SINK 8 DISP. PORCED AIR SVSTEMS—U T.U. M EA. <br /> �ISI�IWASHER WALLNEATERS—BT.U. M <br /> LAUNDRYTRAI' UNITHEATERS—�S.U. OB�13IB� 3:O1P DDQRI}�'+4S '�'�"4' <br /> CLOTHES WASHER EVAPGRATNE COOLERS � <br /> UfiINAL CLOTHES ORVERS ��1`T�Q� <br /> DRINNI\G FOUNTAIN � � VENTILATION FAN E SI'iCN SS. <br /> FLOOF ORAIN RANGE MOOD I��JOD�'GSEOl <br /> BACKFLOW PREVENTENS WATER HEATER • SE��ER SP• �fl <br /> ROOF DRAINS—RA�NLEADEflS WOOD STOVE �{�{rjH �i4. <br /> SINK�SERVIf,E—BAfl.ETG� METAL FIREPLACE 8 CNIh1NEV _ <br /> FIREPLACEINSEFT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> � PERMIT 5 PERMIT S <br /> TOTALFEE 5 TOTALFEE <br /> VFONT SET84.CK �EAF SETBACK SioE SETonCK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> WEZONE LOTA9E/ ypCFNT5ITE <br /> ❑ves ❑r+o FEES VALUATION FEE <br /> TYPEUFCONST OCCUPANCYGFOUP NOO'DWELUNGUNItS BUILDING � <br /> PLUMBING <br /> SIZE JF pLDG NO OF STORiES IABX OCC 10�� <br /> MECHANICAL <br /> INV�STIGATION FEE Sec.304�e1 <br /> FIRE SPRINHLERS REOUIRED ❑�ES ❑NO cTATE BUILDING SURCHARGE <br /> STATEENERGYSUHCHARGE <br /> APPLICATIONr1CC BY PLr1NSCNECNEDHY PPPR FORISSUANCE[3� <br /> DRIVEWAY PEPMIT <br /> TOTAL 1 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VA�IDATEO(W THIS SPACE)THIS IS VOUR PEPMIT L` <br /> 0 <br /> � <br /> �`• <br /> T� <br /> ! i, <br />