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��" �' C'`�NSTRIJCTION -- ^ C q <br /> cin oF <br /> everett pERMIT FERMIT NQ:_ � U� f � <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION C7{BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONMER MAILADDRES$ CITY ZIP PMONE <br /> Gayle J. Trobee 22 McGill Everett, WA 48 98204 355-4451 <br /> ♦RCHREGtOHOF5IGNER FIAILROORE55 CITY 21P PNONE <br /> GENERA�CONTR�CTOR MRIL ADDRESS CIT� ZIP PIiONE LICENSE� <br /> Bernie Harvey <br /> MECMAMCAL CONTR�CTOR MAIL PDDRESS CITY IIP PMONE UCENSE� <br /> PLUMBING COIlTR/.CtOR MAII AODRf;S CITY ZIP MONE l ICENSE� <br /> G�ASS OF WORK <br /> ❑ NEW ❑ ADDITION C]tA1.TERATION x] REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATIOt. <br /> VALUATION Of WORn <br /> S 31rJ��.�� <br /> OESCRIBE WORK <br /> Repair fowidation, replace window, interior repairs <br /> MEATSOURCE <br /> ❑ ELECTHICITY ❑ GAS ❑ WOODSTOYE ❑ OTHER <br /> Pf10PO5E�USE OF BUILOING � <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AtvD KNO'JJ THE SAME TO BE TRUE AND <br /> LEGALOESGHIPTICNOFMOPERIY�SnOWbELOWORATfRCNFOURCOPIE51 CORflECl. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 2 9 Zntercity GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> lOT_BIOCK _OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DUES NOT PRESUME TO GIVE AUTHORITY TO <br /> A VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STAT IOCAL LAW REG TING CONSTRUCTION OR <br /> TH ERF�RMANCE O CO CTION. <br /> JOB ADDRESS 51 RTUPE CONT CTC� TNOR ED P NT,O OWNER DATE <br /> 22 McGill Ave � <br /> PLUMBING ME NI l <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEF. _ <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS—HP. <br /> BATMTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATOflV p4A5H BASIN) BOILERS—8 T.U./H.P. <br /> SNOWER GAS FIRED AC.UNITS—6.T.U. <br /> NITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—BSL. M EA. <br /> OISMWASHER WALLHEATERS—�.T.U. M <br /> LAUNDRYTRAV UNITHEATERS—BT.U. M <br /> CLOTMES WASHER EVAPORATIVE COOLERS <br /> URINAI. CLOTHES DRVEFlS <br /> OHINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DFAIN RANGE HOOD <br /> BACKF�OW PREVENTERS WATER HEATER • <br /> FOOF DRAINS—RAINLEFGERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GA3 PIPING <br /> EXHAUSTFAN <br /> SUdTOTAL f SUBTOTAL f <br /> PEflMIT f PERMIT f <br /> TOTALFEE f TOTAIFEE <br /> FROr+T SEiancN REnR SEionCK SioE 5ET9nCa PLAN CHECI(NUMBER FEE AECEIPT NO. <br /> USEZONE IOTAREA ypCANTSiTE <br /> ❑re� ❑r+o FEES VAIUATION FEE <br /> TYPEOFCOHST. OCCUPRNCYGROUP NOAFOWELLINGUNITS BUILDING g 3�SOO 63 O <br /> PLUM6ING <br /> SI2E OF�LDG NO.OF ST019E5 MA% OCC.LOAU - -- <br /> MECHANICAL �� ....l <br /> INVESTIGATION FEE Sec.�(e) <br /> FIRE SPRINKLERS REOUIRED YES ❑NO J <br /> STATE BUILDING SURCHARGE 1 0 <br /> STA7EENERGYSURCHARGE B SRCH S .SO <br /> FPPLICRTION PCC.BY FLRNS CNECNEO BY APPR fOF ISSU/.NC[OY <br /> DRIVEWAv PERMIT <br /> M.M. L.C. <br /> TOTAL 64 0 <br /> - PENMIT VALIOATION <br /> WHEN PROPERIV VALI�ATED(W THIS SPACE)THIS IS YOM PERMIT <br /> M <br /> � <br /> ti <br /> C.� <br /> •--- <br /> �.;�iti;i,�� ���.��E <br />