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'�E �� �`� C'�NSTRUCTION '� '" q- <br /> everett PERMIT PERMITNQ. � ��� I <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L�MECHANICAL '❑ PLUMBING ❑ SIGN <br /> ONMER MRIL RODRE55 CRV Zlt� PMONE <br /> Terry Kopczynski 9909 Seahurst Everett, WA 98203 258-2473 <br /> ARCHITECT OR DESIGNI R MAIL PD�AE55 GTY 21P 1'MONE <br /> GENERALCONTRnCTOB MnILAOCPESS CIiY 21P %10NE LICENSE� <br /> EVERGSS302DG <br /> MECNANIGRLCONTRRGWN MAIL/.DDRE55 CITY ZIP PMON[ UCENSE• <br /> SVergreen State Sheet Metal P.O. Box 1508 Everettc'WA 98208 ZP252-3119 Mor+E ��ceNse. <br /> PLUMBING CONTRRCTOR MAIL AD�NE55 <br /> CUSS OF WOAK <br /> �NEW O ADDITION ❑ ALTERATION O REPAIR ❑ DEMOLITION O BUILOING RELOCA I <br /> VAWRTIONOF WORN <br /> 5 <br /> DESCN��E WORN <br /> Heatin s stem <br /> HERTSOURCE <br /> ❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> PROPOSEOUSEOFOU�I�ING i HEREBY CERTIFY THAT I HAVE READ AnD EXAMINED THIS <br /> Sin le famil residenc� APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ecaoescamTioNOFrmovearrisNowoeiowoan*rncNrouneories� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or_eiocK _ oF y�HETHER SPECIFIED HEREIN OA NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> SIG4Ni iE OI NiR/.CTOR.AUT�0�12E0 AGENT,OR OWNER DAiE <br /> JOB RDDRESS v 'J7_��,P'�' <br /> /1 '4 t.n <br /> 4904 Seahurst <br /> PLUMBING ME ANICAi. <br /> Np, TYPE OF FI)ITURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� A:G—�-NNDLG UNITS—H P. <br /> FEFRIGERATION UNITS- N.P.EA <br /> BATHTUO <br /> I.AVATORV IH'p5H OASIN) BOILERS—0 T U-N P. <br /> GASFIREDAC UNITS—BTU <br /> SHOWER <br /> KITCHEN SINK 8 DISP. 1 FORCL 0 AIR SVSTEMS—B T U. M EA. 9 OO <br /> DISHWASHER WALL H6AlER5—�T U. M <br /> �AUNDRV TRAY UNIT H[ATERS—0 T U M <br /> CLOTHES W�SHER EVAPONAT�VE COOLERS <br /> CIATIiES DRYERS <br /> URINAL <br /> VENTIIATION FAN <br /> ORINKING FOUNTAIN <br /> FLOOR ORAIN RANGE HOOD <br /> BPCKFLOW PREVENTERS WATER MEATflR � <br /> FlOOF ORAINS—FAML[ADER$ WOOD STOVE <br /> SINK(SERVICE—�AR.ETC� META�FlR[PLACE 8 CNIMNEV <br /> FIREPL�CEINSEAT <br /> HEAT PUMP <br /> r� GAS PIPING <br /> [%IIAUST FAN <br /> SUBTOTAL f SUBTOTAL <br /> FENMIT f PERMIT <br /> TOTALFEE S TOTRLFEE � <br /> fRONT SET[�AGK RE/.n 5[�DACK Si�E SET9nCN PLA�J CHECK NUMBER FEE <br /> RECEIPT NO. <br /> usezor+e �aTp9E" VACANTSITE FEES VALUATION FEE <br /> ❑vEs ❑r+o <br /> TYPE OF CONST OCCUPANCY GROUf' NO OF pW[LLING 1IN115 <br /> �UILDING � <br /> PWMBING <br /> SIZE OF BLDG NO OF STORtES MA% OCC �OR� <br /> MECHAkICAL <br /> INVESTIGATION FEE Sec.304(c) <br /> FIRE SPRINKlERS REOUIRED ❑�ES ❑NO STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> qPPLICRTIONACCOY PLPNSCNECNEOBY PPP� fOPItiSUANf.EOY DRIVEWAVPERMIT <br /> S.H. <br /> TOTAL 24 00 <br /> PEPMIT VRLIDATION <br /> WHEN PpOP�ALV VALIDAILD IIN THI$SPAC[�THI51S VOU�°ERMIT !_ <br /> ��� <br /> �� <br /> Q� <br /> � <br />