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�� �� C'�NSTRUCTION � � C q <br /> everett PERMIT PERMIT NQ'_ �OU� ' <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING O MECNAHICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDRE55 GITY ZIP MIONE <br /> Marion O. Vanderberg 2015 Monroe Ave. Everett 98203 353-3340 <br /> r1PGHITECTORDE5IGNER MAllRU0RE55 CITY 21P PMONE <br /> Ed Nichols 20�j Highland Everett 98203 258-1025 <br /> GENERRL CONTNACTOR MAIL qDDHE55 CITY 21P PNONE UCENSE• <br /> Owner <br /> MECHANICALGONTRACTOR MAILAODRESS QTY 21P PMONE UCENSE/ <br /> P�UMBINGCONTRPCTOR AIqILADDPE55 CITY 21P PHONE LICENSEr <br /> CL�55 OF WORIt <br /> �lIEW ❑ ADDITION ❑ ALTEpAT10N ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAWATIONOf WORK <br /> S 8467.00 <br /> OESCRIBE WORK <br /> �nstruct garage <br /> MEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSE�USE OF BUILOING <br /> Garage, storage I HEREBY CERTIFY THAT I HAVE FEAD AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTIONOFPROPERTY�SHOWBELOWORPTTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 17-18 26 Pinehurst Div S. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_e�ocK _ov WHETHER SPECIFIED MEREIN 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�DDRESS SIGNAT E OF CONTRACTON.AUTHORIIEO RGENT,OR ONTIER DATE <br /> 2015 Monroe Ave. �,.� ,,,,_.�OG 9 a3 �� <br /> PLUMBINfi MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—A/HNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H P.EA, <br /> LAVATORV(WASH BASIN) BOIIERS—8 TL./H.P. <br /> SFIOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCHEN SINK d DISP. FORCE�AIR SVSTEMS—B.T.U. M EA. <br /> DISMWASHER WALL HEATERS—B T.U. M <br /> LAUNDRVTRAV UNITIIEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYEHS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FWOR�RAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> flOOF ORAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN � <br /> SUB T0TI1L f SU <br /> PERMIT i PEHMIT <br /> 70TALFEE f TOTA <br /> FRONT SETOACK REnR SETBaCK SiDE SETOnCK P�AN CHECK NUMBER F IPT NO. <br /> 2� 0 $ � � � .� <br /> USEZONE IOTAREA 88/20697 0 3179 <br /> VAC�NTSITE FEES TION FEE <br /> R-2 5500 ❑YEs C�j+o oIf <br /> TY�'EOFCONST OCCUPANCYGPOl1P NOOFDWEILINGUNITS BUILDING � QQSL .)u LOB OO <br /> V-N M-1 O PLUMBING <br /> SIZE OF BLDG NO OF STONIES �tA% OCC LOAD <br /> S�6 1 N A MECHANICAL <br /> INVESTIGATION FEE p1dA �������) 23 40 <br /> FIRE SPRINKLERS REOUIHED VES O <br /> STATE BUILDING SURCHARGE 3 SO <br /> STATEENERGYSURCHARGE <br /> APPLICATIONqCC.OY PLRNSCHECREDOY RPPR fORI55UANCEOV <br /> DRIVEWAY PERMIT 20 00 <br /> S.H. B.E. B.E. TOTAL 154 90 <br /> PEflMIT V1ILIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)TH1515 VOUR PERMIT <br /> t` <br /> Q� <br /> �n <br /> � <br /> N <br /> f,fiDRF.SS f I E <br />