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�i _ <br /> '�� `"� P�NSTRUCTION -�- '"` � C�7 <br /> everett PERMIT PERMIT NQ:: � �`� + � <br /> 259 - 8745 . <br /> (� DEMOLITION O COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> O"MEN MAII ApDF[55 QTY ZIP VMONE <br /> W. R. Struble 1005 Rucker Everett, t4A 98201 252-6291 <br /> nRCNrtEGTORDESIGNER MA�LqODl1ES5 CITY ZIP PHONE <br /> Same <br /> GENERALCONTRACTO� MAILADDRE55 CrtV 21P PMONE LICENSE• <br /> Same <br /> MELNANICAICONTRnLTOR MAILPDORE55 GTY ZIP !'HONE LiCENSE� <br /> None <br /> VLUMBiNGCONTRRCTOR MAILADDRESS CiTY 21P 1'HOYE LICENSE� <br /> None <br /> cuss a wonK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ BUILDING RELGCATION ' <br /> VRWRTION OF WORN <br /> 5 7900.00 <br /> oescaiee wonK <br /> Remove old 20' x 20' garage awdxlxi�ix <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROFOSED USE OF BNl01NG <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> garage APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAlUESCRIPT10NOfVROP[RTY�SHO\YOCLOWOBATTACHfOUfiCOPIE51 CORFECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or�-Z-1��ocKZ15 ov Bailey addition GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBAp�P[$5 SIGN�TUR OFCONIP� R.ApT110RIZED�GENT.OAONNER DATE <br /> 1005 Rucker Ave X �� �_��7 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE IiO. TYPC OF EOUIPMENT fEE <br /> WATER CLOSET(TOILET) A�C—A/MNDLG UNITS—N P. <br /> BATHTUB FEfRIGERATION UNITS—H P EA <br /> LAVATORY(N'ASH OASIN) OOREflS—�S.U.iH P. <br /> SHOWER GRS FlREO A C UNITS—B T.U. <br /> KITCMEN SINK 6 DISP. FORCED Alfl SYSiEMS—B TL. M EA <br /> OISHWASHEfl N'ALLHEATERS—OT.U. M <br /> LAUNORYTRAV UNITHEATERS—BS.U. M <br /> CLOTHES WASHER EVAPORATNE COOLERS <br /> URINAL CLOTHES�RVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR OflA1N RANGE HOOD <br /> BACKFLOWPRE`/ENTE�S WATEHHEATER • <br /> ROOF DRAINS—F7AWLE�OERS WOOD STOVE <br /> SINK(SERVICE—OAR,ETC� MEiAI FIFEPLACE 6 CNIAINEY _ <br /> FI(iEPIACE INSERT <br /> — MEAT PUMP <br /> GAS PIPING <br /> EXH�USTFAN <br /> SUBTOTAL 5 SUBTOTAL <br /> PERMIT f PEflM1T <br /> TOTRLFEE S TOTALFEE <br /> fnONTSETOnGN REnns[innCK SIOESETonCK PLANCHECNNUMOER FEE RECEIPTNO. <br /> USE ZONE ��T AAEA yqCANT SITE <br /> ❑vEs L7r+o FEES VALUATION FEE <br /> TYPEOfCONST OCCUPANCYGROUi' NOOFOWELLINGUNITS OUILDING S �0 <br /> PWM�WG <br /> SIZE OF OLOG NO.OF STORiES MA% OCC LO/D <br /> MECHANICAL <br /> INVESTIGATION FEE See 904�e) <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑NO STATE BUILDING SURCHARGE 3 SO <br /> STATEENERGVSURCHARGE <br /> PPPLICRTION PCG�Y PlANS CM[CeEO�Y APPR FOfI ISSUANCC 13Y <br /> DRIVEW�Y PERMIT <br /> M.M. L.C. TOTAL 3 50 <br /> PENMIT VALIOATION <br /> WHEN PROPERLY VALIOATED�IN TNIS SPAGE)THIS IS VOUR PERMIT �, <br /> ��� <br /> �� <br /> � <br /> r- <br /> i I.�-l�ii,_ . � _� <br />