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theEuergreen �-�NSTR�CTION ������ '" p <br /> CITY OF ' <br /> �Ve�e� PERMI� PERMITNO. 21 `�3 � <br /> 259 - 8745 <br /> ❑ DEMOLITIOY G COMBINATION ❑ BUILDING � MECHANICAL �] PLUMBING ❑ SIGN <br /> OWNER MAILPDOFlE55 CITY ZIP PNON[ <br /> Gerald uobert Voss 2231 Howard Ave. Everett 98203 353-8345 <br /> ARCHITELTORpE51GNEP MAILR�ORES$ dTY ZIP PHONE <br /> GENERILCONTRFC�OR MAILADOPESS QTY ZIP PHONE LiCENSE• <br /> MECMANICAL CONiRFCTOR Mnll AOOPESS CITY ZIP PNONE LICENSE e <br /> YLWd01NGCONTRPCTOR IA4ILADORE55 CITY plo PHONE ��CENSEu <br /> Owner — <br /> CLn350F WORK <br /> ❑ NEW �1 ADDITION ❑ ALTEHATION ❑ REPAIR ❑ OEMOLITION ❑ BJILDING RELOCATION <br /> VALUATION OF WORI( <br /> $ <br /> O[Sf,1 E WORK <br /> Plinnbing <br /> '0 ELECTRICITY ❑ GAS ❑ WOOOSTOVE 0 UTHER <br /> PROPOSEDUSEOFBWI�ING I HEREBY CERTIFY THAT I HAVE READ �ND EXAMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iecn�orsc�ivnor�aFanocEnrr�sNowee�owonnrrnc:�Fou�coaies CORRECT. ALL PROVISIONS OF LAWS-AND ORDINANCES <br /> , GO�(ERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_o�ocK _ aF WHE7HrR SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMI DOES NOT PFESUME/`f0 GIVE AUTHORITY TO <br /> VIOLA� OR CANCEL THE,P,l�OVISIONS OF ANY OTHER <br /> T�TE �R LC� LAW R G(1LATING CONSTRUCTION OR <br /> THE'P\E`�R/1pOR/MANC OP�C��TRUCTION. <br /> JOBfDOFESS SIGNATI��OFCO'ItRACTO Al1TH0 Z(D�GEM.ORO\YKER CATE <br /> / �\ ��� � � %'-`�' <br /> 2231 Howard Ave. X � '�—✓";� :� . - `� <br /> PLUMBING M C NICAL� � <br /> /� <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. T PE O�EOUIPMENT FEE <br /> WATERCLOSET�TOILET) � NC-A/ DLGUNITS-HP. <br /> �ATHTUB RE:RIGERNTION UNITS-HP.EA. <br /> LAVATORY(WASH BASIN) BOILERS-B T.UJH.P. <br /> SHOWER G�5 FlRED A�C.UNITS-BS.U. <br /> KITCHEN SINK 8�ISP. FORCED AIR SYSTEMS-B T.U. M EA. <br /> �ISHWASHER \MALLHEATER$-BT.U. M <br /> LAUNDPYTRAV UNITHEATERS-BS.LL M <br /> 1 CLOTHES WASHEN S OO EVAPORATIVE COOLERS <br /> URINAL 1 CLOTHESORYERS 6 SO <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> PLOOR�RAIN RANGE HOOD <br /> BnCKFLOW PREVENTERS WATER HEATER <br /> ROOF DRNNS-F1A W LEADERS N'OOD STOVE <br /> SINK(SEflVICE�-BAR,ETC.) M1IETAL FIREPLACE 8 CHIMNEV _ <br /> FIREPLACE INSERT _ <br /> - HEAT PUIdP <br /> GASPIPING OSIQJ� ` �� ��•� <br /> - EXHAUSTFAN � <br /> k000^c1434 <br /> SUBTOTAL s 5 00 sue�7RE �� 6 50 <br /> PERMIT 5 PEHMI�CH �Ul ZS OO <br /> TOTC.LFEE S S OO TOTA���O4ErOO 21 S <br /> FivONTSET[IACK AEAIiSETBnLN SI�ESETBnCK PLANCHECKNUMBER F c IPTNO. <br /> CHECf: S 1.50 <br /> USEZON[ LOTAREA yqCANTSRF VpLUATION FEL' <br /> ❑res ❑rvo FEES <br /> TYPEOFCONST. OCCUPANCYGROUP NO.OFDWEUJNGl1NtT5 BUIL�ING S <br /> PLU6181NG q <br /> SI2E OF BLOG NO OF STORIES MAe.CCC.LO/.D <br /> MECHANICAL �� <br /> INVESTIGATION FEE Sec.J04(e) <br /> FIPE SPRINKLEPS REOUIRED O�ES ❑NO STATE BUILOING SUf7CHARGE � <br /> STATEENERGYSURCHARGE <br /> .�PPLIUTION6CG 0� PLANSCMECHE��Y APP� FORISSUANCE�I <br /> DRIVE\YAY PERMIT <br /> S.H. TOTAL Z6 50 <br /> PERMIT VAL�DATION <br /> V/HEN PROPE�iLV VALID�TEO IIN THIS£PACE)THIS IS VOl1R PERMIT �. <br /> �`rl <br /> �1' <br /> t� <br /> N <br /> z. <br /> � <br />