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�� � �ONSTRUCTION� � : ^ A <br /> everett PERMIT PERMIT NQ.:� �`��T <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING X�l MECMANICAL O PLUMSINO ❑ 81GN <br /> OMRIEH M�IIADDPE55 GITY ZIP PMONE <br /> DALE WALKER 1710 Rockefeller Everett WA 98201 259-4522 <br /> ARCMITECTORDE&GNER M�ILADDRE55 CITY ZiP VHONE <br /> GENEMLCONTMCTOR MAILAODRESS CITY ZIP PHONE IICENSE� <br /> Same (Stovies) <br /> MECMANICALCONTRAGTOq MARA'�DRESS CITY ZIP PMONE LICENSE• <br /> PLUMBING CONTP�CTOR MAIL ADDRESS GTY 21P PNONE LICENSE• <br /> CL�SS OF WORK <br /> �1 NEW ❑ ADDITION ❑ AL7ERATION ❑ qEPA1H ❑ DEMOLITION L7 BUILDING RELOCATION <br /> VALU�TION OF WOFN <br /> S <br /> DESCRIBE WORK <br /> Install wood stove <br /> NEATSOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PIiOVOSE�USE OF BUILDiNG <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCFIPTIONOFPROPERTY�SHOWBELOWORATTACNiOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORQINANCES <br /> LOT_BLOCN _ OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIEU 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 REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBADDFESS SIG EOFCONTRACTOfi,AUTMOqIZEOAGE T.OROWNER DATE <br /> 1710 Rockefeller J( �/ 11/12/86 <br /> PLUMBING MECHANICAL <br /> NO. TVPE OF FIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A;C—AMNOLG UNIiS—N.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—B.T.UIH.P. <br /> SHOWER GAS FIRED A C.UNITS—B.T.U. <br /> KITCHEN SINN 8 DISP. FORCED AIR SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRVTRAV UNITHEATERS—BS.U. M <br /> CLOiHES WASHER EVAPORATIVE COOLEHS <br /> URINAL CLOTHESORVERS _ . x <br /> DRINKING FOUNTAIN VENTILATION FAN � ` ` <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PAEVENTEPS WATER HEATER � <br /> ROOF ORAINS—RAINLEADERS WOO�STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMN � <br /> FIFEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> VEHMIT S PERMIT <br /> TOTALFEE S TOTALFEE <br /> vRONTSETBnGK qeARSETnncN SioESETOncn PLANCHECKNUMBER FEE RECEIPTNO. <br /> USE ZONE LOT ARER yq�pNT SITE <br /> ❑YES ❑No PEES VALUATION FEE <br /> TYVEOFCONST. OCCUPANCYGROUP NOOFDWELIINGUNITS BUIL�ING S <br /> PLUMBING <br /> SIZE OF BLOG. NO OF STORIES MF% OLC 10A0 <br /> MECHANICAL <br /> INVESTIGATIONFEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIRED VES NO — <br /> STATE BUILDING SURCHAFGE <br /> STA7EENERGYSURCHARGE <br /> APPUC�TIONPCL �Y PtANSCHECNE��Y APPR FORISSUANCEOY <br /> DRIVEN'AV PERMIT <br /> TOTAL 30 � <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED pN THIS SPACE)iHIS I!:VOUR PERMIT <br /> L` <br /> M <br /> � <br /> � <br /> � <br /> ADCCf SS ! ILE <br />