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`�� � ('�NSTRUCTION � �� - p A <br /> everett PERMIT PERMITNQ'=� o�`�� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> pyyNEp MAILAODPE55 CITY ZIP PMONE <br /> Cl�uxch of Divine Man 2402 Summit Ave. Everett �8201 8883[Z�ttfl 258-1449 <br /> �Rp11TECTOP�E5IGNER MRILAU�RESS CITY 21P PHONE <br /> GENEMLCONTMCTOR MAIIADOPE55 CITY 21P PHONE LICENSEI' <br /> Church of Divine Man <br /> MEGHANICALCONTR�CTOR MRILADORE55 � ��TY Z�O PMONE LICENSE• <br /> PLUAIBINGLONTIiACTON MRILAOORE55 CI`Y ZIP PMONE LICENSE� <br /> ClAS50F WORI( <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION &l REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VFLUATION OF WOHK <br /> ' �E3�fx ieoo.00 <br /> DESCRIBE WORN <br /> Raroof <br /> NEATSOURGE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PflOPOSED USE OF BUILDING <br /> Single fam:ly residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALOESCNIVTIONGFMiOPERTYISHOWBELOWORATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCI( _ OF WHETHER SPECIFIED HEREIN OF 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 I <br /> THE PERFORMANCE OF CONSTRUCTION. , <br /> JOB AODRESS SIGNATURE OF CONTRACTOR,AUTHORRE AGENT,Oq OWNER DNi E �i <br /> 3418 24th Ave. X <br /> PLUMBING MEC NI AL <br /> NO. TYPE OF FIXTUHE ON ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—H.P. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV(WASH BASIN) BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCMEN SINK 8 DISP. FORCED AIR SYSTEMS—BS.U. M EA. <br /> DISHWASlIER WALLHEATERS—B.T.U. M <br /> LAUNDRVTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN ��ENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PERMIT S PERMIT <br /> TOTALFEE f TOTALFEE <br /> FRONT SETBPCN REAR SETBIICK SIDE SETBACK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USI:20NE IOTAflEA ypCANi51TE <br /> ❑YES ❑No FEES VALUATION FEE <br /> T1'FEOFCONST. OCCUPANf.YGROUP NO.OFDWEILINGUNITS BUILDMG $ SBOO.00 <br /> PLUMBING <br /> SIZEOFBLOG NO.OFSTORIES MF%.00G.LOAD . <br /> MECHANICAL �1��1E�/vY i7�:la�f O�UA�EGGHB ����k�b: <br /> INVESTIGATION FEE ���`���{�el; <br /> FIRE SPRINKLERS RE�UIRED VES ❑NO STATE BUILDING SURCHARGE �"-�� "'-'���" <br /> STATE ENERGY SURCHARGE i,�{�Lf( S��i�.:.�1� <br /> APPLICATIONACC.BY PLANSGHEGNEDBY APPF.FORISSUANCEBY <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL 44 50 <br /> PEflMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN THIS SPACE)THI515 VOUR PERMIT <br /> M <br /> � <br /> G� <br /> GO <br /> � <br /> ADDRESS FILE <br />