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� ,�Il,i�;,,r� � <br /> everett C'INSTRUCTION . <br /> 259 - 8745 PERMIT PERMITNQ= � �J�J <br /> O DEMOLITION ❑ COIABINATION ❑ BUIl01NG Ll MECHANICAL &7 PLUMBIN6 ❑ SIGN <br /> ONMER p1All�f)IME55 Ib�V DP VMONC <br /> William Herivel 1421 100th St. SW Everett, WA 98204 <br /> �ncMirccrnnnc;irr�en uui nnuncss arr <br /> 1m nnoNE <br /> f.ENFR�L CONTR�CT011 M�R qDpqftiti (;iTv 21P (MONE LICF.NSE• <br /> Gregerson's Homes 23930 Hwy 99 Edmonds, WA 9R020 776-0101 GREGESH2O5R9 <br /> MECN�N�C�ICONiR,1CtOR 1Aql eppBFtiti —" fi�v IIP PHONE <br /> IICENSE• <br /> VWM9INGCONTR�CTOR MM� �ppqL55 f.liv ZIP PHONE <br /> UCENSE• <br /> CUSS Oi W(MK <br /> `CI NEW ❑ ADOITION ❑ ALTERATION ❑ REPAIR [] DEMOLITION [] BUILCINO RELOCATION <br /> V�IV/.TIONO!WO�II( <br /> f <br /> OFSCRIBE WORIc <br /> Plumbing for mobile home <br /> NE�TSOURCE <br /> ❑ ELECTRICITY ❑ OAS ❑ WOODBTOVE ❑ OTHER <br /> PNOPOSED USE O.Buil OMG <br /> Single family residence I HEREBY CEFTIFV THAT I HAVE READ AND EXPMINED THIS <br /> ieo�—Cnescn�vnor�orrnor�nrrisHowneinwoi�errnc��rounr,or�e:i APPLICA710N AND KNOW THF SAME TO BE TqUE AND <br /> Fairway Estates CORRECT ALL PROVISIONS OF LAWS AND ORDINANCER <br /> �m 125 e:a:e _ ov GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINO OF H <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV 70 <br /> VIOLATE OR C.�NCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION Oq <br /> THE PER��ANCE OF CONSTRU TIO . <br /> �on�ooness sir,Hnrune �inanron nun�o� e an , vea onie <br /> 1427 100th St. SW Sp. 125 X ,�,,,,� . <br /> PLUMBIN6 MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET�TOILET� q C A HNOLG l/N1T5 M P <br /> B�THTUB qEFRICEiiA710N UNITS N P ER <br /> LRVATOflY�WqSH BASIN) POIIF.RS � B T U M P <br /> SHOWER GAS�IRE�A C UNiiS- B 1 U <br /> NIT�. 1EN SINK 6 OISP FORCED AIR SVS7EMS - B T U M EA <br /> ` OISNWASNER WA��HEATERS B T U M <br /> UUNDHY TRqY UNIi HEATERS - B 7 U M <br /> CLOTHES WASMER EVAf`pR4TIVE COOIERS <br /> URINAL CLOiHES ORVERS <br /> ORINKING fOl1NTAIN VENTILATION FAN <br /> FLOOR ORAIN RANGE MOOD <br /> BACKFLOW PNEVENTERS WA�ER MEATEF � <br /> ROOF ORAINS - RAINLEADERS WOOD STOVE <br /> SINN�SENVICE -P�R ETC� METAL FIREPLACE 6 CHIMNEV <br /> FIqEPLACE INSERi <br /> HEAT PUMP <br /> OAS PIPING <br /> F1tNAU51 FAN <br /> !UlTOT�L � BUlTOTAL <br /> PERMIT { <br /> PEPMIT <br /> TOT11L FEE f TOT�L FEE <br /> vAON�SEiN�Ce nF�n sf rfmi e sme sEinnen PLqN CMECK NVAABER FEE RECEIPT NO <br /> uSE 20NE �.ni nnEe <br /> VAf,ANi 91TE <br /> tlres C1no FEE9 � 'VA' TION" � ` � - E '� ' <br /> TVPEOiCONSi Of.CUP�NCYOROUP NOOfOWEILMOUNIiS BUILDIN� s <br /> PWMBMG {�'LI'.I.� 4 i J.tl(1 lO O�i <br /> S�ZE Oi HLDG HO Of STORIES M�4 OCf, IO�D <br /> MECNANICA� IJ �il;� l: � <br /> — �� � <br /> INVESTIGATION FEE (�1�pp1�7�Oftp1 <br /> FIHE SPRINNLERS REOUIREO YES NO _ <br /> STA„-BUILDINGSURCHARGE � LI�- .6 . 4 <br /> STATE ENENGV SURCHAROE yLULF' °i ,I�,` <br /> eov�IC�T10R�cC flv vI�NS GHECNEDPv �nPq ipp�SSu�NCE Pv ' - <br /> DHIVEWAVPERMIT L - � .Ih' <br /> $•H• TOTAL <br /> 1� 0� <br /> — PERMIT VALIDIITION <br /> WMEN PROPERLV VALIDLfE��IN TMIS SPACF.�THIS IS YOUR PE'RMIT <br /> �..n <br /> M <br /> Q� <br /> N <br /> �--- <br /> � <br /> l <br />