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7 2 7-3'7 <br /> "��` � P�4NSTRUCTION �-= '�"` q G n <br /> CITY OF ' <br /> everett PERMIT PERMITNQ::• I �`��? <br /> 259 -8745 <br /> 1] DEMOLITION ❑ COMBINATION L� BUILDING ❑ MECHANICAI ❑ PLUMBING ❑ SIGN <br /> ONTJER <br /> MniIRDORE55 CiTv ZIP PMONE <br /> W. R. Struble 1005 Rucker Everett, WA 98201 252-6291 <br /> APCHITECTOHO[SIGNER MAILADDRE55 CITY ZIP FNONE <br /> Same <br /> GENERALCONTRAGTOR MRIIADpBE55 CITV ZIP �HONE UCENSE� <br /> Same <br /> MECNPNIGAL CONTR�CTOR M�IL ADDRE55 CITV 21P PHONE LICENSE� <br /> None <br /> FLUM�INGCONTRRCTOR AIMLAD�RESS CITY 21P PNONE IICENSE• <br /> None <br /> CLASS OF WORK <br /> � NEW ❑ AODITION ❑ ALTEPATION O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WOPN <br /> S 7900.00 <br /> OESGRIOE WORn <br /> Build new 24' x 24' qarage <br /> HEnlSountE <br /> � EIECTHICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEUUSEOFBUROING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Garage and storage qppLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ecn�oEscnianor+ovvaorenrv�sr+awee�owonntucr�rouncovies CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 13-14 215 Bailey Addition GOVERNING THIS TYPE OF WORK WILL BE COMPIIED WITH <br /> lOT__.BIOCN _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRAt1TING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORIT'f TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> 51GN/.TUP O!CONiR�Ci .AUTHOIIIZED AGENT.OR OIVNcH OATE <br /> JOBAOOAE55 D_�� <br /> 1005 Rucker Ave X �� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WAiER CLOSET(TOILET) A/C—A/MNDUi UNIT$—HP. <br /> BATHTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORY�WASH BASIN) BOILERS—67L!H P. <br /> SHOWEH GAS FIREO A C.UNITS—G T.U. <br /> NITCMEN SINK d DISP. FORCED AIR SVSTEMS—�T U. M EA. <br /> DISHWASMER WALLHEATERS—BT.0 M <br /> LAUNDRV TRAY UNIT NEATERS—BSL. M <br /> CLOTHES WASHER EVAPORnTIVECOOLERS _ <br /> URINAL CLOTHES�RVENS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF DRAINS—NAINLEADERS WOOD STOVE <br /> SINK�SERVICE—BAR.ETC� METAL FIREPLACL B CHIMNEY <br /> FIREFLACE INSER7 <br /> HEAT PUt.V <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT S PERMIT <br /> TOTALFEE f TOTALFEE <br /> PRONTSETOACM PEI•n5[TOACR 5IOE5ETBACK PLANCHECKNUMOER FEE <br /> RECEIPi NO. <br /> 20, 20� g� 87j18539 G4.35 90532 <br /> usezoue �oT^RE" vncnrvt<Te FEES VALUATION FEE <br /> R-2 SSOO Sf ❑Y[5 E�NO <br /> i\P[OFCONST. OCCl1rINL,PGROUP NOOL�WELLOINGUNITS <br /> OUILDING 5 7g00.00 99 00 <br /> V—N PLUMBING . •-,ni.;-1."' �.� :� � <br /> SI2E OF OLOG NO OF STORIES MAx OCC LOAO <br /> 1189 Sf 2 NA MECHANIC�L �(, <br /> INVESTIGATION FEE �"$ec.Jb4�`e) <br /> FIRE SPRINKLERS REOUIRED ❑YES �NO STATE BUILOING SURCHARGE I. '�I:'�:'� - 3 SO <br /> S7ATE ENERGY SURCHARGE ������������ ` <br /> ,:i ,, n ' <br /> APPUCATION�CCOY PLANSCH[CNEDOY APPRlORISSUFN^.E�1" DRIVEWAVPERMIT L��U�I � <br /> M.M. Be L.C. 70TAL . �._ , .. �_ 102 50 <br /> PERMIT VALIDATION <br /> WHEN PROP[RLY VALIpP1ED�W iHl$SPAGEI THI515�OUR P[RMIT �' <br /> �� <br /> �..�7 <br /> � <br /> r� <br /> ,.�:��i��f'.�_,.� , �� [ <br />