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`�� � C�NSTRUCTION �� <br /> everett PERMiT PERMITNQ � � �� � <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING � MECHANICAL 'O PLUMBING ❑ SIGN <br /> OWNEF MAILADDRESS CITY 21P PHONE <br /> Scott and Anastasia Smith 10721 Sth Ave. SE Everett, WA 9820E� 355-7836 <br /> ARCHITECTORDESIGNEF MIILADDRESS QTY ZIP PHONE <br /> 1 <br /> GENEflhLCONTRACTOR IdA�LA00RESS CITY ZIP PHONE LICENSE� <br /> MECHANICAL CONTPACTON MAIL AOORE55 CITY 2i� PHONE LILENSE• <br /> Owner <br /> PLUMBING CONTPPCTOR MAIL A�ORESS CITY ZIP PMONE LICENSE• <br /> CLASS Oi WOPK <br /> ❑ NEW O ADDITION ❑ ALTERATION ❑ HEPAIfl ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WOPN <br /> $ <br /> OESCRIBE WORN <br /> Ins'_all woodstove ___ <br /> MEAT SOURC. <br /> �] ELECiRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PHOi'USED USE OF BUILOING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED l'HIS <br /> Sinqle F APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRlDESCRIPiIONOrPROPERTVISHOW�ELOWOfi�TTACMfOURCOPI[5� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT__BLOCK _OF GOVERNING THIS TYPE OF WORK WII.L 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 CONSTAUCTION. <br /> JOP nU0NES5 SiGNATURE OF CONTRFCTOR.FUTIIORIZEU AGENT.OR OWNER �/ry�TE <br /> X � <br /> PLUMBING MECHANICAL <br /> NO, TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS—HP. <br /> BATHTUB �EfHIGERATION UNITS—H.fl EA. <br /> LAVATORV(WASH BASIN) BOILERS—B.T.0/H.P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCMEN SINK 8 DISP. PORCED AIR SYSTEMS—BS.U. M EA <br /> DISHWASHER WALLHEATERS—BT.U. M <br /> LAUNDRYTRAY UNITHEAiERS—B.T.U. M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOF DRAIN RANGE HOOD <br /> BACKFLOW PREVENTF_RS WATER HEATER � <br /> ROOFDflAINS—RAINLEADERS 'y' WOODSTOVE <br /> SINK�SERVICE—BAR,ETC.� METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> f AS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PEflMIT f PERMIT <br /> TOTALFEE f TOTAIFEE <br /> fRONr SETBncK NEnR SEtOnCR SIOE SET9ACK PLAN CHECK NUMBER FEG RECEIPT NO. <br /> USEZONE LOTAREA yqC/NTSITE <br /> pres ❑r+o FEES VALUATION FEE <br /> TVPEOFCONST OCCUPANCYGROIIP NOOFOWELIINGUNRS E3UILOING S <br /> PLUMBING <br /> SIZE OF BLOG NO OF STORI'c5 ti��%�OCG LOAD <br /> MECHANICAL 30 00 <br /> INVESTIGATION FEE Sec.304(e) <br /> FIqE SPRINNLE.^.S REOUIRED ❑VES ❑NO <br /> STqTE PUILUING SURCHARGE <br /> STATEENERGI'SURCHARGE <br /> APPLICATIONACC BV PLANSCHECKEDOY APPq FOBISSUANLEBY . <br /> DRIVEWAV PERMIT <br /> S.H. TOTAL 30 00 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> Q� <br /> �1 <br /> �` <br /> Q� <br /> ♦� <br /> A[JDRiSS FILE � <br />