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`�� � P'�NSTRUCTIOIW ' '� <br /> everett PERMIT PERMIT NO. � 8636 <br /> 259-8745 <br /> C3 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ 816N <br /> OWHEP MIIILAODPE55 l:1TY ZIF MONE <br /> Herb l�udson 1014 Rucker Everett 98201 252-4280 <br /> �Rd11TECTOqDE51GNEH MPILAODRE55 CITY ZIP tN10NE <br /> 4ENE8IILCONTRALTON MML�ODRE55 CITY 21P PMONE IIGEHSE• <br /> Mark Gcode Oonstruction 5832 119th Ave. eE Lake Stevens 98256 334-9262 GOODEC208IA <br /> MECH�NICALCONTR�CTOR M�ILADDRE55 CITY 21P R�OHE UCENSE� <br /> VLUMBIN6CANTR�CiOH MAILADDRESS CiTv ZIP PNONE LICENSE• I <br /> I <br /> CU1550F WORR <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR C� DEMOLITION ❑ SUILDIN6 RELOCATON <br /> Y�W�TION OF WORIc <br /> f <br /> pEbCRIBE N'ONK � <br /> Dr�olieh qarage <br /> NEAT SOUIICE <br /> ❑EI.ECTIIICITI' ❑ 6A8 ❑ WOObSTOVE ❑ OTHER <br /> P110POSED USE OF BUILOIN6 <br /> Gerage I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEO�LOESCPIPTIONOFPROPERTY�cMOWBELOWONRTTRGHFOURCOPIES� CORRECT. ALL PHOVISIONS OF LAWS AND ORDINANCES � <br /> 7,8 215 Bailey Add GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITM � <br /> lOT�BLOCN�OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVF. AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> 1017 Rucker ThiE PERFO ANCE OF CONSTRUC ION. <br /> JOB�DORE55 SIG ATURE O PACTOR.RUTHOq2E0 AG ,OR OWNER DATE <br /> X - �'� � <br /> PLUMlINO MEC ICAI <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> W�TER CLOSET(TOILETI A�C—A/HNDLG UNITS—HP. <br /> B�THTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORV�WASH BASIN) BOILERS—B.T.U'H.P. <br /> SMOWER GAS FIRED A G UNITS—BS.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> �ISHWASHER WALL HEATERS—BSL M <br /> LAUNORVTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTMESDRVERS <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RqNGE MOOD <br /> BACNFLJW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEADEPS N'000 STOVE <br /> SINK�SERVILE—BAP.EiC.� METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> MEAT PUMP <br /> GAS PIPING i <br /> E%HAUSTlAN <br /> SUBTOT�L f SUBTOTAL <br /> PENMIT S 7ERMIT <br /> TOTALFEE f TOTALFEE <br /> FqONT SETO�GN REaR SEiBnCK Si�E SETNRCN PLFN CHECN NUMBER FEE RECEIPT NO. <br /> USE ZONE lOT APE� yq[qNT SIiE <br /> ❑res ❑r+o FEES �'� .UATION FEE <br /> TYPEOFCONST OCCUPANGVGRCUP NOOFOWELLINGUNITS BUILDING S � <br /> PLUMBING <br /> SIZEOFBLOG NOOFSTORIES Mn%OCCLOAO <br /> MECHANICAL I <br /> .� -.., . ,.- .... ..,�,. -���-..:u �: . � : r <br /> INVESTIGATION FEE Sec.30a(e) � <br /> FIRESPRINKlER5RE0UIRED VES NO '.ii'�UUlb�b <br /> S7ATE BUILDING SURCH4qGE ' � 50 <br /> .,� <br /> STATEENERGVSURCHARGE '='i� �< ' g,�� � <br /> �IWUGRTION ACG BY PLANS CHECNEO BY MPR [OR ISSURNCE BY �� I <br /> DFIVEWAVPERMIT ,. .• •. _'. 1•`I'` I <br /> S.H. TOTAL . l.';� <br /> PERMIT VALID�TION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE�THIS IS YOUR PERMIT <br /> �.� <br /> �� <br /> �� <br /> � <br /> r <br /> ADDIiES: 'r;'_l. <br />