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"�E°��" S*'7NSTRUCTION r� <br /> cin oF <br /> e`�erett ����� � PERMITNO. � 7�� G <br /> 269 -8745 <br /> ❑ DI?MOLITION L7 COMBINATION ❑ BUILDING L�I MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER AIAILAO�RE55 CITY 21P PHONE <br /> Ronald A. Wolden 1210 42nd St. Everett 98203 259-3490 <br /> ARCMITECTORDESIGNER 1dFILAppRE55 CILY Zi� PHONE <br /> GENCRaLGONTRAQOR �IAiLA00RE55 LrtV ZiP PHONE LICENSEu <br /> Owner <br /> MECHANICALCONTRAGTOR MAILADDRE55 CIIV ZIP PMONE LICENSE� <br /> PLUM1IpINGCONTRACTOF M41LaDORE55 CITY ZiP HMOUE LICENSE• <br /> CL�SS OF WORN <br /> CI NEW ❑ ADOITION C7 ALTERATION ❑ HEPAIR C DEMOLITION ❑ BUILDING RELOCATION <br /> VPLUATION OF WOPH <br /> $ <br /> DESCRiBE WORN <br /> qrddl Woodstove <br /> FEnT50URCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEF <br /> �ROPOSE�USE O�OUiLDiNG <br /> $'lll 1 e famil residence � HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> g Y APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �LEG/LGE=CRiPTIONOFPPOPERtt�5H01Y�ELOWOl�ATiqCHfOU�COPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BF COMPLIED WITH <br /> LOT_OLOCK _ OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT D�ES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS Of ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JODADORESS SIGNATURE OF CONTfi1C10F AIJTMORIZ[0 nGENT.OR OWNEF DATE <br /> 1210 42nd St. X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR 17EM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� A�C—A/HNDLG UNITS—HP. <br /> BATHTUB REFFIGERATION UNITS—HP EA. _ <br /> LAVATORY(WASH BASIN� BOILERS—B.T.0 iH.P. _ <br /> SHOWER GAS FIRED AD.UNITS—B T.U. _ <br /> KITCHEN SINK 8 OISP. FORCED AIR SVSTEMS—B TL. M EA. <br /> DISHVJASHER WALL HEATERS—B7.U. M <br /> LAUNDPY TRAV UNIT HEATERS—B.T.U. M <br /> CLOiHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> �RINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DHAIR RANGE HOOD <br /> BACKFLOW PREVENTERS VlATER HEATEF <br /> FOOF DRAINS—RAINLEADERS WOOD STOV[ <br /> SINK(SEi7VICE—BAR,ETCJ METAL FIREPLACE&CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL 5 SUBTOTAL 3O OO <br /> PEHMIT S PEHMIT <br /> TOTALFEE S TOTALFEE 3O OO <br /> FRONTSETBACN REANSET9nf✓. SIOESET�ICK p�ANCHECKNLIMBER FEE RECEIPTNO. <br /> USE ZONE LOT A�EA yqCANT SITE <br /> ❑ves ❑r+o FEES VALUATION FEE <br /> TVVEOFWNST OLCIIPANCYGnOJP NOOFDWEIUNGUNITS BUILDING S <br /> PWMBING 0'/19/L'7 3:E7�'I* OC�7RN4U90 .4::4::;�.�1. <br /> $12E OF BLDG NO Of STORIES Mn% OCC LOAD <br /> MECHANICAL �oc�i�ei� so 00 <br /> INVES7IGATION FEE J04(e) ��` �' <br /> rur�:� <br /> FIRE SPPINKLERS FEOUIRED ❑YFS CI NO STATE BUILDING SURCHARGE <br /> STATE ENEF7GY SURCHARGE <br /> �PPlIC4TION�CC �� PLANSCMECNED�Y �PPR FORISSWNCEDY <br /> DRIVEWAV PERAIIT <br /> S.H. 30 00 <br /> TOTAL <br /> _ PEPMIT VALIOATION <br /> WHEN PROPERLY VALIOATE�(IN THIS SPACE�THIS IS YOUR PERMIT <br /> �� <br /> � <br /> � <br /> L` <br /> � <br />