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:�EV� (' 7NSTRUCTlON <br /> ��Tt oF <br /> everett pE�;MIT PERMITNQ:_-� � ��� <br /> 259 - 8745 <br /> O OEMOLITION ❑ COMBInATION ❑ BUILDING � MECHANICAL ❑ PLUMBING O SIGN <br /> OWNEF IAAIL App8E55 CIiY ZIP pMONE <br /> Don L. PeakeL 2220 Jackson Everett, [4A 98203 <br /> nRCNiiECTOR0E5�GNEn b!<LLACORE55 Cilv 2i�' P110NE <br /> GENEFALCONTPAG�OF MAILADORE55 CIiV ZIP pHONE UCENSE• <br /> Self <br /> MECNANIJNtCONTFA6TOR AIAILApORE55 CRY 21P PMONE �iCENSE• <br /> PLUMBING CONiFACTOR MAIL AOOqE55 [iTV ZIP PMONE LICBbE• <br /> CLASS OF WOFN ' <br /> ❑ NEW ❑ ADDITION � ALTERATION ❑ FEPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br /> VnW/TION OG WORR <br /> $ <br /> DESCFIBE wORN <br /> Wood stove installation <br /> NEATSOUaCE <br /> ❑ ELECiqICITY ❑ GAS ❑ WOODS70VE O OTHER <br /> FROPOSED USE OF pU4UING <br /> Single family residenca � HEREBY CERTIFY THAT I HaVE AEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE ANC <br /> �ecntoescaianor�oranovEarrisrowoe�owoaarrncHFouncories CORRECT. ALL PROVIgIONS OF LAWS AND ORDINANCES <br /> w._o�_ocK _ oF_ GOVERNING THiS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HE�:EIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE uR CANGEL THE PROVISICNS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THEPERFORMANCE OFCONSTRUCTION. <br /> JO�FO�RE55 SiGryqTURE OV'LONTqAriOR.AUiHOR12ED AG[NT.OR OWNER OFTE <br /> 2220 3ackson X .,� �' �� ��> 3 Z� &� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILET� A:C—AiHNDLG UNITS—H P <br /> BATHTUB REFqIGERATION UNI?S—H P.EA. <br /> LAVATORY(WASH BASIW BOILERS—�T.0 MP. <br /> SNOWER GASFiREDAC UNITS—B.TU. <br /> NITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—BS.0 M EA <br /> �ISMWASHEF VJALLHEATEflS—BS.U. M <br /> LAUNDRV TRAY UNIT HEATERS—8 TL M <br /> CIOTHES WASr7ER EVAPORATIVE COOLERS <br /> URINAL CLOTHES ORVERS <br /> DRINKING FOUNTAIN yENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTEFS WA?ER HEATER � <br /> ROOF DRAINS—RAINLEP7EFl5 1 WOOD STOVE 3O OO <br /> SINK(SERVICc—BAR.ETC� METAL FIREPLACF$CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> ExHAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL 30.00 �� � <br /> PERMIT S PEflM1T <br /> TOTAL FEE S TOTAI FEE jO 00 <br /> FnoNT SEionCK nLnR S[in4Crc Si�E SEi[iaCH PLAN CHECK IJUMBER FEE RECEIPT IJO. <br /> USE20NE LOTMEn <br /> VACANT SITE <br /> ❑ves ❑No FEES VALUATION FEE <br /> TYPEOfCONST OCCUPnNCYGROUP NOOFOWELLINGUNITS BUILDWCi S <br /> PLUMBIP:G <br /> SIZE OF BL�G NO OF STORIES Mn% OCC LOAO <br /> MECHANICAL , 3A O , <br /> :I-, . y, o . �. �,.� <br /> _' . „ �.: L:: <br /> IHVES7IGATION FEE Sec.3�74�e) <br /> FIPE SPRINKLERS REOIJIRED ❑VES �NO ��!L;' � i ytS <br /> STATE BUILDING SURCHARGE <br /> r;.-f 4 �'n n, <br /> STATE ENERGV SURCIIARGE �_'ry��_(;�� �.-� ��� <br /> AFPLIC�TIONACC GV PLFNSCM[CNEDDY APPR FO��SSUNNCELtY <br /> ORIVEWAV PERMIT <br /> M.M. TOTAL 30 60 <br /> PEHMIT VALIDATION <br /> WHEYJ PfiOPERLV VALIDATED QN :HIS$PACE�THIS IS VOUR PERMIT <br /> �n <br /> c.o <br /> rn <br /> � <br /> � <br /> ;�Gur,i_::, � r � <br />