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`�� �'"` C'"`NSTRUCTION � '�°`° L/� <br />everett PERMIT PERMITNCL-: �Ou`�� <br />259-8745 <br />❑ DEMOLI'.ION {�;COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONTIER MRIL R�pRE55 CItY 21P �'��ONE <br />Dan Rooth 2605 Rucker #101 Everett 98201 259-4712 <br />RFCMrtEGT OR DESIGNER MnIL AOORE55 dTY ZIP PMONE <br />GENERRLGONTR�CTOR MAILADDRE55 CITY 2iP VHONE LICENSE• <br />Owner <br />MECMANICRL CONTRRCTOR M/it ADDRESS CRY 21P PMONE LICENSE • <br />PWMBiNGCONTRAGTOB FIAILnO0RE55 CiTY ZIP Pn^YE LICENSE� <br />CUSS OF WORN <br />C� NEW O ADDITION ❑ A�.TERATION ❑ REPA�R ❑ DEMOLITION ❑ BUILDING FELJCATION <br />VP' �1qTIJN OF WORN <br />s 86,496.00 <br />DESCRiDE WORN <br />Construct ne•a single fmly residence <br />MERT 30URf.E <br />❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />Single <br />LOT 1 BLOCK _ OF <br />71]1 Yew St. <br />PLUMbING <br />residence I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME Tp BE TRUE AND <br />iowoeiowonnrtacr�rouncwiEs� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />iarimer Ridge GOVERNING THIS TYPE OF WURK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TJ <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THEPERFORMANCE OFCONSTRUCTION. <br />— SIGNATUR[ Of CO P. � RRED RGENi. O(1 O\VNER DAT[ <br />X � 1011 I � <br />MECHANICAL <br />N0. TYPE OF FIXTURE O <br />3 WATER CLOSET �TOIIET� <br />1 BATIITUB <br />�} LAVATORY �WASH BASIN� <br />1 SHOWEA <br />1 HITCHEN S:NK 8 DISP. <br />1 DISHWASHER <br />1 LAUNDRVTRAV <br />1 CLOTHES WASHER <br />UHINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVl�'TrRS <br />POOF DRAINS — F7AINLEADERS <br />SINK ISERVICE - BAR. ETC) <br />20 <br />EIONE �a <br />R-1 <br />re oF corusr. oc <br />V-N <br />2E OF OLOC. NO <br />2376+600GAR <br />FEE NO. TVPE OF EOUIPMENT <br />LS OO A%C -- A�HNDLG UNITS — H P <br />S OO HEFRIGERATION UNILS — M P. EA. <br />ZO OO flOILEr75—BSLJHP. <br />S OO GAS FIRED A C. UNITS — 8.T U. <br />S OO 1 FORCEDAIRSVSTEMS—OTU M <br />S O WALIHEATERS—BT.U. M <br />rj Q UNIi HEATERS — 8 T.U. M <br />S O EVAPO[7ATIVECOOLERS <br />1 CIOTHES DRYERS <br />3 VENTILATION FAN <br />1 RANGE IIOOD <br />1 WATERNEATER � <br />wOODSTOVE <br />MEiAL FIPEPLACE 3 CHIMNE <br />FIPEPLACEINSERT <br />NEATPUMP <br />GAS PIPING �� <br />E%HAUSTFAN e��y. <br />SUBTOTAL S <br />PERMIT f <br />TOTALFEE S <br />�N SET�ACN SIDES[iU�CN <br />20 6 <br />T AHE� VACANT SITE <br />{ijVES ❑NO <br />R-3 <br />OR�ES <br />i <br />�TIONACC.I3Y �LANSCM[CKEO <br />S.H. B.E. <br />1 <br />iono <br />i5 00 SUB <br />PERi <br />TOT <br />PLAN CHECK NUMOER I <br />88/20641 <br />FEES <br />uNiiy BUILDING <br />PLUM�ING <br />MECHANICAL <br />ISSWNCE �Y <br />B.E. <br />DRtlpY'H 32 <br />588.996 <br />fEE <br />590 <br />65 <br />INVESTIG�TION FEEpldfl (.' C F��' 304(e) <br />STATE BUILOING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PERMIT VALIDAl1��N <br />WHEN PROPERIY VALIDATED �IN TMIS SPACE) THIS IS YOUR PEflM1T <br />Ai'��CESS ( II.� <br />3 <br />15 <br />