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fhe F.t wrgreen � <br /> �", °° ` GONSTRUCTION <br /> everett P�RMIT PERMITNQ: _ 19067 <br /> �w�M� as9-�eio <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDIN6 ❑ MECHANICAL ❑ PLUMBINO O SION <br /> owr+En unn eonn[ss r:irv rm <br /> PHONE <br /> Eugene Machan 1427 100th St S•7 Sp 163 Everett WA 98204 347 0356 <br /> • C iECTONpE50NER M i111OpBE55 �rtV ZIP PNONF <br /> CENEN�I CONTR�CTO� M�IL��ORE55 <br /> Cliv Iln %IpNE IICENSE• <br /> same <br /> NECN�NiGI CONiq�CTpq MMl��ARE54 CiTv Iin fMONE �If,ENSE• <br /> PLUM9ING CONTR�CTOR MI11L�DOIIESS f,ITY (IP PNONE �ICENSE� <br /> CLI15$Of WORM <br /> ❑ NEW �1 ADDITION ❑ ALTERATION ❑ pEPAIq ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�L W 110N O�WONN <br /> f 2500. 00 <br /> DESCRiflE WOnn <br /> Bulld 10' x18 ' deck and B' x10 ' ehed. <br /> ne�rsounce <br /> ❑ ELECTRICITY ❑ pA8 ❑ WOOD6TOVE ❑ OTHER <br /> PROVOSEO USE Jf BU�lO�NG <br /> Residence I HEFEBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> iec��oescnirnoNorrworeqrrisr�ownewwon�rr�cr.rounrncies APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCES <br /> �oT 163ai�x � n� Fairwa Eetates GOVERNVNG THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEHEIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PHOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REG�!IATING CONSTRUCTION OR <br /> THE HFORMANCE OFCUNSTRUCTION <br /> JOB�Dp1E59 SI❑ !U .O�SON�MCTOR�UII�OIap1OqC.ENTi(1R(IWNEP pnfC <br /> % / <br /> 6 <br /> PLUMBINQ MECHANI <br /> NO. TYVE Of FIXTI1qE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� A C —A�HNDLG UVITS M P <br /> BATHTUB REFRIGEqAT10N UNITS N P EA <br /> LRVATORY�WASH BASIN) AOILERS A T U 'H P <br /> SMOWER GRS FIAF.�A C UNIiS- A i U <br /> kITCHEN SINN 6 nISP iORCED AIR SYSTEMS A T U M EA <br /> D'.aMWASHEN Wq�� HEATERS �T U M <br /> _ IAUNORV TF�Y UNIT HEAiERS A T�l �.1 <br /> CLOTHES WASHER EVAPORAtWE COOLERS <br /> URINAI. CLOTHFS DRVERS <br /> DFINR W G FOUNI AIN VENTII.ATION f AN <br /> fLOON DRAIN RANGEIIOOD <br /> BACKFLOW PREVENTERS WATERNEATER � <br /> ROOFDRAINS� RAINLEADEAS WOODSiOVE <br /> SINN�SERVICE - BAH.ETC� METAL FIREPI.ACE 6 CMIMNEV <br /> FIREPIArEINSEfiT <br /> MEAT Pl1MP <br /> GAS PIPWG <br /> ENHAUST FAN <br /> 8U!�OTAL { <br /> BUB TOTAL <br /> PEPMIT s <br /> PERMI7 <br /> TOTALFEE i TOT�LFEE <br /> iRONT SETB�C• qE�n SE*NeCe �;i�E SE*Pnf x PLAN CMECk NUMBER FF.E RECEIPT NO <br /> 87/19067 35 . 10 93714 <br /> U9C tONE LOi 1RE� <br /> VI1C�Ni SItE <br /> CI ves g�o FEEB VALUATION FEE <br /> rrveovcor�s* or.Lua�HcrGaour r�oornwe�uNc�Nne BUILDWG a2500. 00 54 00 <br /> V—N M-1 � P�UMOING <br /> S�IF O�Al DG Np Of STO�iES 1.us OCC I O�D <br /> N/A 1 N/A MECHANICAI. <br /> INVESTIGAiION FEE 9e[ �IN�e) <br /> FIRE SPRINMI@RS REOUIRED ❑YES [�NO <br /> STATE BVILDING SURCHARGE 3 S O <br /> STATEENERUVSURCHARGE <br /> ♦PRIGIION�f,fpV PUNSCHECNEOAV ♦PPRiURItiSUPNfEOY <br /> ORIVEWAY PERMI7 <br /> M.M. B. E. L. C. TOTAL 57 50 <br /> PERMIT VALIOATION <br /> WMEN PqOPERLY VALIDATED�IN iM�35PACE�TNIS IS YOUR PEHMIT <br /> C� <br /> �� <br /> � <br /> Q7 <br /> r� <br /> _ ' '�'.1.. ! , <br />