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`h`�'�"�""' � C"INSTRUCTION c <br /> C'llY OI� <br /> everett PERMIT PERMITNO. 21 J�O <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> owrvrn � mm�.nnnncss cnr zm r��oNe <br /> Dtark & Linda Fields 1815 Wetmore Everett 98201 339-9127 <br /> �nc�ar[cr on n[sicNcn sun.nnuncss cnr zu• mwr+e <br /> GENLRAL CONl1Uf.10R ANIL ADDIIC$$ CIIY ZIP i4�ONE IICENSE� <br /> Silver Lake Co. P.O. Box 5145 Everett � 98206 252-1131 SILVETL161MS <br /> MECIHNIUL CONiOACIOB AUII�Of1fIC55 CIiY IIP PIIONE LICENSE� <br /> VLUMBINGLONTMLIOR ���L�OORC55 CITV ZIP �IONE LICENSE� <br /> CL�550!WORN <br /> C NEW �ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> WW4TIONOf WORN <br /> f 12,680.00 <br /> ocscninc woaK <br /> Construct Hing}exfmi�cx addition. <br /> He�*sounee <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> FROI'OSEOUSEOfBUII�iM1G I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> icc��oescnivnoHormoveerris�wwuciowonnrtneinouncowesi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 7_.8 eioc� 367 �F Plat of Everett Div L 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 /> TNE P[RFORMANCE OF CONSTRUCTION. <br /> JOB�ODRE55 9GNAil O�CONTR�CLOR.PU111011RFDAG Ni,OROWNEii DRTE <br /> 1815 Wetmore Ave. X <br /> PLUMBING MECHANICAL <br /> NO. 1YPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TORET� A/C—A�HNOLG UNITS—H P. <br /> BATMTUB REFRIGERATION UNITS—H P.EA. <br /> LAVAiORY�WASH BASIN� BOILENS—97 U/H P <br /> SHOWER GASFlREDAC UNITS—BTU. <br /> KITCHEN SiNK 8 DiSP FORCED AIR SVSTEMS— B T.0 M EA. <br /> DISHWASMER WALINEATERS—B?L M <br /> LAUNDRY TRAY UNIT MEATEflS—0 T.U. M <br /> CLOTHES WASHER EVAPORATIVE COO�ERS <br /> URINAL CLOTHESDRYEPS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> F:OOR DRAIN RANGE HOOD <br /> BACI(FLOW PHEVENTERS WAIEH MEATER <br /> ROOF ORAINS—RAINLEADERS WO00 STOVE <br /> SINK�SER�iCE—BAR.ETC� METAL FlREPLACE 8 CHIMNEY <br /> FIREPLACE INSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT f PE <br /> TOTALFEE f TOTALFEE <br /> vnor+i SEiancK aEnn SEtoncre sioE SE�oncrc PLAN CHECK NIIMeER RECEIPT NO. <br /> zo zo 5 89/21530 e� s13 .1s14s�1 <br /> USEZONE �otnnen �q�qryT,�yc FEES ATIO • FEE <br /> R-2 6000 ❑res 'C7*+o <br /> TVPEOFCONST OCCUPANCYGPOUP NOOFDWELLINGl1NITS BUILDING SLZ�E)BO.00 13B ZS <br /> V—N R-3 1 PLUMBING <br /> SIZE OF oiDG NO OF STORi[5 MA% OCC LOAp <br /> Z$B AaCI 1 N�p MECNANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLERS FEOUIRED ❑YES NO STATE�UILDING SURCNARGE 3 SO <br /> STATE ENEfiGV SURCHARGE <br /> �PPLICATIONNLCOY PLANSCM[CN[OOY RPPPlO�ISSURNLEfIY <br /> DRIVEWAY PERMIT <br /> S.H. B.E. B.E. TOTAL 141 65 <br /> PEPMIT VRLIORTION <br /> WHEN PROPERLV VALIUAIED pN THIS SPACE)THIS IS YOUR FEHMIT O <br /> M <br /> L.[7 <br /> � <br /> N <br /> ;�.;;,u[_s:, � i�: <br />