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'�� CINSTRUCTION � "` q <br /> everett PERMIT PERMIT NO: �0�� t <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL {�PLUMBING ❑ SIGN <br /> OMME1i MAIL ROOPE55 CITY 21P PNONE <br /> Ardele Dake 1506 Rockefeller �v att qR�ni 259-5241 <br /> ARCNITECT OR OESIGNER MAIL ADDRE55 dTY 21P PMONE <br /> GENERAL CONTRACTOR M�IL ADDHE55 CITV ZIP PMONE LIGENSE• <br /> owner <br /> MECHANICALCONTRRGtOR M�ILA�DPESS Cltt ZIP PHONE IICENSE� <br /> PLUAIOING CONTPI.CTOR MAIL RO�RESS CITY 21P PMONE UCENSE� <br /> CLA55 OF WOPK <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VRLUATION OF WORN <br /> S 5�0 <br /> DESCRIBE WORN <br /> Replace water line from street to house <br /> NEATSOUFCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> FPOPOSEOUSEOFDUiLDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNOW THE SAPAE TO BE TRUE AND <br /> LEGRlDESCRIPTIONOFPROPERTY�5NOW0ELOWORAR/CMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING TH�S TYPE OF WORK WILL BE COMPLIE� WITH <br /> LOT_BLOCK _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CAN L THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCA W REGULATING CONSTRUCTION OR <br /> THE PE AN F CONSTRUCTION. <br /> JOfi4DDRESS SI OFCONTRAC �UTIIORIZED/GENT.OIiOWNER OA1E <br /> 1506 Rockefeller � <br /> PLUMBING CHANICAL <br /> NO. TYPE OF FIXTURE OH ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—A/HNDLG UNITS—H P. <br /> BATHTUB REFRIGE47ATION UNITS—H.P.EA. <br /> LAVATORV(WASH BASIN� BOIIERS—BSL/H.P. <br /> SMOWER GAS FIRED A C.UNITS—BSL. <br /> KITCHEN SINK d OISP. FORCE�AIR SVSTEMS—B.T.U. M EA. <br /> DISMWASHEfi WALLH'cATERS—BT.U. M <br /> LAUNDRY TNAV UNIT HEATEFS—B.T.U. ti� <br /> GLOTHES WASMER EVAPORATIVE COOLEf75 <br /> � URINAL CLOTHESDRYERS <br /> I �RINKING FOUNTAIN VENTILATION FAN <br /> i <br /> FLOOR ORAIN RANGE HOO� <br /> BACKfLOW PREVENTERS W�TER HEATER • <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINN(SERVICE—BAH.EiC� METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUBTOiAL <br /> PERMIT S PERMIT <br /> 1 TOTAL FEE S TOTAL FEE <br /> vAONr SEToncK REna SETBnCK SioE 5[TOACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE ��T AREA VACANT SITE <br /> ❑ves ❑No FEES VALUATION FEE <br /> �YPEOFCONST OCCUPANCYGROUP NOOFDWELLINGUNITS �UIL�ING S <br /> PLUMBING 15 00 <br /> SIZE OF OLDG NO Of STOdi[5 MA% OCC L0�0 <br /> MECFIANICAL <br /> INVESTIC�ATION PEE ����4(�) <br /> FIRE SPRINNLERS REOUIRED ❑YES ❑NO STATE BUILDING SURCHARGE <br /> S7ATEENERGVSURCHARGE <br /> APPLICATIONACC DY PLANSCHECK[DOY I.PPR FORI,`.oUANC[OY <br /> DRIVEWAV PERMIT <br /> TOTAL 15 00 <br /> PERMIT VALIDATION <br /> 1VHFN PROPEALY VALIDATED(W THIS SPACLI THI$IS YOUR PERMIT <br /> r� <br /> � <br /> N <br /> O <br /> N <br /> ,�,. _�_.�is � i; I_ <br />