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. � <br /> ������ �` CONSTRUCTION � <br /> cirv or <br /> everett PERMIT PERMITNQ:: �� ��� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION E9�BUILDIN�: ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ��EA MMl RpORE55 CITY :IP PMONF <br /> Carl 6 Vivian Watkins 11622 W. Silver L3ke Dr. Everett 337-8839 <br /> qRCNITECT OR DESIGNER MRIL AD�RE55 CITY ZIP PHONE <br /> GENENRL CONTf14CTOR MNIL�DDPESS CITY 21P PHONE IICENSE� <br /> Owner <br /> MECNRNILRLCONTRRCTON MAILPDDNESS GTY ZIP PHONE LICENSE� <br /> PLUMBING CONTP�GTOR MRIL AODRESS CITV 21P PHUNE UCENSE� <br /> CUSS OF WORK <br /> ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATION <br /> V�LUATION OF�VORN <br /> � 1600.00 <br /> DESCRIBE WORN � <br /> Construct shed on blocks <br /> MEATSOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> fYiOPOSED USE OF BUILOiNG <br /> Shed I HEREBY CcRTIFY THAT I HAVE READ AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCPIPTIONOFVRO4ERTY�SHOW9ElOWORATlACNFOURCOPiES� CORRECT. ALL PROVISIOHS OF LAWS AND ORDINANCES <br /> ioT 12 BLOCN _OF Silver Shores 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 PROVlSIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> J09ADDRESS SiGNnT REOFLONIRACTOR.AUTMORiZE�AGF.NT.OFOWN[R O0.TE <br /> 11622 W. Sil r X 4 � / <br /> PLUMBING MECHANICAL <br /> NO. TYVE OF FIIITURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A�C-AMN�LG UNITS-HP. <br /> BATHTUB REFRIGERATION UNITS�-H P.EA. <br /> LAVATORV�WASH BASIN) BOILERS-BS.0 MP. <br /> SHO'NER GAS FIRED A�C.UNITS-BS.U. <br /> KITCHEN SINK 8 DISP. FORCED AIH SYSTEMS-B.T.U. M EA. <br /> DISHWASHER WALLNEATERS—BS.U. M <br /> LAUNDRVTRAY �INITHEATERS—BSL M <br /> CLOTMES WASHER EVAPORATIV[COOLEflS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN yENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOWPREVENTERS WATERHEATER � <br /> ROOF OR�INS—�RAINLEAOERS WOOD SiOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE d CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> BXHAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PENFIIT f PERMIT <br /> TOTAI FEE S TO � �� <br /> ra0r+r SETanGK REnR SETBnCK SiDE SEToncK P�AN CHECK NUMBER FEE RECEIPT NQ � <br /> 88/21271 �.�1 4703 <br /> USE20NE LOIRREA <br /> vncnNrsrt� FEES TION FEE <br /> ❑YES $7N0 <br /> TVPEOFCONST. OCCUPFNCYGROl1P NOOfDWELLINGUMTS BUILDING '��.00 S .SO 37 OO <br /> V-N M-1 0 <br /> PLUMBING <br /> SiZE OF�IDG NO Oi ST01ilE5 MA% OCC LOPD <br /> ZJZ 1 N/A MECNANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRESPRINKLERSREOUIREn VES NO ' <br /> — STATEBUILDINGSURCHARGE 3 SO <br /> STATEENEFGYSURCNARGF <br /> APPLICATIONACC BY PLAkSCYECK[DDY APPR FORISSIIANCEQY - <br /> DRIVEWAY PERMIT <br /> 70TAL 40 50 <br /> PENMIT VRLIDATION <br /> WHEN PROPERLV\'ALIOATED QN THIS SPACE)THIS IS VOUN PERMIT <br /> r� <br /> L` <br /> N <br /> � <br /> N <br /> iiill;f�!-:; i �, ,_ <br />