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I everett ^ �NSTRUCTION -� '"' - _ C <br /> 259 - 8745 <br /> PERMIT PERMITNQ:_ � �U�� <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING M� MECHANICAL � PLUMBING ❑ SIGN <br /> OMMER MRIlAODRESS :.ITY ZIP M10NE <br /> Harriet East 1705 Oakes Everett, WA 98201 252-0913 <br /> AFCMITEGi OR�ESIGNE9 MAII ADDFE55 CITV plp PIIONE <br /> GENER�LCONTMCiOR MAILADDBE55 dTY I�p PHONE 4LENSE� <br /> Owner <br /> MEGMANICALCONTNACTOR MRILADDRE55 CITY ZiP FHONE LICENSE• <br /> PLUMBINGCONTRACTOP MAILApORE55 CITY plp PHONE �ICENSE• <br /> CLASS Of WOqN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING NELOCATION <br /> V�LU�TION OF WORK <br /> S <br /> OESCRIBE wORK <br /> Move washer and dryer to shop <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEq <br /> PROPOSED I15E OF BUILDING <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCHIPTIONOPPROPENTY�SNOWBELOWORATiqCHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCN � 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 CONSTqUCTION OR <br /> THF PERFORMANCE OF CONSTRUCTIGN. <br /> JOB ADDPESS SIGNAtURE OF CONTRACTOR.FUTIIOR12E0 AGENT,OR OWNER OATE <br /> 1705 Oakes X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C-A/HNOLG UNI7S-H.P. <br /> BATHTUB qEFRIGERAiION UNITS-H.P.EA. <br /> LAVATORY�WASH BASIN) DOILERS-B.T.U./H.P. <br /> SHOWER GAS FIRED A C.UNITS-B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS-B.T.U. M EA. <br /> DISHWASHER WA��MEATERS-B.T.U. M <br /> LAUNORV TRAV UNIT HEATERS-B.T.U. M <br /> CLOTHESWASHER rj OO EVAPORATIVECOOLERS <br /> URINAL 1 CLOTHESDRYERS (.50 q� <br /> ORINKING FOUNTAIY VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS-RAINLEADEFS WOOU STOVE <br /> SINK(SERVICE-BAR.ETC.) METAL FIREPLACE d CMIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUB TOTIIL 6.50 � �� <br /> PENMIT S PERMIT <br /> TOTALFEE S TOTALf'EE <br /> FNONi SETBnCK REAP SETBFCN 5i0E SETBaCK P�AN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT RREA yqCANT SITE <br /> ❑ves ❑Ho FEES VALUATION FEE <br /> TYPEOFCONST. OCCUPANCVGROUP NOOFDWEILINGUNRS BUILDING S <br /> PLUMBING Ol/ib/67 2�.. FM OOORH369� Od''k�K.t <br /> SRE OF BLDG NO.OF STORIES MA%.OCC LOAD <br /> MECHANICAL 76�5 21 O <br /> INVESTIGATIONFEE F�'e.304(e) •� <br /> FIHESPRINKLERSREOUIFED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE C+; �, � <br /> STATEENERGYSURCHARGE <br /> pPP4CATIONRCC.OY PLANSCMECNEDDV AAPR FORISSUANCEOY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 26 50 <br /> PERMIT VALIDATION <br /> WHEN PROPEfiLV VALIDATED�IN TNIS SPACE)TMIS IS VOUR PERMIT <br /> Ln <br /> �` <br /> �� <br /> L` <br /> r� <br /> ,��.00r„_ss F i:.E <br />