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�`� - C7NSTRUCTION � '� <br /> everett PERMIT PERMITNQ:= � ���� <br /> ❑ DEMOLITION O COMBINATION fx7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SI6N <br /> p�q MAIL PD�RESS CITY 2:P PHONE <br /> Phillys Royce 2022 Rucker Ave. Everett <br /> �qCH1TECT OR DESIGNEP MAII ADDRESS CITY ZiP PMONE <br /> 6ENENRL CANTRALTOR M�IL�O�RE55 GTY 2iP PHONE LICENSE� <br /> Tom Lester 14126 44th St. NE Lake Stevens, WA 98258 334-6188 LESTER*188NR <br /> MECHMIICALCONTH�CTOP MMtADDFESS CITY ZiP PHONE UCENSE� <br /> 0.UMBINGCONTR�CTOR MMLPODNESS LITV 21P MONE LiCENSE• <br /> CL�SSOF MVRN <br /> ❑NEW ❑ ADDITION ❑ALTERATION �J REPAIR ❑ DEMOLITION ❑BUILDIN6 RELOCATION <br /> VALUATION Of N'qIK <br /> s 1350.00 <br /> pESCPIBE WORN <br /> Repair Porch on house <br /> 11EAT SOURCE <br /> ❑ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> R10POSED USE OF BUILDING <br /> ${fl 1 e Family Residence I HEREBY CERTIFY THA"f I HAVE READ AND E%AMINED THIS <br /> 9 APPLICATION AND KNOW THE SAMF TO BE TRUE AND <br /> IEOQDESGHIP?IONOFPROPEPTY�SHOWBELOWONRTTRGNfOURCOPIES� CORRECT. ALL PFOVISIONS OF IAWS AND ORDINANCES <br /> GOVERNING THIS TVPE Of WORK WILL BE COMPLIED WITH i <br /> LOT__BLOLK _OF WHETFiER 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 i <br /> S LOCAL LA GULATING CONSTRUCTION OF <br /> HE PER RM �NSTRUCTION. <br /> J0011�diE55 SIGNRTURE F CONTPR TNOPI2EC<GENT.OP ONMER OATE <br /> 2022 Ruckers Ave. .3 <br /> PLUMSINO CMA ICAL <br /> NO. TtlVE OF FI)ITURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—A/HNDLG UNITS—H P. <br /> BATMTUB REFRIGERATION UNITS—H P.EA. <br /> LAVATORV(WASH BASIN) BOILERS—B.T.0/H.P. <br /> SHOWER GFS FIRED A�C.UNITS—P..T.U. <br /> KITCHEN SINK 8 OISP. f0RCE0 AIP SYSTEMS—8 T.U. M EA. <br /> DISHW�SMER WALLHEATERS—BT.U. M <br /> LAUNDRY TRAY UNff MEATERS—B.T.U. M <br /> CLOTIIES WASHER EVAPORATIVE COOlERS <br /> URINAL CIOTHES DPYEPS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOJR DRAIN RANGE HOOD <br /> BACNFLOW PREVENTERS WATER HEATER • <br /> PQOF DRAINS—RAINLEAOERS WOOD 5 fOVE <br /> SINN�SERVICE—BAR.ETCJ METAL FIREPLPCE 6 CIiIMNEV <br /> FIPEPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> $UB TOT11L f SUB TOT�L <br /> PERMIT f PERMIT <br /> TOTALFEE f TOTALFEE <br /> FRONTSETB�CR nenFSEienCK S�DesEtoncn PLANCHECKNUMBER FEE RECEIPTNO. <br /> USE ZONE LOT PREA yqCRNi SITE <br /> ❑res ❑eo FEES VALUATON FEE _ <br /> TYPEOFCONST OCCUPANCVGNOIIP NOOFOWELLINGUNITS BUIL�II�1C�i E 1350.00 33 00 <br /> J LJ a., ��..�' <br /> PLUMBING <br /> SRE Of BLIX; NO OF STORiES Mn% OCC LOAU <br /> MECHANICAL IIOOOIYS''J7 <br /> INVESTIGA710NFEE E: �`� 4,.SO <br /> J <br /> FIRESPRINKLERSREOUIPED VE$ NO CHECfi S. .SO <br /> STATE BUILDING SURCHARGE 1 O <br /> STATEFNERGVSURCHARGE <br /> pPPLICRTIONhGCBV PL4NSCNECNEDOY APPpfORI55U4NCE�Y <br /> DRIVEWAV�ERMIT <br /> $.H. L.C. TOTAL 34 50 <br /> PENMIT V�LID�TION <br /> WHEN PROPERI V VALIDATED pN TMIS SPACE)THIS IS YOUR PERMIT <br /> L` <br /> �� <br /> Q� <br /> �` <br /> r� <br /> ADDHfSS FlLE <br />