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�°� '�` f�NSTRUCTION - p /� C <br /> everett PERMIT P►:RMIT NQ=� o�`�`� <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> ONTlER �A�L�DDRESS CITY LIP PMONE <br /> William C. Brockway 2611 Pine St. Everett, WA 98201 252-6846 <br /> ♦Rd/1TECTORDE5IGNER M�ILRDDRGSS CITY ZIP PMONE <br /> GENER�LCONTPACiOR MAILAODRE55 CITY IIP PNONE LICENSE� ' <br /> I <br /> owner <br /> MECM�NICALCONTRACTOR MRILADDRESS CITY ZIP PHONE 4CENSE� <br /> PLUMBINGCONTRACiOH MAILAODRE55 QTY 21P PHONE UGENSE� <br /> GU.4S OF WORK <br /> � NEW ❑ADDITION ❑ ALTERATION [7cREPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION <br /> c <br /> V�LU�TION OF WORK �� <br /> s 400. <br /> DESCRIBEVYORK <br /> Reroof (strip plywood & 3 tab) approx S�i square of roof area mainly over porch and door <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ 6AS ❑ WOODSTOVE ❑ OTHER <br /> PIIOPOSED USE OF BUIIDING I, <br /> Duplex, owner occupien I HEREF3Y CERTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO 8E TRUE AND i <br /> LE��LDESGRIPTIONOFPROPERTYISHOWBELOWORATTRCMFOURGOPIES) CORRECT. ALL PROVISIONS nF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH �� <br /> LOT_BLOCK _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> see attached � PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONST CTION. <br /> JOBApDRE55 SIGN/. U ONTRAC�Tg R.A OR12ED ENT.uROWNEN O�TE <br /> 2511 Pine St. C„ 5�22�8� <br /> PLUMlINO MECHANICAL I <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTU9 REFRIGERATION UN:TS—H P.EA. <br /> LAVATORY(WASH BASIN) flOILERS—B.T.U.M.P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> :;ITCHEN SINK 8 DiSP. FURCEO AIR SYSTEMS—B T.U. �I EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRVTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES W�CHEF EVAPORATIVE COOLERS <br /> URINAL CLOTHESORVERS <br /> DRINKING FOUNTAIN �ENTILATION FFN <br /> FLOOH UFAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> POOF�RAINS—RAINLEADERS WOOD STOVE <br /> SINK�SERVICE�—BAR,ETC.) METAL NHEP�ACE d CHIMNEV <br /> FIREPI.ACE INSERT <br /> NEATPUMP <br /> GASPIPING — I <br /> EXHAUSTFAN <br /> SUBTOTAL S SU��TOTAL <br /> PENMIT t PERMIT <br /> 70TALFEE i TOTALFEE <br /> FRONiSETBeCK RERRSEitl/CK Si�ESEToaCK P�ANCHECKNUMBER FEE RECEIPTNO. <br /> USEZONE LOTeqEA � ��� I <br /> VACRNTSITE FEES AY 10 1 <br /> ❑VES C�NO <br /> TVPEOFCONS! OCCUPAHCYGROUP NOOFDWELUNGUNITS BUILDWG Spggg}g�qs .LS OO <br /> PLUMBING E�LDG $1 .00 <br /> 512E OF BIDG NO OF STORIES MA%OCC LO�O � �^", � r <br /> MECHANICAL CHECI: $� .SO <br /> � <br /> INVESTIGATION FEE Sec.904(e) ( <br /> FIRC SPPINKLERS RF.OUIRED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE _ I <br /> STA?CENERGYSURCHARGE <br /> �PPLICATIONACCBY PLRNSCMEGNFOOY APPRFOHISSl14NCEDY <br /> Dr71VEWAV PERMI7 <br /> t <br /> M.M. TOTAL 16 50 � <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VAIIDATED(IN THIS SPACE)TH15IS YOUR PERMIT <br /> {.r� � <br /> �� <br /> N <br /> � <br /> � <br /> noor,�ss rr.e � <br />