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`�� � C'�NSTRUCTION � <br /> pTV OF <br /> everett PERMIT P�R���T NQ. 19367 <br /> 259 -8745 <br /> ❑ DEMOLITIQN ❑ COMBINATIGN ❑ BUILDING $] MECHANICAL 'O PLUMBING ❑ SIGN <br /> OWNE� MAq AOUFE55 CItY Z�P P�ONE <br /> Irene E. Gregory 2218 E. ;rand Everett, tqA 98201 259-5510 <br /> ARCMITECTOq�ESIGNER AIAIIApOA[SS CITV 2i� ��IONE <br /> GENERRLCO4T(1ACIOR MAILRDUHFSS QTV ZIP PMONE LICENSE• <br /> M[CHRNICAICONTf1�CTOR MaIL��DRE55 CITV � ZIP PMONE UCENSE• <br /> Owner <br /> OLUMBINGLONiRnCtOP NnILA0DRE55 QTY 2�P FHONE IICENSE• <br /> CIASS Oi WOFK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUIIDING RELOCATION <br /> WLURTION OF WONK <br /> S <br />� DESCR�BE WORN <br /> I� stall woodstove <br /> HEATSOURCE <br /> ❑ ELECTRICITY C7 GAS O WOODSTOVE ❑ OTHEP <br /> Pf10VOSED USE OF DUILOiNG <br /> I HEREBY CERTIFY 1'HAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPL�CATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCBIPTIONOfPROf'ENTY�SMOWBELO\YOR4TT4CNfJURCOPI[51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_OLOCN � OF GOVERNING THIS TYPE OF WOFiK WILL BF. COMPLIED WITH <br /> WFiETHER SPECIFIED HERE�N OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAI LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBRDDRE55 S�GNa1U OfCONTRACTOR.AUT110R12EDRG[ T.OROWNER 0�� <br /> 2 8 E. Grand Ave. X � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A:C—AMNDLG UNITS—H P <br /> BATMTUB REFRIGERATION UNITS— N P.EA <br /> IAVAiORV(WASHBASIN) �OILERS—OSU HP <br /> SHOWER G/+5 FIREO A C UNITS—�TL <br /> KITCHEN SINK d OISP. FORCED AIR$VSTEMS—�T l/ M EA. <br /> DISHWASHER WALL NEATERS—B T U M11 <br /> IAUNDRV TFAV UNIT HEATEfiS—�T U M <br /> CLOTMES WASHER EVAPORATIVE COOLEFS <br /> URINAL CLOTMES�RVERS <br /> DRINNING FOUNTAIN VENTILATION F�N <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PFEVENTERS WATERHEATER � <br /> ROOF ORAINS—RAINLEAOERS 1 WOOD STOVE $Q QQ <br /> SINK�SERVICE—BAR.ETC.) MET4L FlREPLACE 8 CHIMNEY <br /> FIREPLACEINSER? <br /> HEAT PUMP <br /> GAS PIPING <br /> E%NAUSTFAN <br /> SUB TOTAL S SUB TOTAL <br /> PERMIT S PERMIT <br /> TOTALFEE f TOTALFEE <br /> f90NT SETOACK eEnR 5[T�nCK sioE SETon[K PLAN CHECK NUMOEIi FEE RECEIPT NO. <br /> USE ZONE LOT FREA yqCANT SITE <br /> ❑res ❑r+o FEES VALUATION FEE <br /> TYf+EOFCONST Of.CUPRNGYGRJUP NOOFDIVELLINGUNrt} BUII.DING S <br /> PLUMBING <br /> 512E OF�l�G NO OP STORIES MA%OCC 1040 <br /> MECHANICAL 30 0� <br /> INVE�7IGATION FEE Sec.3041e) <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> AP�LICATIONPCLOY PLANSCI�ECNWOv FP!'RFOfiI55UANC[�V <br /> DRIVEWAV�cNMi' <br /> S.H. TOTAL 30 00 <br /> PENMIT VALIDATION <br /> WH[N PROPERLV VAII�ATED pN THIS SPACE�THIS IS VOUR PERMIT <br /> �� <br /> �� <br /> M <br /> �7 <br /> r— <br /> � , � I <br />