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❑ DEMOLITION ❑ COMBINATION IXBUILDING ❑ MECHaNICAL ❑ PlUlAAING ❑ SIGN <br />OYMER h1AILADDPE55 Gtv ZIP GHONE <br />CARL JOHNSON 728 Hoyt Everett WA 9820i 252-1327 <br />/+PC111TECTOFOESIGNER MAILAODRE55 CITV LIP PNONE <br />Jf_NERAICONTRACTOR MAILADDRE55 �IiY 21P PHON! LICENSEn <br />Fortune Roofing 11216 - Hwy 99 S Evzrett WA 98204 776-03'/7 FORTURI184MI <br />R•ECMANICALCONTRqGTOR AIAILADDRESfi GiY ZIP PMONE LICENSE� <br />PW1A81l.G CONTRnCTOR <br />AI<AL AOORE55 <br />CITY <br />CLASS OF WOPY <br />❑ NEW ❑ ADDITION C ALTERATION � AEPAIR ',] DEMOLITION ❑ BUILDING REIOCATION <br />VAIUATION OF WORN <br />s 3600.00 <br />oeser+ioe woaK <br />Remove composition roof and replace with a�ood shakes <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />PPOPOSED USE OF �UiL01NG <br />Residence <br />Lo- 26 Z�i31.ocK 1 JV <br />PLUM9ING <br />NO. TYPE OF FIXTt <br />\VPTER CLOSET (TOILET� <br />:fATHTUB <br />LAVATORVIWASH 9ASIN� <br />$MOWL9 <br />NITCHEN SINK 8 UISP. <br />DISHWASNER <br />LAUNDRYTFAY <br />CLOTNES WASHE'. <br />FOl1NTA1N <br />FLOOR <br />C�7:1ll� <br />ROOF DRAINS — RAINLEADEflS <br />SINK (SERVICE — BAP.. ETC.) <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FRONT SETpACK FEr1R nET�ACH <br />USEZONE LOTARER <br />TVPEOFCONST OCCJP�NCYGRI <br />SIZEOFBLOG N^ OfSTORiES <br />S <br />S <br />S <br />VACANT SITE <br />❑YES ❑NO <br />MA% <br />OY I P�ANSCHECKED�Y I AFPR fOR <br />❑ OTHER <br />I HEREBY CEqTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATiON AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERfJING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREItJ OR NOT. THE GRANTING OF A <br />PERMIT GOES NOT PFESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCI'ION OR <br />TH£�����I```��jppp''' FORMANCE Of CONSTR�I!'(y^�TI � <br />SIGNAI�JRqOGCON�CT�P.AU^H [OAGpry1,? O NER DAT[ <br />� i nr <br />X �lC �. _17l (/JC _ � �inrm� <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDI, G UNITS — H P. <br />REFRIGERATION UNITS — HP. EA. <br />BOILERS — BS.UJH P. <br />GAS FIRED AL. UNITS — B.T.U. <br />FGRCED AIR SVSTEMS — B.T.0 M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT H[ATERS — BS.U. M <br />EVAPOflATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN •� <br />R>NGEHCOD � <br />WATER HEATER • <br />WOODSTOVE �_ <br />MEfHLfIREPLACEBCHIMN V..�+ _ <br />FIftEPLACE INSERT �rp�_ <br />HLA'i PUMP <br />CAS PIPING <br />E%HAUSTFAN <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAI <br />INVESTIGATION FEE <br />SUB TOT11L <br />PFRMIT <br />iJTALFEE <br />FEE <br />VALUATION <br />Se�.304�e) <br />RECEIPT NO. <br />FEE <br />STATE BUILDING SURCHAaGE' <br />STATEENERGYSURCHARGE <br />DRIVEWAY PEFM!T <br />TOTAL <br />PERM�T VAUDATION <br />WHEt! PROPERLV VALIDATED (IN THIS SFACE� � iI515 YOUR PEFhiIT <br />1 150 <br />.� .,.... ... '. _ " ::::: ... .. _ .. . . <br />� s ' <br />,. , <br />.. � '_. , , -....,.�i -.. , I,-.. � �'1� <br />�.f.._..u_.__�_..�—'��^'.._ ., . 'it:.. ,' .. . .. . � . . .:_�E'��1. � r . . . . . <br />