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-- - "`�� PLICATION FO �'`` ���,�„ <br /> � p E«""' CONSTRUCTION <br /> � eVCrett. PERMIT e <br /> � BUILDING DEPARTMENT <br /> f 259-8745 TO BE COMPLETED IN INK- PLEASE PRINT <br /> � ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING O SIGN <br /> '� pWNER MML�DORE55 CItY ZiP PHONE <br /> °' John Solheim 1805 Rockefeller Eberett 98201 258-3290 <br /> � ARGXITECTOR�ESIONEB M�IL�DDRE59 Cltt ZIP PMONE <br /> � <br /> � MML�D�RESS CIIV 21P PMONE UCEN9E• <br /> .� OENEMLCONTR�CTOR <br /> �� �rerett Bldrs. Inc. 5606 �ergreen Way �erett 98203 353-7161 E.UEREB �3 11 <br /> � M[CH�NICALGONTq�CTOq M�ILAODRESS Citt 21P PHONE LILENbE• <br /> � PLUMBINOLONTRACiON M�IL��DRESS CITY 21P PIIONE LIGENSE• <br /> .; <br /> S <br /> 'i GLP990FWOPR <br /> .t � HEyy ❑ ADOITION C.J� ALTERATION ❑ HEPAIR ❑ DEMOLITIQN ❑ WOODSIOVE/FRPL.INSERT ❑ BUILDING RELOCATION <br /> 1 <br /> ,� VA�U�TIONOFrW,O�RMI(IG09TOiMATENI�LSPLUSUBONI <br /> �•.� �l904�W <br /> ,� DElCMIlE WOP1c ` <br /> Reroof existing residence (12 sq. comp) <br /> ueeoreui�oi�o I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br /> , PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT.ALL <br /> ;� �EOALDEBCRIPTIDNOFPR RTY�BNOWNBELOWOR R�GHFOl1NCOP1E51 PRUVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> OF WORK WILL BE COMPLETED WITH WHETHERSPECIFIED HERE- <br /> �j �or_e�oc�—or INORNOT.THEGRANTINGOFAPERMITDOESNOTPRESUMETO <br /> GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OK <br /> '� ANYOTHERSTATEORLOCALLAWREOULATINOCONSTRUCTION { <br /> ,� OR THE PERFCRMANCE OF CONSTRUCTION. <br /> '�� . SIONATURE Of CONTRlCiOR OR AUTHORIZED AGEWT OATE <br /> ;� X l� 6-.�- �' <br /> � MOJFCT�DDRE!! �PPUC�Ni9CITYBU51NE5SL�f,ENSENO. <br /> �! 1805 RockeEeller EWerett, Wa. <br /> M.UMlINO MECHANICAL <br /> � NO. TYVE OF F11fTURE FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET TOILE _ AIR CON�. UNITS—H.P.EA. <br /> .{ B�TMTUB REFRIGERATION UNITS—M.P.EA <br /> � LAVATORY WASH BASIN BO�LERS—H.P.EA. <br /> �� SHOWEH OAS FIRED AC. UNITS—TONNAOE E0. <br /> �� KITCHEN SINK 6 DISP. FORCED A�F SVS7EMS—B.T.U. M EA. <br /> � DISHWA9HER WALL HEATERS—B.T.U. A1 <br /> �i �_ <br /> LAUNDRVTFAV UNI7HEATERS—B.T.U. M <br /> .� CLOTHES WASHER EVRPORATIVE COOlERS <br /> � WATER HEATER CLOTHES DRYERS <br /> '} U7IINAL VENTILATION FAN <br /> �� . � DRINNINO FOUNTFIN RRNOE HOOD <br /> _� � FLOOR DRAIN AIP HANOL'NO UNIt— QF.M. <br /> � VACUUM BREAKERS STOVE <br /> � ROOF DMINS—RAINLE�DERS METAL FIREPLACE 8 CMIMNEV <br /> 7 61NK SERVICE—B�R ETC. WOODSiOVErFIREPLACEINSERT <br /> � <br /> i <br /> , <br /> f BUB TOTAL SUB T0TI1L • <br /> � VENMIT { PERMIT f <br /> 1 TOTAL FEE t TOTIIL FEE f <br /> � - <br /> `'. THIS PORTIOI� TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> FRONT SETB�CN pE�R SETO�GK SIDE SEIB�CR PL�N CNECN NUMBER PL�N CNECN FEE <br /> � FEE RECEIPt NO. <br /> J <br /> USE20NE LOT�REA y��pNT51iE FEE8 V�LUATION FEE <br /> ❑VES ONO <br /> I 7VPEOFCONSt. OCCUP�NCYGROIIP NO.OFOWELLINOUNITS <br /> � BUIlUINO S <br /> BRE OF BLDO. NO.Oi SiORIES Me%.OCC.LO�O <br /> PIUMBI�lG <br /> MECNANICAL <br /> � F�RE SPRINKLERS REOU�FED ❑YES ❑ NO <br /> on�en <br /> PENRLTY <br /> �PPLIC�710N�GC BV Pl�NS CNECRE�BY �FPN.FOR ISSU�NCE BV <br /> TOTAL <br /> � <br />