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'�� '�' �NSTRUCTION ' .- p <br />everett r PERMIT PERMITNQ =� o�T� <br />� ��I-B�C� <br />❑ DEMOLITION ❑ COMBINATION C3 BUILDING ❑ MECHANICAI. ❑ PLUMBING ❑ SIGN <br />OWMER MnILADDNESS CIT�i� ZiP PM`�YE <br />Sorenson 1311 52nd St. Evere�t 98203 252-6544 <br />ARCHITEGTOHDESIGNER MAILPODRE55 GITY ZIP PNONE <br />GENEN�LCONTN1CTOfl MAILADDRE55 CITY 21P PHONE LICEIISEN <br />Owner <br />MEGNANICM.CONTRACTOR MIIILAOORESC CITY 21P PHONE LIGENSE� <br />PLUMBIN�CONTflnCTON MAILADORE55 CITY 21P �ONE LICENSE� <br />CLASS OF WUMR <br />O NEW ❑ ADDITION ❑ ALTERATION f3 REPAIN ❑ DEMOLITION ❑ BUILDINI; RELOCATION <br />VALU�TION OF WORK <br />t �J�O.�� <br />Peroof Garage <br />iEl1T SOURCE <br />❑ EIECTRICITY ❑ GAS <br />�IiOVOSED USE OF BUILUING <br />Garage <br />LEO�L OESCflIPTION OF PpOPERTY (SMOW BELOW OR Ai <br />LOT �_ BLOCK � OF <br />JOBAD�RESS <br />1311 52nd St. <br />PLUMBING <br />NO. TYPE OF FI%TURE OH ITEM <br />WATER CLOSET (TOILET) <br />BATNTUB <br />LAVATURY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�RYTRAV <br />CLOTMES WASHER <br />URINAL <br />DRINKING r01 <br />FLOOR DRAIN <br />DRAINS — RAINLEAOE <br />SERVICE — BAH. ETC.) <br />TVPE OF CONST. <br />aCC BY <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOtALFEE <br />FLRNS <br />D WOODSTOVE <br />FEE <br />S <br />VRCANT SITE <br />❑YES ❑NO <br />NO. OF DN'ELLI <br />APPfi <br />BY <br />U OTMER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE CR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEqFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTRACTOfl. AUTHOR� AGENT, OR OWNER OATE <br />� � - / . �" i <br />X �Y /�• _ �' _ . �v-L�-I.�W..i.��. <br />MECHANICAL <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FnqGEn AIR SYSTEMS — B.TL. M EA. <br />WALL HEATEFlS — B.T.U. M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVE COOLERu <br />CLO7HESDRVERS <br />VENTILATION FAN <br />RANGEHOO� <br />WATER HEATER • <br />WOOD S70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUfl TOTAL <br />PERMIT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PEFiM1T <br />TOTAL <br />$ 500.00 <br />o�aoiie r <br />EL'J�i <br />FEE <br />15 �� <br />OOORN547Z C.f:l:k <br />1 5� <br />16 50 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />AL�DRESS FILE <br />