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"e0 <br /> rlir Of1 C—INSTRUCTION <br /> everett PERMIT PERMIT No. 20626 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION ] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAL ADDRESS CITY ZIP RHONE <br /> Michael S. Palmer 2119 61st Everett, 98203 355-1726 <br /> ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br /> GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE. <br /> Owner <br /> MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP RHONE LICENSE. <br /> PLUMBING CONTRACTOR MAIL ADDRESS CITY ZIP RHONE LICENSE. <br /> CLASS OF WORK <br /> ❑ NEW I7 ADDITION ❑ ALTERATION REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION WORK - <br /> s 800.00 <br /> DESCRIBE WORK <br /> Install new roof. <br /> HEAT SOURCE <br /> ❑ ELECTRICITY ❑ OAS ❑ WOOOBTOVC ❑ OTHER <br /> PROPOSED USE OF BUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGAL DESCRIPTION OF PROPERTY,SNOW BELOW OR ATTACH FOUR CORES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT—BLOCK —OF_ 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 LOCA LA R TING CONSTRUCTION OR <br /> THE PERFOR Al O NST TION. <br /> JOB ADDRESS SIG FCO RACI AU H ICED .OR OWNER DATE <br /> 2119 61st X I <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AIC—A/HNDLG UNITS—H P. <br /> BATHTUB REFRIGERATION UNITS—HP,EA. <br /> LAVATORY(WASH BASIN) BOILERS—B T U/HP. <br /> SHOWER GAS FIRED A C. UNITS—B T <br /> KITCHEN SINK B DISP. FORCED AIR SYSTEMS—B.T.U. M[A <br /> DISHWASHER WALL HEATERS—B.T.U. M <br /> LAUNORYTRAY UNIT HEATERS—BT.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR.ETC.) METAL FIREPLACE&CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL s suans/88 b,1201 MMKI954 #### <br /> PERMIT 3 PERMIT / <br /> TOTALFEE Z TOTFY�F� <br /> FPON TRACK HEAR SETBACK SIDE SETBACK PIAN CHECK NUMBER OEJN :4 R IPT NO <br /> B SRCH t .50 <br /> USEZONE LOT AREA VACANT SITE FEES ATION 1.50FEE <br /> OYES ONO <br /> TYPE OF CONST OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING $800.0021 Da— <br /> PLUMBING <br /> SIZE OF 6100 NO OF STORIES MAX DEC LOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sx JOa1P1 <br /> -IRE SPRINKLERS REQUIRED DYES ONO <br /> STATE BUILDING SURCHARGE <br /> STATE ENER1Y SURCHARGE _ <br /> APPLICATION ACG BY PLANS CHECKED BY APPTI FOR ISSUANCE BY <br /> DRIVEWAY PERMIT <br /> S.H. I TOTAL 24 50 <br /> PERMIT VALIOATION <br /> WHEN PROPERLY VALIDATED DN THIS SPACE)THIS IS YOUR PERMIT CD <br /> N <br /> Co <br /> O <br /> N <br /> � Al]�RE55 FILE <br />