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�`� ^ C")NSTRUCTION . n <br /> everett PERMIT PERMITNQ:_� �J�v <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING KJ MECHANICAL ❑ PL'JMBING ❑ &6N <br /> pNTJEq MAIL�ODRE55 GTY 21P R10NE <br /> Robert E. Lowe 2832 Medora Way Everett, WA 98201 259-5317 <br /> �RCHiTECTOt10E5iGNER MAR�ODRESS dTY 2�p MOHE <br /> GENERALCANTR�CTOR MMlAppqE55 GTY ZIP PHONE UGENSE• <br /> Owner <br /> MECNANiGLCONTL�CTOR MMLRD�NE55 CITY ZIP PHONE UCENSE• <br /> PLUGBING CONTR�CTOiI M�IL ApDRE55 CITY $IP fMONE L�CENSE� <br /> ClA55OF WpiK <br /> ❑NErY � ADDITION ❑ A�TERATION O REVAIR ❑ OEMOLITION ❑ BUILOING RELOCATION <br /> \'�IU�TION UF WORK <br /> { <br /> DESCRIBE WORI( <br /> Ir.stall heat pump for hot water tank <br /> ME�TSOUPCE <br /> ❑ELECTIIICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> rnoroseo use ov euaowc <br /> Single famlly resldence I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCRIVftONOFRIOPERTY�5HOW8ELOWOF/.TTRCHfOURCOVIES� CORRECT. ALL PROVISIONS t1F LAWS AND ORDINANCES <br /> ioT_e�ocK _or GOVERNINC� THIS TYPE OF WORK WILL 8E COMPUED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEI THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�OUiE55 9GN4T OF pONTRACTO .�UfHORiZ[ AGENT.OR OWNER D�TE <br /> 2832 MeAora Way X ,,,� �o��, 3/19/87 <br /> PLUMMINa MECHANICAL <br /> NU. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIVMENT FEE <br /> W�TEF CLOSET(TOI�ET� q/C—AMNDLG UNITS—H P. <br /> B�TMTUB REFRIGERATION UNITS—M i� EA <br /> LAVRTORV(WASH BASIN) BOILERS—B.T U/H P <br /> SHOWER GAS PIPED A C UNITS—B.TL <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T U. M EA. <br /> DISHWASMEH WALLHEATERS—BT.U. M <br /> LAUNDRY TRAY UNIT HEATERS--B TL. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUkTP�N VENTILATION PqN <br /> FLOOR DPAIA' RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—HAINLEADERS WDOO STOVE <br /> SINK�SERVICE—BAR.ETCJ METAL FIREPLACE 8 CHIMNEY <br /> �IREPLACE W3ERT <br /> HEA1 PUMP Q <br /> GAS PIPING <br /> [YHAUSTFPN <br /> EUCTOTAL f SU!TOTAI <br /> PEIIMIT f PEIIMiT 15 QQ <br /> T07111 FEE f TOTAL FEE OO <br /> fRONT SETB�CK NEne fEranCk SioE SE*BncK PLAN CNECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTARER <br /> vncnr�rsire FEES VAWATION FEE <br /> ❑YES ❑NO <br /> T'/i'EOLCONST. OCCUPANCYGOO�P NOOfDWELLINGUNRS BUILDINC S <br /> PWMBING 03./14/87 1Z: 9F'M ODDAk4545 :K�'�l:Y <br /> SIZEOiBLpG NOOf5iOR1E5 MA% OCCLOn� <br /> MECHANICAL � z4 Q� <br /> INVESTIGATIONFEE ��.30d�e) 4 �+.��'. <br /> FIRE SPRINKLEHS REOUIRED VES NO �� L�� � <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> IVPLIC�TIONTCC BY PLANSCM[CNE09Y AfT'R fORI55URNC[(3Y <br /> DRIVEWAV PERMIT <br /> M.M. TOTAL <br /> PENMIT VALIDATON <br /> WHEN PROPERLV VA�iDATED pN TNIS SPACF)THIS IS YOUR PEPMIT <br /> Q7 <br /> N <br /> O� <br /> N <br /> � <br /> f•I7�RES5 FllE <br />