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r��F-��,��..n � �NSTRUCTI�N <br /> ����,�F <br /> everett PERIVIIT PERMITNO. � 6J -' <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION IbI BUILDING ❑ MECHANICAL ❑ PLUMBING �_I SIGN <br /> UWNFR MAILAD�HE55 CIiY LP PMONE <br /> Eugene & Lanna Perron 3906 Lombard Ave Everett WA <br /> �RCMR[Ci OP D[SIGNEiI MNL�n�RE55 CITY ZIP PIIONE <br /> (NIP <br /> cer�[en�r.oHTnncron uni�noonEss G�v zir PHONE uceNse= <br /> Storms' Construction 4331 129th P1 SE pfarvsville 98270 653-6879 STORt�iC163DT <br /> IdECHANICALCONTl1ACTOR MAI�A��PE55 CIiY ZIP PHONE II�ENSE� <br /> PWM�ING�ONiPaCTOR MAILAODRESS CiTY JP PMONE UCENSEu <br /> CLn55OF WORK <br /> ❑ NEW ❑ ADOITION �CALTEPATION ❑ REPAIR ❑ DEMOLITION ❑ BUILOING RELOCATION <br /> 1'AWNTION OF WORN <br /> 525,999.00 <br /> oesaaee v:orar; . <br /> Convert to Duplex, interior only <br /> MFA1 SOIIPCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> v�+ovoseo use oc oui�oiHc <br /> I HERFBY CEHTIFY THAT I HAVE READ AND F_XAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �eca�oe5cnia.ioruoFaawenrv�sNowoE�owoanrrncNrouracaaiesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_o�ocK _ or GOVEfiNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PIiOVISIONS OF ANY UTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFOAjv1ANCE OF CONSTRUCTION. <br /> JO[iA00RE55 SIGNATUPE TA� OR HO131 � ' ENT. N'NER [)?TE <br /> 3406 I,ombard Ave X '�. � � f ` 8/8/86 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EtlUIPMENT FEE <br /> WATER CLOSET�TOILET) NC—AMNDL9 UNITS—H P. <br /> BATHTUB REFflIGERATIG�UNITS—H P.EA. <br /> LAVATORV(WASH BASIN� �OILERS—8 T.0/H P. <br /> SHOWER GAS FIRED A C.UNITS—B T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—87.U. M EA. <br /> DISHWASHER WALLHEATERS—BT.U. M <br /> LAUNDRV THAV UNIT HEATERS—B.T U. M <br /> CLOTHES WASHEF EVAPORATIVECOOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAItJ VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATEfiHEATER <br /> ROOF Di7AIN5—RAINLEADERS WO00 STOVE <br /> SINN�SERVICE—BAR,ETCJ METAL FlREPLACE&CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHPUSTFAN <br /> SUBTOTAL 5 SUBTOTAL <br /> PERMIT S PERMIT <br /> TOTAL FEE S TOTAL FEE <br /> vnoNr SEier.r.K nenn se�oncK 5i0E sEioncK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> US[ZONE LOTAFE� yqCANT5ITE <br /> ❑ves Gr+o FEES VALUATION FEE <br /> TYPEOFCONST OCCUPANCYGROUP NOOFOYiELLINGUNITS BUILDIN('i S 25,999 Z.rJ� Q <br /> PLUMBING <br /> SIZE OF BLDG NO OF STORIES MF% OCC.LO!0 ....� <br /> u <br /> MECHANICAL � <br /> INVESTIGATION FEE ���Q�68a�e� <br /> FIRE SPRINKLERS REOUIRED ❑VE$ ❑NO '- <br /> STATE BUILDING SURCHARGE S �� $ � j 0 <br /> STATE ENERGV SURCHARGE �E�}` s2 •OO <br /> �PPUCATIONACC BY PLANSCMECKED�Y nFl{'R FORISSUANC[t3V <br /> DRIVE6VAY PEPMI7 <br /> M.M. TOTAL 252 00 <br /> PE6MIT VALIDqTION <br /> WHEN PROPERLY VALIDAT[D�1N THIS SPACE�'fHIS IS VOUF P[RMIT <br /> d� <br /> ��� <br /> Q� <br /> �..L7 <br /> [— <br />