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i <br /> �,,����� I <br /> ��ry�F � C-1NSTRUCTION , <br /> e�erett PERI+�IT PERAAITNO. � �� �� � <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I�I MECHANICAL ❑ PLUM6ING ❑ SIGN <br /> OWN[R �+•/+il AO�RESS CITY ZIP PHONE <br /> Sharon Hall & Diichael Fo�uler 720 47th Street Everett 98203 258-2797 <br /> ARCMRECTORDESIGNER MAlLA00RE55 CiT1' ZiP PHGNE <br /> GENERALCONTRACTOR MARAODPE55 CITY ZIP PHONE LICENSE• <br /> MEC�i4NtCAL CONTRACTOR 61AIL ADDRE55 CItY ZIP PHONE UCENSE M I <br /> oorner <br /> PWMBINGCONTFAGTOR 61FILAD�RESS CRV ZiP PIIONE LICENSEM i <br /> CLASS OF Y:ORK I � <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIJN ❑ BUILDING RELOCATION i <br /> VPWATION OF WORK . <br /> S <br /> LESCqIBE WORN __ ' <br /> Install P:_replace Insert <br /> Nenr so��nce � <br /> ❑ ELECTRICITV ❑ GAS � WOODSTOVE ❑ OTHFR � <br /> PROPOSED USE OF 4J::UING I <br /> — ;rH I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS I <br /> APPLICATION r.ND KNOW THE SAME TO BE TRUE AND <br /> _�cn�oe5caivnoNOFanorearvisnowee�owoanTracNwuacovies� CORRECT. ALL PROVISIONS OF I_AWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> LOT�OLOCK �� OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO I <br /> VIOLATE 7R CANCEL THE PROVISIONS OF ANY OTHER � <br /> STATE t�R LOC.4L LAW REGULATING CONSTRUCTION OR '��, <br /> TH�FORMANCE OF CONSTRUCTION. <br /> JO�ADDRESS SIG TU OP�ONTPACTOB�UTH 12E� T,OR OWNER D4iE <br /> 720 47th Street S.E. X ' � ra�� <br /> PLUMBING MECHANICAL i <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� H/C—A/HNDLG UNITS—H.P. <br /> BATHTU6 REFRIGERATION UNITS—H.P.EA. <br /> IAVATORY�WASH BASIN) BOILERS—8SL/H.P. <br /> SHOWEH GAS FIRE�A�C.UNITS—B.T.U. I <br /> NITCHEN SINK 8 OISP. FORCED.\IR SVSTEMS—B T.U. M EA. � <br /> DISMWASHER t1NLL MEATERS--E3SL. M � <br /> LAUNDPV TRAV VNIT HEATERS— BS.U. M II <br /> CLOTHES WASHEF EV�POf7ATNE COOLER$ <br /> URINAL CLOTHESDRYERS I <br /> ORINKING FOUNTAIN VENTILATION FPN <br /> FLOOR DRAIN _ RANGE NOOC I <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF ORAINS—RAINLEA�ERS WOOD STOV"t II <br /> SINK(SEHVICE—BAR.ETC) METAL FIqEPLACE 8 CHIMNEY I <br /> 1 FIREPLACE INSERT 3O OO <br /> HEAT PUMP � <br /> GAS PIPING <br /> EkHAUSTFAN <br /> sue rorn� f SUB TOTAL 3O 00 _ <br /> PERh11T S PEflM1T <br /> TOTALFEE f TOTALFEE 5 3O OO � <br /> Fa0r�r5ETBACK �EnR5ET6nCK 5ioE5EiBnCK pLANCHECKNUM9ER !�E! RECEIPTNO. I <br /> _ I <br /> U9E20NE �OT�REA yqCNNT5ITE <br /> ❑ves ❑No FEES VALUATION FEE <br /> TYPEOFCONST. OCCIIPANCYGFOUP NOOFOWELLINGUNITS BUILDING S I <br /> PWMBING I <br /> SQE OF BLDG NO OF STOPIES !dA% OCC 1.OA0 � <br /> MECHANICAL 30 00 <br /> INVESTIGATION FEE Sec.304(e) �' <br /> fIRE SPRINKLERS iiEOUIflED I-I YES ❑NO � <br /> STATE BUILDING SURCHARGE ' <br /> STATEENERGVSURCHARGE <br /> nPPIICI.iIONACCOY PLANSCMECNEO�Y �PPRFORISSUANCEOY <br /> DRIVEWAY PERMIT � <br /> — � <br /> TOTAL 30 00 '', <br /> PERMIT VALIDATION ' <br /> \YHEN PROPEflLY VALIOATED pN THIS SPACE)THIS IS VOUR PERMIT <br /> � � <br /> N I <br /> O� <br /> 00 <br /> r— <br /> I <br />