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� <br /> '��" �^ G�NSTRUCTION � '"� c <br /> everett PERMIT PERMITNO. 2� 37u <br /> 259 -8745 <br /> C7 DEMOLITION ❑ COMBINATION C}BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SI6N <br /> OWNER MAIL��DRE55 CITY 21P PHONE <br /> EL[lesto & Teri Hernandez 1111 Oakes Ave. Ever�ett 98201 Z?52-��8� �ONE <br /> ARCHITECT OR DESIGNER MAIL AOORE55 <br /> GENERALCONTR�CTOR MAILAUORESS CITV ZIP PMONE UCENSE� <br /> owner <br /> MECMANICALCONTRACTOR MAILAp�PESS CITY ZIP PMONE LICENSE• <br /> PWMBINGCONTRACTON MRI�ADDRESS CITY ZIP PHONE LICENSE� <br /> CUSS OF WORN <br /> ❑ NEW ❑ ADDITION L�AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINC RELO <br /> V�LWTION OF WOAK <br /> S 2���.�� <br /> OESCRIBE WORR <br /> Puttin sides and door on car ort. � Install rroodstove inside house <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ CiAS ❑ WOODSTOVE ❑ OTMER <br /> PROPOSEDUSEOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> S oraae APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFMOPENTV�SMOWBELOWORATTACHFOURCOPIES� CORFiECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ioT_e�ocK _ ov WI{ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOR�TY 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 ADORESS SIGN URE OE CON FCiOR.AUTNORI2E NT.OR OWNEfi ��= E <br /> X � <br /> oc �' <br /> PLUMBINGS MECHANICAL <br /> Np, TYPE OF FU(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> FEE <br /> WATER GLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> REFRIGERATION UNITS —H P.EA. <br /> BATHTUB <br /> LAVATORY(WASH BASIN) BOILERS—B.T.U.�H.P. <br /> GAS FIRED A�C.UNITS—8 T.U. <br /> SNOWER <br /> KITCHEN SINK 6 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISMWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS—8 T.U. M <br /> CLOTHES WASHER EVAPORA7IVE COOLERS <br /> CLOTHESDRVERS <br /> URINAL <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOF DRA�N RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEADERS 1 <br /> w000srovE 30 00 <br /> SINK(SERVICE—BAF.ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SU 0 $ <br /> PERMIT S PERMIT <br /> TOTALFEE S TOT 30 00 <br /> FRONT SETBaCN PEAN SETBPGK SIDE SETOAGN PLAN CHECK NUMBEP �� ST •M <br /> EIPT NO. <br /> J W <br /> USEZONE �OTAREA yqCANTSITE FEES ATIO �E <br /> ❑YES ❑NO <br /> euaoiNc <br /> 4 00 <br /> TYPEOFCONST OGCUPANCYG(10UP NOOFDWELIINGUNITS ZOOO.00 <br /> PLUMBING <br /> 512E Of OL�G NO OF STONIES MP% OCC.LO/D <br /> MECHANICAL 30 00 <br /> INVESTIGATION FEE �c.�le) <br /> FIFE SPRINKLERS REOUIRED VES NO STATE BUILDING SURCHAqGE 3 SO <br /> STATEENERGVSURCHARCaE <br /> APPUGNTION AGC BY PLANS CHECN[D BY APPP FOR ISSUANCE OY DPIVEWAY PERMIT <br /> TOTAL 78 50 <br /> S.H. pEpMIT VALIDIITON <br /> WHEN PROPERLV VALIDATED(IN iHIS SPACE)TH151S YOUR PERMIT CD <br /> N' <br /> M <br /> � <br /> N <br /> ,_ : �ti=s' r�,.t <br />