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� °� �'rJNSTRUCTION - � . 1p �/� A � <br /> everett PER M IT PERMiT NQ:_ � o`�`�T <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SIGN <br /> OMTIER MML�UDRE55 CiTY Z:F PNONE <br /> John V. Dowen 2109 Wetmore �erett 252-5690 <br /> ARCHiTEGT OR DES�GNER MA11110DRE55 CITY ZI� PNONE <br /> Steve Gailey (TiiP �Verett 259-8735 <br /> GENER�LCONTH�GT08 MnILRDDRE55 CITY 21P PNpNE UGENSE� <br /> Stozms Const. 4331 129th P1. NE MSVL 98270 6Y8 8883f6647ts 653-6879 <br /> MECMANICAICONTR�CTOR M�ILADDRESS CITV ZIP PHJHE tIGENSEI <br /> STORMC163DT <br /> PLUMBINGGONTR�CTOR MMLRODRE55 CITY ila PHONE IiCENSE� <br /> Chuck Mueller 337-2114 <br /> CLA55 pF Wq1N <br /> ❑ NEW ❑ ADDITIOM [kALTERAiION �7 REPAIR ❑ DEMOLITION ❑BUILOING RELOCATON <br /> V�W�TION OF WpqN <br /> s 13800.00 <br /> DESCRiBE WORR <br /> Drainage, windows, doors, wallc, ceiling paint, repairs, floors, insulation. <br /> He�rsounce <br /> ❑ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUiLDiNG <br /> Sinqle family residence I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPROPERTY�SHOWBELOWORATTACNfOUPCOP1E51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior_eiocK _ov GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OA NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL TI1E PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERF MA CE C UC N. <br /> JOB�DOFESi SIGNnTU NiN T T11 ENT.OR WNER DATE <br /> 2109 Wetmore X - — , <br /> PLUMBIN6 M MANICAL <br /> NO. TYPE OF FIXTUqE ON ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET ITOILET) A/C—A/MNDLG UNITS—H P. <br /> BATHTUB PEFRIGERATION UNITS—H P.EA. <br /> LAVATORV(WASH BPSIN) BOILERS—B.T.0/H P. <br /> SMOWER GAS FIREO A C.UNITS—BSL <br /> KITCMEN SINN 6 DISP. FORCFO AIR SYSTEMS—B.T U. M EA <br /> DISMWqSHER WALLNEATERS—BT.U. M <br /> IAUNDRY TflAY UNIT MEATERS—D T.U. M <br /> CLOTHES WASMER EVAPORATIVE COOLERS <br /> URINA� CLOTHES DRVERS <br /> ORINKING FOUNTAIN VENTILATION FAN <br /> FLOOP DRAIN RANGE MOOD <br /> BACKFLOW PREVENTERS WA-ER MEATER • <br /> ROOF ORAINS—RAINLEAUEflS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC� METAL FIREPLACE 8 CH�MNEV <br /> FIREPLACEINSERT <br /> NEAT PUMP <br /> GAS PIPING <br /> E%MAUSTFqN <br /> BUBTOTAL f SUBTOTAL <br /> PERMIT f PERMIT <br /> TOTALFEE f TOTALFEE <br /> FRONT SEtB�CN REnR SETBnGK SiDE SETBnCR PLAN CNECK NUMBER FEE RECEIPT NO. <br /> USEZONE LOTnqE/ <br /> vncnrvrsite FEES VALUATION FEE <br /> O�ES ❑NO <br /> j�(Q}'/d( .. .�.�f r. �Il1UNNG Ge ....'i:'{ <br /> TYPEOFCONSf OCCUPANCYG110�P NOOFpWEItINGIINITS BUILDING �],j�BOO.00• LS3 OO <br /> PLUMBING IiUi;���'�+'+�1 <br /> SIZE OF BLDC NO Of STOPIES MA% OCC IORD <br /> MECNANICAL i'.�_;:i� -�:i'�..)�� <br /> IN"ESTIGATIONFEE �S�qp,304��) , =;G.S(� <br /> FIRESPRINKLERSREOUIRE� VES NO <br /> STATE BUIL�ING SURCHAPGE 3 $ SO <br /> STATEENERGVSURCNARGE <br /> PPRIGRTIONRLG�Y o�qNSCHECN[DBY ApPqfO(VISSU/NCE�Y <br /> DRIVEWAY PERMIT <br /> S.H. B.E. TOTAL 156 50 <br /> PERMIT V11LID�TION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)TIiI51S VOUR PERMIT <br /> L` <br /> �� <br /> �� <br /> � <br /> r <br /> l,�-Dp,f:SS i-P.E <br />