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��'° '"` CINSTRUCTION � r` <br /> everett PERMIT PFRMIT NO. 20956 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PI UMBING ❑ SIGN <br /> OWNER MAILADDRESS CITY 21P PMONE <br /> Gloria Scott 3121 Norton Everett, WA 98201 259-5825 <br /> ARCHITECT ON DESIGNER MRII PDDRESS CITY ZIP PHONE <br /> GENER�LCONTRACTOR MRILRpDRESS QTV ZIP pNONE LIGENSE• <br /> Owner <br /> MECM�NIL�LCONTRACTOR MAILI.DDRE55 GITY pIP PHONE UCENSE� <br /> PLUMBING CONTR�CTOO MRIL RUDRESS CIiY zIP PMONE UCENSE� <br /> CLASS OF WOqN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION Oi WORN <br /> Z <br /> DESCRIBE WORI( <br /> existing fireplace insert <br /> HEATSOURLE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOYE ❑ OTHER <br /> PROPOSED USE OF BUILOING <br /> Sinqle family reeidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCRIPTIONOFPROPERTY�SNOWBELOWORATfACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_e�ocK _ oF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 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 ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTiON OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�DDRE55 SIGN OF CONTR! THORRED AGENT,OR ONTlER DATE <br /> 3121 Norton Ave � � 10/4/BB <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI)RURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOIIET) A/C-A/HNDLG UNITS-H.P. <br /> BATHTUO FEFRIGERATION UNITS-H.P.EA. <br /> LAVATORV(WASH BASIN) BOILERS-B T.U./H.P. <br /> SHO WER GAS FIRED A C.UNITS-B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS-B.T.U. M EA. <br /> DISMWASHER YlALL HEATERS-B.T.LL M <br /> LAUNDRV TRAV UNIT HEATEflS-B.T.U. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDPVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACNFLOW PREVENTERS WpTER HEATER <br /> ROOF DRAINS-RAINLEAOERS WOOD STOVE <br /> SINK(SEHVICE-BAR,ETCJ METAL FIREPLACE 6 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUlTOTAL f SUBTOTAL <br /> VEqMIT i PEpMIT <br /> TOTALFEE S TOTAIFEE <br /> FRONT SETB�CR REAR SETORCK StDE SETONCR P�AN CHECN NUMBER FEE RECEIPT NO. <br /> USEZONE LOTAREA ypCnNiSITE <br /> ❑YES ❑No FEES VALUATION FEE <br /> TYPEOFCONSL pCCUPANCYGROUP NOOFOWELUNGUNITS BUILDING S <br /> PLUMBING <br /> SIZE OF BLDG NO OF STORIES MA%.OCC LOAD <br /> MECHANICAL 3O OO <br /> �NVESTIGATION FEE 10�•.�e <br /> FIRESPRINKLERSHEOUIRED O�ES ❑NO <br /> STATE BUILDING SURCHARGE ���� <br /> S1A7EENERGVSURCHARGE ' <br /> APPIICRTION ACC�Y PLANS LHECKEO OY APPR FOR ISSUANC[BY � <br /> DRIVEWAV PERMIT <br /> M.DS. TOTAL 30 00 <br /> PERMIT VALIUATION <br /> WHEN PROPERLV VALI�ATED�IN THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> �..�J <br /> Q� <br /> � <br /> N <br /> �.�,...,.;_• I ��. <br />