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J <br /> �`� ^ P'�NSTRUCTION � '^ { <br /> everett PERMIT PERMITNO. 19198 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION CJ�BUILDIN6 ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> p�R M�R�DDRE55 CITY ZIP PNONE , <br /> Everett Gospel Miasion P.O. Box 428 Everett, WA <br /> �pp11TEGTORDE5IGNER M�ILADDNE55 CIiY ZIP R�ONE i <br /> GENEML CONTR�CTOR M�IL�DDRESS QTY 21G MONE LICENSE� <br /> Edmonds Roofing Inc. P. O. Box 571 Edmonds, WA 98020 778-3141 <br /> MECM�NIGALCONTNACTOH MAILAD�RE55 CITY 21V MONE LICENSE• I <br /> EDMONR262PB <br /> PLUMBING CONTR�CTOR MAIL RODPESS CITV 21P PMONE UGENSE r <br /> GLA55(1F WORN <br /> ❑ NEW O ADDITION ❑ 11LTERATION C�REPAIR ❑ DEMOLITION O BUILDING RELOCATON <br /> VALUATIpN OF WORY. , <br /> Z 77�0• �� <br /> pESCRIBE WORN <br /> Reroof <br /> NEATSOURGE <br /> ❑ EIECTRICITY ❑ (iA8 ❑ WOODSTOVE ❑ OTMER <br /> PppPpSEDUSEOFBUIIDING I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> Missiort APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTY(SHOYIBELOWORAiT�GNFOURCOPIES) COP.Ft(,T. ALL PROVISIONS OF LAWS AND (1FDINANCES <br /> GOVERNING THIS T`0�E OF WORK WILL BE COMPLIED WITH <br /> tOT_�BLOCK _Of WHETHER SPECIFIEU IiEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES K+�T .'RESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANC;=I THc PROVISIONS OF ANY OTHEF <br /> S OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> E P FO F C STRUCTION. <br /> JOB AODRESS 51 �TURE F CONTRA OR.A TMO IZED AGENT.OR OWNEP DATE <br /> 2820 Hewitt Ave. X '�'u' ��� ` <br /> PLUMSINO MECHANICAL <br /> � N0. TYPE OF fll(TURE OR ITEM FEE NO. TYPE OF ECUIPMENT FEE <br /> , WATER ClOSET(TOILET) A/C—A/MNDLG UNI75—M P, <br /> BATMTUB REFRIGERATION UNITS—N P.EA. <br /> . LAVATORY�WASHBASIN� CiOILERS—BT.U./H.P. <br /> � SHOWER GAS FIHED A.C.UNITS—B.T.U. <br /> NITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> � DISHWASHER WALLMEATERS—B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> �. URINAL CLOTHESDRYERS <br /> ��. DRINKING�OUNTAIN VENTILATIONFAN <br /> , FLOOR ORAIN RANGE HOOD <br /> BACNFLOW PREVENTERS WATER HEIITER <br /> ROOF ORAINS—RRINLEADEPS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GRS PIPING <br /> EXHAUSTFAN <br /> 5UlTOTAL f SUBTOTAL <br /> V[IIMIT t PERMR <br /> TOTIIL FLE f TOTIIL FEE <br /> FRONT SETBALK NEAP SEtB�CK SIOE SETBACI( PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE 20NE LOT AREA yqCRNT SITE <br /> ❑ves Or+o �E$ VALUATION FE. <br /> TYPEOFCONST. OCCUPPNCYGROUP NOOFOWEIIINGUNITS BUILDING a 77QO. 00 . �99 <br /> PLUMBING <br /> SIZE OF BLDG. NO.OF STORIES MA%ALC.LORO � . <br /> MECHANICAI - � � � <br /> INVESTIGATION FEE ����41e) : <br /> FIRESPRINNLERSREOUIRED YES NO STATEBUILDINGSURCHARGE � <br /> STATEENERGYSURCHARGE <br /> APPLIGATION ACG.BY PLRNS CMECNED BY AFPR FOfl ISSUANCE BY <br /> ORIVEWAV PERMIT <br /> S .H. TOTAL <br /> VENMIT VALIDATON <br /> WHEN PROPEPLV VALIDATE�(IN THIS SPACE)TMIS IS YOUR PERMIT � <br /> Q� <br /> r� <br /> Q� <br /> �� <br /> r;�"�.i �.... . ���' �. <br /> � <br />