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� °�° " P'rJNSTRUCTION " � - <br /> ev����^� ib PERMIT PERMITNQ;_ � ���� <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING (� MECHANICAL � PLUMBING ❑ SIGN <br /> OWNER MAILADORE55 �ITY ZIP PHONE <br /> S Glen W. Miller 2506 Maple E1�erett, WA 98201 258-1201 <br /> �RCMiTECTUPDESIGNER MAILApDRE55 ��Ty Z�P PHONE <br /> GENEMLCONTR�CTOR MnILAD�RESS CITV 21V PNONE LICENSEI <br /> MECNAN�GLCONTRACTOR M�IL�DORE55 CITY � 21P PHONE LIGENSE• <br /> Free Line Design 4230 E. Timberline Rd. Clinton 98236 221-7595 FREELDC137NG <br /> PLUMBINGCONTRACTOP M�IIRDDRE55 �ITY ZIP PHONE LICENSE• <br /> CLASSOf WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING HELOCA710N <br /> VPLU�TION OF WpRN <br /> s 1650.00 <br /> OESCPIBE WORK I <br /> install fireplace llYX insert and liner. <br /> HEAT SOURt;E <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER � <br /> PROPOSED USE OF BUILDING <br /> Sin le fauil residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS �. <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> lEOA�DESCRIPT10NOFRiOVERTY�SHOWBELOWORATT�CMFO11RC0VIE51 VORRECT. ALL PROVISIOPJS OF LAWS AND ORDINANCES � <br /> �or�eiocK _of GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHEThiER 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 REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTflUCTION. <br /> JOBADDPESS SIGNATURE OF CONIPRCTOR.AUTNOR12E0 AGENT,OR ONTIER O�TE <br /> X - l7- 8 7_.! <br /> � <br /> PLUMBING MECHANICAL ` ' <br /> � <br /> NO. TYPE OP FII(TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET(TOILET) AiC—A/HNULG UNITS—H.P. �� <br /> BIITNTUB REFRIGERATION UNITS—H.P.EA. I <br /> LAVATORV(WASH BASIN) BOILERS—8 T.U./H.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 /> DISHWASHER WALL HEATERS—B T.U. M <br /> LAUNORV TFAV UNIT HEATEPS—B.T.U. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS I <br /> URINAL CIOTHES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DFAIN RANGE MOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DFlAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETCJ METAL FIREPLACE 8 CHIMNEY <br /> FIHEPLACEINSERT <br /> HEAT PUMP <br /> CAS PIPING <br /> EXNAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PENMIT f PERMIT <br /> TOTIIL FEE f TOTAL FEE <br /> LRONTSETBRCN REANSETBacrc SIDESET9PCN pLANCHECKNUMBER FEE RECEIPTNO. <br /> USE20NE LOTAREA <br /> VACRNT S11E <br /> ❑res ❑r+o FEES VALUATION FEE <br /> iYPEOFCONST. OCCUPANCYGROUP NO.OFOWEIIINGUNITS BUILDING S I <br /> PLUMBING -� � �.��. 1.•�~�.:, � . <br /> SIZEOF3LOG. NOAFSTORIES MAX OCG LOAD � <br /> MECHANICAL _.�J;.':� .. � <br /> INVESTIGATION FEE ��Sec.�04�e) ���� <br /> FIRESPRINNLERSREOL'�RED VES NO <br /> S1ATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> �PPLIGATION RCC.BY PLr1N5 CNECI(EO BY APPR FOR ISSUr1NCE UY <br /> ORIVEWAY PERMIT <br /> S.H. TOTAL 30 00 <br /> PEHMIT VIILIDIITION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> r <br /> M <br /> C•7 <br /> Q� <br /> � <br /> AGOHESS FlL.E � <br />