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'�� � C"1NSTRUCTfON �� ^ C <br /> F�verett PERMIT PERMITNO. ZO4J8 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWr1ER NAILADDRE55 CIiV ZIP PHONE <br /> Don Hofstrand 6018 Manor P1. Everett 98203 353-2800 <br /> AFCNITECTORDESIGNER MPILFDDFE55 CITV 21P PFIONE <br /> f.ENEPAL WNTRAGTOP MAIL r1DORE55 CITY 21P PHONE IICENSE• <br /> Quality Roofing 6404 Beverly Blvd. Everett 98203 355-9345 <br /> MECHRNICAI CONiHALTOR MRIL NODRESS CITY 21P PHONE 4CENSE� <br /> QUALZR*226BK <br /> PLUMBINGGONTRRCTOR MAILNO�RESS C�TV 21P MONE UCENSE� <br /> CUSS OF WORN <br /> ❑ NEW ❑ AODITION C�ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAIU�TION OF WORK <br /> S 4�00.�0 <br /> DESCRIBE WORK <br /> Tear off old roof resheeC 3/8" reparer 151b felt reroof comp. _ <br /> MEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> PROPOSED USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGRL0E5CPIPTIONOFPROPERTV�5MOW0ELOWORATTACNFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />� GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�_BIOCK _ OF WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORI.IANCE OF CONSTRUCTION. <br /> JOB�ODRESS 9GN�TURE OF CONTRRGTOR AUTNORIZED AGENT.OR OWNER OATE <br /> 6018 fl�[1COI Manor Pl. X C - �� �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C-NHNDLG UNITS-H.P. <br /> BATHTUB REFRIGERATION UNITS-H.P.EA. <br /> LAVATORY(WASH BAS:N) DOILERS-BSL./H.P. <br /> SHOWER GAS FIREO A�C.UNITS-�.T.11. <br /> KITCHEN SINK d DISfl FORCED AIR SVSTEMS-8 T.U. M EA. <br /> OISHWASHER WAILHEATERS-B.T.U. M <br /> LAUNDRV TRAV UNIT MEATERS-B.T.0 M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> URINP.L CIOTHESORVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WAiER HEATEP <br /> HOOF ORAINS-RAINLEADEPS WOOD STOVE <br /> SINK(SERVICE-BAR,ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%MAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMI'f f PE # <br /> TOTAL FEE f TOTAL FEE <br /> FRONT SETBNLB PERR SETOACN SIDE SETOACN PLAN CHECK NUMBER F � RECEIPT NO. <br /> BLDG .00 <br /> USE ZONE ��T pREA yACANT SitE FEES TION FEE <br /> ❑�ES ❑NO <br /> TYFEOFCONST. OCCUPANLYGR011P NOOFDWELLINGUNITS BUILDING 54OGO.00 63 OO <br /> PLUMBING <br /> SIZE OF pLOG N0.OF STORIES MA%OCC LOAO <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIREO ❑VES NO STATE BUILDING SUFCHARGE 3 SO <br /> STATEENERGYSURCHARGE <br /> APPLICATIONACC OV PLANSCHECNED�Y APFR FCRISSUANCE�Y <br /> DRIVEWAV PERMIT <br /> TOTAL 66 5031 <br /> S.H. <br /> PERMIT VALIDATION <br /> WNEN PROPERLY VAIID�TED�W THIS SPACE)iHIS IS YOUfi PERMIi � <br /> �7 <br /> d� <br /> � <br /> N <br /> •, �:, .�.:,� � .. . <br />