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I ( <br /> the Euergrecn . /" 7��-�R U CT I O IV <br /> ��rY oF � <br /> everett PE lR M i�' PERMIT NO. � 7 O 5 't <br /> z5y - s�45 <br /> ❑ DEMOLITION ❑ COM9INATION ❑ BUILDING ❑ MECHANICAL C$ PLUMBING ❑ SIGN <br /> ow�ver� nmi�nooness cirv zir aHONe <br /> Mark Weber 3617 Mukilteo Blvd. Everett, WA 98203 3$fix�� 355-5714 <br /> ARCHITECtOB0E51GNEF MAILApDRE55 CITV ZIP PIIONE <br /> GBNEFRI,WNTRACTOR ld41LAD�PE55 CITY ZIP PMONE LIC[�L`[o <br /> MECHANIC�L CONTBACiOR R1AIL ADOPESS CIiY ZIP PHONE JCENS[u <br /> PWA181NGWNTRACrOli M4tL�DDR[SS CITY ZIP PHpNE JLENSE• <br /> C1A55 OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ riEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VPLUATION OF WOfIN <br /> $ <br /> OESCRIBE WORH . <br /> Additional plumUing <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF pUIL01NG <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMIVED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> l[GALDESCRIPTIONOFPPOPEFTY�SNOWpELOWOIFTTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or_o�ocK _ or GOVERNING THIS TYPE OF WORK WILL 6E COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GliANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PHOVISIONS OF ANY OTHER <br /> STATE Oa LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUC710N. <br /> J09�D�RE55 L SiGNATIl�iE OF CONTqACTJfi.�UTHOiiIZEp nGENT R OV/NEII D�TE <br /> �8H8xxx3Hkkxic 8909 - lOth S� X ���(�� ( J ,�,�. 8/22/86 <br /> PLUMBING MECHANICAL <br /> NO. TYPC OF FIXTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET�TOILET� 5 Q(� A'C—A�HNDLG UNITS—HP. <br /> BATHiU� REFFIGERATION UNITS--HP EA. <br /> ], LAVATORY(WASH BASIN) j Q� BOILERS—B T.0 MP. <br /> ], SHOWER S OO GAS FIRED AG UNITS—B T.U. <br /> KITCHEN SINK 8 DISP. FOHCED AIR SYSTEMS—BS.U. M EA <br /> DISHWASHER WALL HEATERS—B.T.0 M <br /> LAUN�RV TRAV UNIT HEATERS--0 T.U. M <br /> CLOTHE$WASHEfi EVAPORATIVE COOLERS <br /> URINA� CLOTHESDRVERS <br /> �RINKING FOUNTAIN VENTIL.4TION FnN . <br /> FLOOR DRAIN RANGE HOOD , <br /> �ACKFLOW PREVENTERS WATER HEATER � <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> _ SINK(SEFiVIC[—BAfl.ETC) METAL FIREPLACE 8 CHIMNEV i <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S ].S OO SUBTOTAL <br /> PERMIT S PERMIT 1 <br /> TOTAIFEE = TOTA�.F�E��p� -.� n��:'riN�^� :k::�.�.�'e , <br /> FRONr SETenCK f�Ene SETenCK sioE SETnACK PLAN CHECK NUM110[R FEE RECEIPT NO. � <br /> f <br /> nL'Jt)1(�74 <br /> USEZONE LOTAqEA <br /> VAC4NTSRE FEES �I'� L�U'ATION ' ��'� FEE <br /> ❑ves or�o <br /> � t.Lt. T .�.U' <br /> 'YTCJGWNST OCCUPANCYGROIIP NOOFOWEILINGUNRS �UILDING S <br /> PLUM�ING ].S OO <br /> SIZEOFBLDG NOOFSTORi[5 MA%.00ClO�D _. <br /> MECFIANICAL <br /> INVESTIGATION FEE Sec.304�e) <br /> FIRE SPRINKLERS REOUIRED ❑VES ❑ND <br /> STATE BUILDING SURCHARGE <br /> STATE ENERGY SUHCHAfiGE <br /> MPUC4�IONACCpV PLAtSC11EGKFf)BY APpRPORI55UANCE9Y <br /> DRIVEWAY PERMIT <br /> M.M. TOTAL 15 00 <br /> — PERMIT VAIIDATION <br /> WHEN PROPEHLV VALIDATED�W THIS SPACE)THI5151'OUfi PEF�MIT <br /> �� <br /> �� <br /> �� <br /> C` <br />