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� <br /> `�� �'' C�NSTRUC�ION -�-� �'` <br /> everett PER�MlT PERMITNQ:= �o�� � <br /> 259 -8745 <br /> ❑ DEMOLITIUN ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAOURESS CITY ZIP PMONE <br /> Ronert E. AloQmbrack 5009 23rd Ave. W. Everett 96203 �SS-17Fi4 <br /> ARCHITEGT OR OESIGNER MAIL qDDHE55 CITY ZIP PHONE <br /> GENERAI CONiRACTOR MAIL A�DRESS CITY ZIP PHONE LICENSE� <br /> MEC!IANICALCONTP.ICTOR MAILADDRE55 CITY 21P PHONE LILENSEr <br /> Valley Nat. Gas 2605 McDouqal Everett 96201 259-5492 vaTrFNr.is�r.r <br /> PLUMBING CONTRACTOR MAIL PDORE55 CITY 21P PHONE �ILENSE• <br /> CLASS OF WOFK <br /> O NEW ❑ AD7ITION GAl ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILOING R@LOCATICN <br /> VALUATION OF WORK <br /> s <br /> OESCRIBE WOPN <br /> Install furnace and XW( water heater. _ <br /> HEAT SOURCE <br /> ❑ ELECTHICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PflOPO5E0 USE OF BUILDING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br /> SFR APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL�ESCRIPTIONOFPflOPERTY�SMOWpELOWORATTACHFOURCOPIES� CORRECT. ALL PROVISIUNS OF LAWS AND ORDINANCES <br /> �or_e�ocK _��_. GOVERNING THIS TYPE OF WORK WILL BE COMPUED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PFRMIT DOES NOT PRESUME 7"O GIVE AUTHORITY TO <br /> � VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> T,iE PERFORMANCE OF CONSTRUCTION. <br /> JOEAODRESS SIGNA RE�°� /p TRACTOR. UTHO AGEN�T.O�5OWNE L`ATEf <br /> 5009 23rd Ave. W. X l!✓�'" � �i'Y� 9—.riL/— <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPM.'NT F�E <br /> WATEH CLGSET(TOILET) A/C—A/HNDLG UNIT5—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVA70RV(WASH t;ASIN� BOILERS—B.T.U.MP. <br /> SHOWER GASFIREDAC UNITS—B.T.U. <br /> KITCHEN&INK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> . DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUIJDRY TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVEAS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RAPIGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> � SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUPTOTAL f SUBTOTAL IS SO <br /> PERMIT S � PENM17 15 CO <br /> TOTAL FEE S � TOTAL FEE 3O SU <br /> FRONTSETBRCK REARSETBACN SIDESETO�CN PLANCHECRNl1MBER FFE/�+IoQ T: REGFJPJ.I�I�t �� �wo� <br /> Uy i �o � YI'I UUUH at •et� <br /> USEZONE ��TApEA 'JACANTSITE / <br /> ❑ves ❑r+o FEES FEE <br /> TYPEOFCONST. OLCUPANCYGROUP NOOFDWE�LINGUNITS BUILDING �CH $ <br /> PLUMBING <br /> SIZEOfBLDG. NO.OFSTOPIES MAX.00CIOAD � <br /> MECHhNICAL 3O 5O <br /> INVESTIGATION FEE Sec.304(e) <br /> FI�E SPRINKLERS REOUIRF� ❑VES i]NO <br /> STA7E BUILDING SURCHPAGE <br /> STATEENERCaYSURCHARGE <br /> APPi.ICATIONACC DY PLANSCHECNED�V ��PR FORISSUANCEBV �— <br /> DRIVEWAY PERMIT <br /> L_ <br /> S.H. TOTAL 30 50 <br /> • PEPMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�!N THIS SPACE�TNIS�b VLUN PERM�T I <br /> Q� <br /> L`• I <br /> � <br /> 0 <br /> N � <br /> k�DRESS i iLE I <br /> / <br />