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APPLIC/�FIC �I FOR GONSTRUCT^�N PERMIT ��� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> HEATING SYSTE'.1: K]GAS ❑ELECTRIC [.j <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING X MECHANICAL X PLUMBING SIGN <br /> ONNEN MRiL�D�R[55 CITV 21P PHONE <br /> Andrew Kuna 9811 View Dr Everett 98203 259-6901 <br /> TENANi MAILFODRE55 CITV ZIP PNONE <br /> ARCHITECTORpE51GNEF MAILADDRE55 dTV 21P PHONE <br /> GENER�L CONTPACTON MAIL RDDRE55 Cltt ZIP PNONE STATE IICENSE• <br /> MELNANICALCONiRAGTOR MAII.RDDRE55 CiIV 21P P110NE STATELICENSE� <br /> Kozy Heating 8223 Suttnyside Av N Seattle 98103 527-5004 KOZYH**110NA <br /> PLUMBINGCONTPACTOR MAhADORESS CITY ZIP PHONE S7ATELICENSE• <br /> C1A550F WORN <br /> � NEW '. . ADDITION $ ALTERATION � REPAIR DEMOLITION . WOODSTOVE/FRPL INSE�T BUILDING RELOCATION <br /> n CONTACi PERSON AND PHONE N0. <br /> CONTRACiPRIGEOFWOPK �%G� Viva Kroeze 206 527-5004 <br /> DESCRIBE WORK AND SOUARE FOOTRGE INVOIVE� <br /> ins'tall as furnace & water heater <br /> PROPOSEDUSEOFd01LDING i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> single family residence APPLICATiON AI�D KNQW THE SAME TO BE TRUE AND CORRECT.ALL <br /> iecn�oescaivnorvoFraoaearv�sHowrvee�owoanrincMFouar.oaies� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISNPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioT eiocK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> 6OS�—OOO-01 O—OOO� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION,THAT I AM AUTHORIZED BY THE <br /> OWNER CF THIS PROPERN TO PERFORM THE WORK FOR WNICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> x ��.,..�Q. ,��.�.�..� .5-��- 93 <br /> PROJFGTADORE55 SiGrvniunE 006964 oeit <br /> 4811 View Drive ci*.xus��rssuccM1ser+o <br /> PLUMBING MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HND!G UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEA4S—B.T.U.7�jT.4 F.A. <br /> LAVATORV(WASH 6ASIN) � UNIT HEATERS—B.T.U. M <br /> SHOWER CIOTHES DRVERS _ <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER —r— RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE i <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS � E�HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> i <br /> i <br /> SUBTOTAL 5 SUBTOTAL 5 ' � <br /> PERMIT S PERMIT $ � � <br /> TOTALFEE 5 TOTALFEE 5 � <br /> FOR OFFICE USE ONLY: <br /> fRONTSETBRCK PEARSETBACK SIDESETBRCN �LANCHECHN MBF.R FEE RECEIPiNO. <br /> �?3� <br /> usezoNe LOTAIiEA VACANTSITE FEES VALUATION FEE <br /> BUILDI4G <br /> ivCEOi[ONTS.Al10WABLE tVPEOFCONSi.ALiURL oCave�,p xo INOw[wk�uYrts <br /> eaou� PLUMBINIi <br /> 512E OF BLDG NO.OF STOFIES BASE6IENT MECHANICAL <br /> OCGVPqNCVLOAD FIpESPRNNLEfi5RE0J HEIGHTLIMITAiION ADDR:ONALPLANCHECN , <br /> SPR14NlER <br /> F6\SON POq SPRINRLERS <br /> STATE 9UILDING SURCHARGE <br /> INiPKEBV PLANSAPPROVEDBV CITYOFEVERETT PUBLICWORKS <br /> LOCAL SALES <br /> TAX COUEIS 3105 iOTAL <br />