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fhe•F.'vrry7r'Mm , - <br /> ��>> ��� � G�NSTRUCTION -� <br /> everett PERMIT PERMIT NO. 21 � �O <br /> 259 -8?45 <br /> ❑ DEMOLITION ❑ COMHINATION ❑ BUILDING �L MECHANICAL ❑ PLUMBING ❑ S�GN <br /> owHrn uaueuoncss cnr nr� rv�orvt <br /> Westwood Homes 621 Nighway C9C Lake Stevana 98258 334-7250 <br /> 1� encwrecr an rn sim¢n <br /> u�n nnnncss cirv t��� w�nr�c <br /> •T, � � . uui nonncss oir zir i+�or�c uc[�+,n ' <br /> ��� � u�nEn�i cor�innr,tiH� <br /> �y' y MLCIUMULGONiMC1UR 4�I1�[1011E55 CIIY SII' PNpNE IICFNSf• <br /> $dif10 <br /> ~ MPIL MfIqL'i5 C11Y LP Plli)Nf lIC[N:[• <br /> 1� 1'WMOINOGONOInf,i01� <br /> K n <br /> � � <br /> CU:S Oi WOfIM <br /> 'il h'1 '31 <br /> �y hl CC{NEW ❑ ADDITION U AL7ERATION ❑ REPAIR ❑ OEMOLITION ❑ Bl11LDIN6 REL A <br /> r <br /> vuuennH er woax <br /> O � f <br /> H <br /> �1-I otecnin[wone <br /> �� g Mechanical for new construction <br /> �• n ucetsuunc[ <br /> z y� ❑ ELECTHICITY ❑ GA5 ❑WOO�STOVE ❑ OTHER <br /> 9 anoroseouseo�ouunwc I HEREBY CERTIFY THAT 1 HAVE READ AND EXAIdINED THIS <br /> �y y y Single family home APPLIC4TION AND KNOW THE SI1ME TO BE TRUE AND <br /> O H tenaoescmm�oHor�movcmr„nowueiuwa�ar.nu�rouncorresi G7RRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> C)l7 V� q Gf)VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �'� r iar 5 oioc+ _.— or NHETHER SPEGFIED NEREIN OR NOT. THE GRANTING OF A <br /> y y PERMIT DOES NOT PRESUME TO GIVC- AUTHORITY TO <br /> H�� VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHEH <br /> STATE OR LUCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFQRMA�CE 6F CONSTRUCTION. <br /> SIGNAiI�RFfd�GM1��W ����� nun�o�y2Enacsrvt onow�+ n nnie <br /> �ounoorssss �y ��i <br /> !04 Barbara Lane X `z�- � � � � � ` <br /> . i <br /> PLUMBING MECHANICAL " <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WA1ER CLOSET�TOILET� A C -A NNDIG UNITS -H P _ <br /> BATMTUfI REFRIGEf1ATION UNITS-H P EA <br /> LAVATCRY IWASII�AS�NI �OILEPS-�T U-H P <br /> SHOWER GAS FlPEU A G UNITS--0 T ll <br /> NITCMEN SINN d�ISP VORCE�AIR SVSTEMS�-0 T U M EA <br /> OISHWASMEF WALL HEATERS -Il T U M <br /> �.. . L�UNORY TPAV UN17 HEATERS-.(i 1 U M <br /> C� CLOTMESWASHEB EVAPO�ATIVECOOLGnS <br /> � i UHINAL 1 c�on��sonrens 6 50_ <br /> � O��NNINGFOUNTAIN VENiIIAiIONFAN 4 SO <br /> 1 � <br /> FIOOR DRAIN RANGE/�00[l <br /> r_ WAIL�MEATER <br /> BAGKfLOW PREVENT[RS <br /> �S' POOFDRAINS- �A�NLEApERS WOOp:iTOVE <br /> . SINN�SERVICE-[3AR.E7C� MEiAL Hf1EPLACE d CMIMNEY <br /> � f IREf'LRCE INSERT <br /> I <br /> � �� HEAiPUMP <br /> _1 GAS PIP�NG <br /> � E%HAUSifAN <br /> ' SUB TOT�I f SUB TOTAL O � <br /> �I��' PEHMIT f PE �_ O <br /> 10T�LFEE S TOTALFEE Z6 OO <br /> �nOnisETnecx �rtn��sNlucn �,i•�in+nGK PLANCIIECKNU61fiER P�CH� �'• sZ RE�CEIPTNO <br /> � ��I�� U��� <br /> �� us6zor�F iorn�icn vni�np�;ut FEES ATION 9 FEE <br /> (Ivr� [I���> <br /> TYPEO�CONSt OGf.IIP�NqvG��OUV N001UWCLLiNGUNi1;� <br /> nu��o�Nc lt00021131 <br /> I � <br /> � �'LUM[iING <br /> __. SITEO�lILfHI NOOfJtORrtS M�*'OCCIOnU <br /> MECMANICAL �� S1 .00 2 OO <br /> INVESTIGATIONFEE rc.�'04�c� <br /> FlRE SPPINKLERS FEOUIREO I-1 YES f�NO — STATf BUILOING SURCHARGE <br /> STAtEENERGYSURCMnR,[ <br /> qrrucnriaN�fC or Mn16f.MECRfUOv nl'r�l rOniSSllnq�] i�� <br /> DRIVF WAY Pf:RMIT <br /> M.M. TOTAL 2 00 <br /> — PENMIT VALIO�TION <br /> Y01FNPf10PC111AVMif�nlCDtl�JT�u55P�CE1THI515VOURPERMIT � <br /> M <br /> � <br /> r <br /> N <br />