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� ����C � <br /> "�E°e'�" � t�NSTRUCTlO� �' '�� cc <br /> CITY OF ' <br /> everett PERMiT PERMITNO. � 86Ju <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION CS BUILDING ❑ MECHANICAI ❑ PLUMBING ❑ SIGN <br /> OWNER ��A��AOORE55 CITY ZIP PNONE <br /> Scott Schroeder 3427 Tulalip Ave Everett, WA 98201 252-4575 <br /> ARCHItECT OR OESIGNER MALL AUORE55 CITV ZiP PNONE <br /> GENER�L WNTRFCTOR MAIL PDDRE55 CITY ZIV VMONE LILENSE� <br /> Everett Builders, Inc. 5606 Evergreen Way Everett, WA 98203 353-7161 EVEREB301PH <br /> MEO�ANICRLCONTPPGTOfi AIARAOO�E55 QTY 21P PMONE LICENSE� <br /> PLUMBINGCONTRnCTOR ti�/��ADDRESS CITY ZIP %�ONE LICENSE• <br /> CUSS OF WORK <br /> ❑ NEW ❑ ADDITION I.]�ALTERATION ❑ flEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAIURTION OF WORN <br /> S 51�8.�� <br /> oEs.;aioe wonK <br /> f2 dormers, rough-in only) and reroof existing residence w/composition roofing <br /> MEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSCDUSEOf0UIL01NG I HEREBY CBRTiFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNOW THE SAME TO 6E TRUE AND � <br /> LEGALOESCPIPTIONOFFROPEPTYISNOWdELOWORATTACM�OURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 19 & 15 830 Everett Div H GOVERNIN3 THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> io*_o�ocK _ oF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A . <br /> #4377-830-014-0001 PERMIT DOES NOT PRESUME TO G�VE AUTHORITY TO I <br /> VIOLA OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STAT � R LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE E FORMANCE OF CONSTRUCTION. <br /> SONn UR OFCONTRn t � THOBI2EDRGENi.OqO14N[R �FTE <br /> JOB ADDRES` � _O �/J7 <br /> 3427 Tulalip Ave �u"' � -i� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> W ATER Gl OSET�TOILET� A/C—A/HNOLG 11NITS—M P. <br /> OAiNTUB REFRIGERATION UNI15—HP.EA. <br /> LAVATORY�WASH BASIN� �OIL[RS—O.T.0 rH P <br /> SHOWER GAS FIRED A C.UNITS—B.T U. <br /> NITCHEN SW K d 01SP. FORCED AIR SVSTEMS—�T U. M EA _ <br /> OISHWASHER WALLHEATERS—BT.LL M <br /> LAUNDRY TRAY UNIT HEATERS—�T.0 M <br /> CLOTHE$WASHER EVAPORATIVE COOLFRS <br /> URINAL CLOTHES�RVERS <br /> DRINKING FOUN�AIN VENTILAiION FAN <br /> FLOOR DRAIN RANGE HOO� <br /> BACKFLOW PRCVENTERS WATER HEArER <br /> ROOF ORAINS —flAINLEADERS WOOD STOVE <br /> SINK(SERbICf.—BAR.ETC� META�FIREPLACE 8 Ch11MNEV <br /> FIREPLACEINSERT <br /> I�IEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL 3 SUBTOTAL <br /> PERMIT S PEPMIT <br /> TOTALFEE S TOTALFEE <br /> FPONTSETOAC� REARSElOACK SioES[i�nCK PLANCHECKNl1M9ER FEE RECEIPTNO. <br /> N�� NIA N�A 87/18656 52.G5 90637 <br /> USEZONE ��T�A�A VAC�NTSiiE <br /> R-1 ❑res [Xr+o FEES VALUATION FEE <br /> TYPE OF CLNST OCLUPANGY GROUV NO Oi�\YELLING UNIiS <br /> BUILDING �55108. '�'"' �'�81 00 <br /> j1—N R-3 '1 PLUMBING � <br /> $12[OF 9LOG NO OF STURIES MA% OGC LOAO � <br /> 1��OJ. ����5 � N�A MECHANICAL " ' <br /> INVESTIGATIONFEE ,-��Sec:3041e) �;�,�� ' <br /> FIHf SPRINKLERS R[OUIRED ❑�ES NO STATE BUIIDWG SURCHARGE 3 SO I <br /> STA7E ENEF7Gv SURCHARGE <br /> I.PPUCnT10N ACC BY PLANi GNECNEO�Y APPR FOf1155UANCE 0� <br /> DRIVEWAY PERId1T <br /> M.M. <br /> B.E. L.C. TOTAL 89 50 <br /> PERMIT VALIOATION <br /> WHEN PROPFRLV VALIDATE�(W THIS SPACE)THIS IS VOUR PERMIT �' <br /> �..�7 <br /> �� I�7 <br /> �_ I <br /> I _ <br />