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�` �� " �NSTRUCTION 1 " <br /> everett PERMIT PERMITNO. 16740 <br /> 259 -8745 <br /> ❑ DEMOLITION O COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING O SIGN <br /> ONNER M�IL ADDRESS CITY ZIP PMONE <br /> Jeff S. Cooke 52 E. McGill Everett 98208 353-5253 <br /> AqCHITEGT OR DESIGNER MAIL qODHE55 GITV ZIP PNONE <br /> GENEMLCONiRACTOP MAILADDRE55 CITY 21P pHONE IICENSE• <br /> MECNANICALCONTRACTOR MAILADDRE55 CITY ZIP PHONE LICENSE• <br /> Jeff S. Cooke <br /> PLUMBINGCONTii�CTOR MAIIR�DRE55 CITY 71P PMONE UCENSE• <br /> CtA550F WOpK <br /> ❑ NEW ❑ AODITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCA710N <br /> V�LUATIpN OF WOIiN <br /> S <br /> DESLRIBE WORR . <br /> Install woodstove <br /> MEATSOURCE <br /> ❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br /> Pfi0PO5ED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> in le famil residence APPLICATION AND KNOW THE SAME TO BE 7RUE AND <br /> LEf3ALDESGRIPT10NOFMiOPERTYISHOWBEIOWORPTfACHFOURCOPlES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT�BLOCN _Oi GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECfFIED 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 ADORESS SIGNRTURE OF CONTRACTOR.FUTNORRED RGENT.ON ONTIER DATE <br /> X <br /> PLUMBIN6 MECHANICAL - <br /> NO. TYPE OF FI)ITUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> B�TMTUB REFRIGERATION UNITS—H.P.EA. <br /> UVATORV(WASH BASIN� BOILERS—B.T.U.M.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 /> DISHW�SHER WALLHEATERS—B.T.U. M <br /> LAUNDR\'TRAV UNITHEATEflS—B.T.U. M <br /> C�OTMES WASHER E\'APORATIVE COOLERS <br /> URINRL CLOTHES DRVEFS <br /> DFINKING FOUNTAIN � VENTILqTION FAN <br /> FLOOR DR41N RANGE HOOD <br /> BACKFLOW PREVENTERS WATEH HEATER <br /> HOOFDPAINS—RAINLEADERS 1 WOODSTOVE 3O OO <br /> SINN�SERVICE—BAH,ETCJ METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> MEATPUMP <br /> GAS PIPING <br /> E%NAUSTFAN <br /> sue ror�� f BUB TOTAL 30 00 <br /> PEHMIT f PERMIT <br /> TOTALFEE f 10TAlfEE 3O OO <br /> rnONT SFTB�CR RERR SETORCN SiDE SETBnCK PLAN CMECK NUM�ER FEE RECEIPT NO. <br /> USEZONE IOTRRER ypCANTSITE <br /> ❑r¢s ❑No FEES VALUATION FEE <br /> tVPEUFCONST OCGUPFNLVGNOIIP NO.OFDWELLINGUNIIS BUILDING S <br /> PLUMOING <br /> SIZEOFBLOG NO OFSTORiES MAX.00C LORD <br /> MECHANICAL <br /> _ . o �r. <br /> INYESTIGATION fEE �'Sec.304je) � <br /> FIRESPRINKLERSREOUIRED �ES NO <br /> STATEBUILDING SURCHARGE HUOD:Ei��rD <br /> STAiEENERGYSURCHARu'E �i�.,�.�,�` 9. O.UU <br /> qPPLiCRT10N�LCCY PLANSCNECK[DOY RPpRPORISSUANCE�V <br /> ORIVEWAV PERMIT <br /> S.H. TOTAL 30 00 <br /> PEXMIT VALIDATION <br /> WHEN PROPERLV VALIDATED;W TNIS SPACE�THIS IS YOUF PERMIT <br /> � <br /> �� <br /> �` <br /> � <br /> �� <br /> n[`�� ���..: I ��L <br />