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"1e `ONSTRUCTION * G c <br /> everett PERMIT PERMIT NO. 17536 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Q MECHANICAL ❑ PLUIVBING ❑ SIGN <br /> OWNER MAIL ADDRESS CITY ZIP PHONE <br /> Roy C. Snowden 111 - 79th PI SE Everett, WA 98203 355-9847 _ <br /> AIICHITECTORDESIGNER MAIL ADDRESS CITY 7W P110NE <br /> GENERAL CONTRACTOR MAIL ADDRESS CTY lll` MIONE UCEN 3E. <br /> MECHANICAL CONTRACTOR <br /> MAIL ADDRESS CITY ZIP IMIONE LICENSE. <br /> PLUMBING CONTRACTOR <br /> MAIL ADDRESS CITY ZIP PHONE IICFNSL. <br /> CLASS OF WORK <br /> [3 NEW C1 ADDITION El ALTERATION O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> S <br /> DESCRIBE WORN <br /> Installing a fireplace insert <br /> HEAT',OURCF <br /> CI ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ 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 ISHOW BELOW OR ATAON FOUR COPIES) 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 LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB AOORR9 SIGNATURE OF CONTRACTOR.AUTHORI D AGENT,On OWNER DATE <br /> 111 - 79th P1 SE x p,��, 12/8/86 <br /> PLUMBING MECHA ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT <br /> FEE <br /> WATER CLOSET(TOILET) A/C-AMNOLG UNITS-H.P. <br /> REFRIGERATION UNITS-H P.EA <br /> BATHTUB <br /> LAVATORY(WASH BASINI BOILERS-BTU <br /> M P. <br /> GAS FIRED A C.UNITS-B.T U <br /> SHOWER <br /> KITCHEN SINK BD ISP. FORCED AIR SYSTEMS-6TU MEA <br /> WALLHEATERS-BT.U. LI <br /> DISHWASHER <br /> T.0 <br /> LAUNDRY TRAY <br /> UNIT HEATERS-B. . M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> CLOTHES DRYERS <br /> URINAL <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> RANGE MOOD - <br /> FLOOR DRAIN <br /> BACKFLOW PREVENTERS WATER NEATER <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR.ETC I METAL FIREPLACE d CHIMNEY <br /> FIREPLACE INSERT 30_ no <br /> HEAT PUMP <br /> OAS PIPING <br /> EKHAUSTFAN <br /> BUB TOTAL S BUB TOTAL <br /> in of) <br /> PERMIT S PERMIT - <br /> TOTALFEE f TOTALFEE <br /> RECEIPT NO. <br /> FRONT SETBACK REAn BETBACK SIDE SETBACK PLAN CHECK NUMBER FEE <br /> USEZONE LOT AREA VACANT SITE FEES VALUATION FEE <br /> ❑YES ONO <br /> TYPE OF CONST <br /> OCCUPANCY GROUP NO OF DWELLING UNITS BUILDING $ <br /> PLUMBING <br /> SIZE OF BLDG NO OF STORIES MAX OCC LOAD <br /> MECHANICAL <br /> INVESTIGATION FEE Sec.304(e) <br /> FIRE SPRINKLERS REQUIRED YES NO STATE BUILDINGS RCHARGE <br /> STATE ENERGY SURCHARGE #00017536 <br /> APPLICATION ACC BYPLANS OHEOKED Br APPR FOR ISSUANCE BY DRIVEWAY PERMIT <br /> TOTAL 30 00 <br /> M.M. <br /> PERMIT VALIDATION CIO <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> cy'.) <br /> L17 <br /> L` <br /> r <br /> ADDRL55 I ILC <br />