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��° � (�NSTRUCTION -- - <br /> everett PERMIT PERMITNQ:�-� �33? <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ S�GN <br /> ��ER MRILADpRE55 �ITV ZIP PHONE <br /> JOHN SHERLACK 10201 Meridian Everett tPA 98204 353-4755 <br /> �NCHITECTOROESIGNEH MAILADDPESS CITY ZiP PHONE <br /> GENEMLCONTRAGTOR MRILADORESS pITV 21P PHONE IICENSE� <br /> $d111E <br /> MECHANiCAL CONTfl�GiOR IAFIL AO�RE55 CITY 21P PMONE LICENSE t <br /> PLUMBING CONTR�GTOq MAIL ADDRE55 <br /> CITY 21P PHUNE IICENSE• <br /> CLASS Oi WORK <br /> QINEW ❑ ADDITION ❑ ALTENATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> HIUATION OF WORK <br /> S <br /> DESCRIBE WORN - <br /> Install fireplace insert <br /> HEAt50URCE <br /> ❑ ELECTNICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PPOPOSEO USE OF BU�LDING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO DE TRUE AND <br /> lEG/.L�ESCRIPTIONOFPROPERTV�SHOWBELOWORPTfACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> lOT_BLOCK _ 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 REGULA7ING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�ODRESS SIGNqT E OF NTRAGTO AUTH IZ 0 AGENT,OR O ER ORTE <br /> 10201 Meridian �� � //.� � 10 <br /> , , „t � /16/86 <br /> PLUMBING M HANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HN�LG UNITS—H.P. <br /> 9ATHTUB REFFIGEFATION UNITS—HP.EA. <br /> LAVA i ORY(WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A�G UNITS—B.T.U. <br /> KITCMEN SINK d DISP. FORCED AIR SYSTEMS—BS.U. M EA. <br /> DISMWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRYTRAV UNITHEATERS—BS.U. M <br /> CIOTHES WASHER EVAPOPATIVE COOLERS <br /> URINAL CIOTHESDRVERS <br /> DRINKING FOUNTAIN 96 �L�k� <br /> , VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREV[NTERS WATER HEATtR • <br /> ROOF DRAINS—RAIN�EADERS WpO�STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINbERT <br /> HEAT PUl;,o <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PERMIT i VERMIT <br /> TOTALFEE 5 TOTALFEE <br /> FaONTSETOnCK RERRSETBRCK 9DESCTBnCK P�AN CMECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT AREA <br /> VRCANT SITE <br /> ❑YES ❑No FEER VALUATION FEE <br /> TYPEOFGONST. OCCI'PANCYGROUP NOOFDWELUNGUNITS BUILDING S <br /> PLUMBING <br /> S12E OF BLUG NO.OF STORIES MA%.OCG.LOAD <br /> MECHANICAL 30 00 <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRESPRINKLERSfi[OUIRED ❑VES ❑NO <br /> STATE RUILDING SURCHAPGE <br /> STATEENERGYSURGHARGF <br /> APPLICRTIONRCC DY PLANSCMECKEUBY APPq FGRISSUANLE9V <br /> DRIVEWAV PERMIT <br /> T07AL 30 00 <br /> PERMIT VALIOATION <br /> WHEN PROPERLV VAIIDAI'ED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> Q� <br /> M <br /> M <br /> L�-- <br /> � <br /> ADDi;C;; fILE <br />