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the Eoergreen <br /> ��TYOF - �71NSTRUCTION <br /> everett �ERMIT PERMITNQ:: �� �J�, I <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBf'IATION ❑ BUILDING � MECHAN�CAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAiLA�URE55 CITY ZiP PMONE <br /> L9illis Runquist 920 — 45th St. SW Everett, WA 98203 252-6972 <br /> ApCHITECTOR0E51GNER MAiLA0DRE55 GTY ZIP PNONE <br /> GENEPfLCONTPACTOR MhILApDRESS C�TY ZIP PHONE CCENSE• <br /> Owner <br /> MECHANICALCONTiiALTOR MqILA�DRESS CITY 21P PHONE LIGENSE� <br /> PLUMBINGWNTRACTOR M1IAILFDDRE55 CRY .21i' PHONE UCENSE+ <br /> I <br /> CLFSS OF WORK i <br /> ❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION ' <br /> VALUATION OF WOPK � <br /> S I <br /> DESCRIBE WORN ' <br /> Wood stove installation � <br /> NE�T SouRCE � <br /> ❑ ELECTRICITY ❑ GAS ❑ WOOOSTOVE ❑ OTHEH <br /> PROFOSED USE Of OUILOING � <br /> Single family residence I HEREBY CERTIFV THAT I HAVE R�AD AND EXAMINED THIS � <br /> APPLICATION AND KNOW THE SPME TO BE TRUE AND <br /> �ecn�oescaianoNOFanoaearrisNawoe�owoRnrrnc�+rouacoaies� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or__o�ack _ oF 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 /> THE PERFORMANCE OF CONSTRUCTIQN. , <br /> J011�D9i1E55 SIGhAtl1RE OF CONTRr1CTOR /.UTNORI AGENT.OR OWNER OATE <br /> 42J 95th St SW X ��z �� � 1�24�89 i <br /> PL'JM81NG MECHANICAL I <br /> i <br /> NC�. TYPE OF FI%TURE OR ITEA7 FEE NO. TYPE CF EOL'IPMENT FEE <br /> WATER CLOSET(TOILEI) A�C—AMNOLG UNITS—H P. <br /> BATHTUB REFRIGEf7ATION UNITS--H.P.EA. <br /> LAVATORY(WASH BASIN� BOILERS—B T.UIHP. <br /> SHOWER GAS FlRED A C.UNITS--�.T.U. <br /> KITCHEN SINK 8 DISP. FORCE�nIR SVSTEMS—ASL M EA. � <br /> DISHWASHER WldL HEATER$—B T.U. M <br /> LAUN�RY TRAY UNIT HEATERS—B.T.U. M ' <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORVERS <br /> DNINKING FOUNTAIN VENTILATION F�N <br /> FLOOR ORAIN RANGE HOOD � '' <br /> BACKfLOW PREVENTERS WATE7H�ATER � <br /> ROOF ORAINS—RAINLEADERS WOOD STOVE O.00 �� <br /> SINN�SERVICE—BAR.ETC) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUh1P ' <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUO TOTAL S SUB TOTAL S 3O OO <br /> PERMIT S PERMIT — — � <br /> TOTALFEE S TOTALFEE iO OO '�, <br /> vnoNr SErBnCK aEnn serCaCK SiDE SETonCK PLAN CHECK Ni1MBER FEE RECEIPT NO. I <br /> USE ZONE LOT AfiEA yqCANT SITE <br /> ❑vEs ❑no FEES N'7: 0�199 :k:K:k:k <br /> TYPcOFCONST OCCUFANCVGROUP NO.OFDWELUNGUNITS �UILDING S � <br /> ��— <br /> PLUMBING �SECH S� O.00 <br /> SiZEOFOLDG NO.OFSTORIES MA% OCCLOAD <br /> MECFIANICAL CHECf� S� O.OD 30 OC I <br /> INVESTIGATION FEE Sec.304(e) '� <br /> FIRE SPRINKLERS REOUIflED ❑�ES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPUCATION ALC �Y FLANS CHECKED OY APPR FOR ISSI/ANCE BY <br /> DRIVEWAY PERMIT I <br /> M.M. TOTAL 3 00 i <br /> PERMIT VALIOATIOtI <br /> VJHEN PROPERLV VALIDATED�IN THIS SPACE)THIS IS YOUR PEfildlT <br /> L` I <br /> �� <br /> Ln <br /> 4� <br /> �U <br /> . ,;:�����i-.,,. _ �� � <br />