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`�� �' P7NSTRUCTION � � <br /> everett PERMIT PERMITNO. 18032 <br /> �� 259-8800 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> OWNEP MAILADORE55 CITY 21P FMONE <br /> Henry M. Rochon 1322 Grand Ave. Everett 98201 258-2690 <br /> ANCHITECTOPDESIGNER MAILAODRE55 CITY ZIP PNONE <br /> QENEMLCONTRAGTOR MAIL�O�RE55 CITY ZIP VMONE LICENSE� <br /> OWIleI <br /> MECHANIC�L CONTNACTOR MAII ADDRESS CITY ZIP PNONE I�CENSE� <br /> PIUMBINO CONTRACTOR MRIL AODRESS CITY 21P RIONE LICENSE� <br /> CUSS OF WORK <br /> � IIENI �ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION <br /> VQUIITION OF YIORN <br /> :�448.00 — <br /> OESGNIBE WORK <br /> �p�p�{}�d8$KY�[ Fam!ly room addition <br /> MEATSOURCE <br /> ❑ELECTRICITY ❑ �AS ❑ WOODSTOVE ❑ �THER i <br /> PROPOSEDU9EOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS I <br /> Sin le famil residence APPLICATION AND KNOW THE SAME TO BE TRUE AND I <br /> LEOALUESCRIPTIONOFPROPERTY�SHOWBELOWORATTACMFDURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or Z1�e�ocK 2=2 or �/eratt Div FL GOVERNING 7HIS TYPE OF WORK WILL BE COMf'LIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONS7RUCTION OF <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADd�E55 SIGNRTU � OFCONTRACTy�AUTH EDAGENT.OROWNER OATE <br /> 1322 Gra�d Ave. X � (.� . -. 9 - d <br /> PLUAMINO ME.CHANICRL <br /> NQ TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET QOILET� A�C-AMNOLG UNITS-H.P. <br /> BATHTUB REFRIGERqTION UNITS-H.P.EA. <br /> LAVATORV(WASH BASIN) BOILERS-B T.U./H P. <br /> � �Q�R GAS FIRED A.C.UNITS-B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS-B T.U. M EA. <br /> DI3HWASHER WALL HEATERS-B T.U. M <br /> UIINDRVTFAY UNITHEATEFS-B.T.U. M <br /> CIOTMES WASMER EVAPORATIVE COOLERS <br /> Uq��� CLOTHES ORYERS <br /> M1INKIN(3 FOUNTAIN VENTIUTION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKiLOW PREVENTERS WATER HEATER <br /> qppF DRAINS-PAINLEA�ERS WOOD STOVE <br /> SINK(SERVICE-BAR,ETC.) METAI FIREPLACE dCHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUN.P <br /> GAS PIP�NG <br /> E%MAUSTFAN <br /> W!TOTAL t 6U0 TOTAL <br /> �EIIMR f PERMIT <br /> TOTAL fEE ! TOT11L FEE <br /> FqpR gETp��K REAR SEtB�CK SiOE SETB�CK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> 20 ZD 5 g� 4 5 895 8 <br /> �Zp� IOT�RFA y�C�NT5ITE <br /> ❑res r+o �E$ VALUATION FEE <br /> g-Z 9050 � BUILDING S 99 0 <br /> T'pEOFCONST. OCCUPANCYGROUP NOOFDWELLINGUNITS 7'449.00 <br /> V-N R-3 1 PLUMBING 04/29/87 30�� r� �Ak�9 ���'� <br /> yffpp 9�pp, NO OF STORIES MIAx,OCC.LOAO � <br /> 196 1 N A MECHANICAL � <br /> INVESTIGA710N FEE s���lej ¢4 ,QQ <br /> INK ERS NE UIRED VES NO STATE BUILDING SURCHARGE E SRCH � •� <br /> 1 0 <br /> STATEENERGYSURCHAflGE <br /> �PPLIGTION�CG BY MNS LMEGNED BY �PPA.FOR ISSUANLE 9Y <br /> DPIVEWAY PERMIT <br /> S.H. B.E. L,�, TOTAL 100 50 <br /> vc�wirv�uo�non <br /> WHEN PROPERLV VAL�DATED�IN THIS SPACE)TMIS IS VOUR PERMIT �' <br /> �� <br /> � <br /> � <br /> �� <br /> AUDRESS FILE <br />