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`�� '�' C�NSTRUCTION � ^ n C <br /> everett PERMIT PERMIT NQ::-� JO� `� <br /> � o?Sx7-88b <br /> ❑ DEMOLITION ❑ COMBIN�TION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONTlEfl MAIL RODRESS CITY ZIP PNONE <br /> Harold J. Robertson 2321 Rockefeller Everett, WA 98201 259-7955 <br /> �RCHITEGTONDESIGNER MAILAOORE55 CITY 21P PNONE <br /> GENEPnL CONTR�CTOf1 MAII AOURESS CITY ZIP PHONE UCENSE� <br /> Alpha Const. 5325 SR92 Lake Stevens, WA 98258 334-7316 ALPHAC223DH <br /> MECNANIGLCONTRACTOR M�ILADORE55 CITY 21P PMONE LICENSE� <br /> PLUM0INGCONTRRCTOR Ml�ILADDRE55 CI'.Y 21P %IONE LICENSE• <br /> ClA55OF WORK <br /> ❑ NEW ❑ �DDITION ❑ ALTERATION C}REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�Lt1�TION OF WORK <br /> S 3060 00 I <br /> DESCRIBE WORK <br /> �ei�ogffHearth v�at sheild, chimney, insulation. <br /> MEATSOUPCE I <br /> ❑ ELECTRICITY ❑ QAS ❑ WOODSTOVE ❑ OTHER <br /> VP. '^_DUSEOFBUILDING <br /> ;ingle family residence I HEREBY CER7IFY THAT I HAVE READ AND EXAMINED TH!S <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEQALDESGRIPTIONOfVROPERTY�$HOWBELOWORATTRCNFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND OF�INANCES <br /> 11 492 Plat of Everett GOVERNING THIS TYPE OF WORK NJILL BE COMPLIED WITH <br /> l0T_BLOCK _ OF WHETHER SPECIFIED HEREIN OR N.OT. THE GRANTING OF A <br /> PERMI' DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PfiOVISIOPaS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOH ADdiE55 $IGNRTURE OF CONTRA �O .RUTII ED AGFNT.OR OWNER �ATE <br /> %X 2321 Rockefeller X _ � <br /> RLUMBINO MECHANICAL i <br /> NO. TYPE OF FI%TUHE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WAiER CLCSET�TOILET� AiC—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. I <br /> LAVAiORY�NASH BASIN) BOILERS—B.T.U./MP. <br /> SMOWEH GAS PRED A�C.UNITS—B.T.U. I <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS—B T.LL M EA. <br /> DISHWASHER WALLHEATERS—B.TL. M <br /> LAUNDRY TRAY UNIT HEATERS—B TL. M <br /> CLOTMES WASHE�t EVAPOR�TIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> ORINKING FOUNTAIIi VENTILATION FAN <br /> FLOOR DRAIN FlANGE HOOD <br /> BACKFIOW^REVENTEPS WATERHEATER • <br /> FOOF DRAINS—RAINLEADEFS VdOOD STOVE <br /> SINK(SERVICE—BAR.ETC.� METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACE INSEfii <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SU9TOTRL f SUBTOTAL <br /> PERMIT f PERMIT <br /> TOTALFEE f TOTALFEE <br /> FnOr+T SE1BncK eEnq SETonCn SiDE SErBncK P�AN CHECK NUMBER FEE RECEIPT NO. <br /> USE 20NE LOT AREA ypCANT SITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> TVPEO�GONST OCCUPANGVGROUP NOOFpWELLINGUNITS gUILDING � 3060.00 63 �� <br /> PLUMBING . .. . . .. ... . ._. . . . . <br /> S12:OF ULDG NO OF StORIES MA't OCC LOAp <br /> MECHANICAL � <br /> INVESTIGA�IONFEE Sec.304�e) �, <br /> FIRE SPRINKLERS REOUIRED VES ❑NO � � <br /> S7ATE BUILDING SURCHARGE -- 3 S 0 <br /> STATEENERGVSURCHARGE <br /> RPPLICATIONACC OY PLRN^vGMECNEDBY APPR FORISSUANCF.OV <br /> DRIVEWAY PERMI7 <br /> S.H. TOTAL 66 50 <br /> PERMIT VALIDIITION <br /> WHEN PROPERLY VALIUATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> �7 <br /> �� <br /> � <br /> Q� <br /> !� <br /> l�DOiiESS 1 ILE <br />