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`�� - C'ONSTRUCTION � � - n <br /> everett PERMIT PERMITNQ:_- � �� JT <br /> 259 -8745 <br /> ❑ DEMOLITIOIJ ❑ COMBINATION C] BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILApOfiE55 CITY ZIP PIIONE <br /> Leland J. Moa 9915 2nd Ave x Everett, WA 98204 353-6556 <br /> pRCHRELT OH DESIGNER MAIL ADOIiE55 CITY <br /> Zlf' �HONE <br /> GENERRL GONTPRCTOH MRII AODRESS CITY 21P PHONL LICENSE� <br /> $E�.f <br /> MECHANICALWNTRAGiOR kAILAODRl55 GITY ZIP PHONE IICENSE• <br /> PWMBINGCONTR�CTOR MAILnODRE55 CITv 21P PNONE LICENSE� <br /> CLASS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATIGN ❑ REPAIR ❑ DEMOL�iION ❑ BUILDING RELOCATION <br /> VA1 WTIDN OF N'ORN <br /> { <br /> �ESCN16E WORN <br /> Install airtighL stove <br /> NEATSOUPCE <br /> ❑ EIECTRICI7Y ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> P1iOPO5E0 USE OF 6pRDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> _�inale familv residence APPLICATION AND KNOW THE SAME TO 613 TRUE AND <br /> iecnioesenivnoNorvnuvenrv�sMowoeiowoanr*ne��vouacowes CORRECT. AlL PROVISIONS OF LAWS ANO ORDINANCES <br /> ior_uiocK _or GOVERNING THIS TYPE OF WORK WILL BE COMPLIED Y.�Th <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERM�1' DOES NOT PRESUME TO GIVE AIITHORITY TO <br /> VIOLATE OR CANCEL THE PFOVISIONS OF ANY OTHER <br /> ;TATE OR LOCAL LAW FEGULATING CONSTRUCTION OR <br /> Ti1E PERFORMANCE OF CONSTRUCTfON. <br /> JOBAODRE55 $IG:I�IUR O� NTpACTOP, 1iH qIZE�r1G[NT.OROWNE� DATE <br /> 9915 - 2nd Ave SE X �� 9/19/86 <br /> PLUMBING MECHPNICAI <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. 7"YPE OF EOUIPMENT FEE <br /> WFTER CLOSET(TOILET� A:C—4r11ND1�:UNITS—M P. <br /> BATHTU6 q�FRIGCRA:IOH UNIT$--H P.EA. <br /> LAVATORV�WA!iH BASIY) �OILERS�-[i.T u.H P. <br /> SHOWER GASFIRED :: !�."lITS—B.TL. <br /> KITCHEN SINN Il DISP. FORCED AIN;VSTEMS—B T.U. M EA. <br /> DISHWASHER WALLHEATERS—BT.U. M <br /> LAUNDRV TPAV UNIT HCATcRS— B T U M <br /> CLOTNES WASHER EVAPORATIVE COClERS <br /> URINAL CLOTH[5 0(iYERS <br /> ORINKING FOUNTAIN VENTILATION fAN <br /> �LOOR ORA'N fiANGE HOOD <br /> BACKF�OW PREVENTERS \•�qTER HEATER • <br /> flOOF DHAINS—RAINLEADEPS 1 WOOD STOVE 3O OO <br /> SINK(SERVICE—�AR.ETC.� ME'AL'IPEPLACG A CHIMNEY <br /> �IREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFPN <br /> suerora� s suarorat 30 00 <br /> PERMIT f PENMIT <br /> TOTAL FEE S TOTAL FEE 3O OO <br /> fRONTSEionCN aEnNS[Tnncrc Si0E5ET9nCrc PLANCHECHYUM�ER FEE FECEIPTRO <br /> USEZONE �oTAA�A yqCnNTSrt[ <br /> ❑ves ❑r�o FEES VALUATION FEE <br /> TYP[OfCONST CGCUFANCVGROU4' NOOF�WELIMGUNITS �UILOIM1G S <br /> PWMBING <br /> SiZE OF DLDG NO OF STORiES Mn% OCC L040 W � ��1 <br /> MECHANICAL / ?O OO <br /> INVESTIGATION FEE _ 4��) _ �- <br /> FIRE SPRINN�ERS R[�UIRED ❑VE$ ❑NO <br /> STATE BUILDING SURCHAHGE CHECI� E? .IIO <br /> STATEENERGVSURCF'AqGE <br /> pPPLICAT10YACC BY PlANSCNECRCUOV APPR (OqI55U�NCEtl'/ � _ <br /> DFIVEW/lY PERMIT <br /> M.M. TOTAL 30 00 <br /> PERMIT VALIDATION <br /> WHEN P70PEPo Y VALIOATED�M THIc$PACE)TMIS IS YCUR VERMIi <br /> L` <br /> Q7 <br /> t'� <br /> �• <br /> l <br /> � <br />