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"�� rrJNSTRUCTION <br />everett PERMIT PERMITNO. � ���� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONNER M�IL��ORE55 Cliv IIP PMONE <br />Calvin and Br�plda &onnez 8702 Shadowood Dr. Everett, WA 98208 338-1298 <br />•RCNITECT OR OESiGNFR MML �DORESS Ciiv 1�^ �ONE <br />��uC. Al <br />M�IL ��ORE55 <br />riir iio <br />I�CCNSE � <br />MECN�NIC�LCONTH�CTOR M�IL�[JOPESS UtV IIP VNONE LICENSE� <br />Owner <br />MRIL ��ORE55 <br />CLA!'SOf WORN <br />❑ NEW ❑ ADDITION ❑ AITFRATION ❑ REVAIR <br />veiu�rioH ov woAK <br />f <br />DESCAIBE WORN <br />Install fireplace insert. <br />NE�i50URGE <br />❑ ELECTRICITY ❑ QAS ❑ WOODSTOVE <br />family reaidence <br />lOi �. BIOCN _ O <br />�ooness <br />9610 Belmont Dr. <br />PLUMBIN6 <br />No. � <br />TYPE <br />OR ITEM <br />WATER CLOSET �iOILET� <br />BATMTUB <br />�AVATORVIWpSN BASIN� <br />SHOWER <br />KITCMEN SIN1( 6 OISP <br />WASMEP <br />Df11NKING fOUNTAIN <br />FLOOR DRAIN <br />BACRFLOW PREVENTERS <br />ROOF DRAINS - RAINIEADE75 <br />SINN �SERVICE BAq. ETC 1 <br />♦PPLICAiION �C- 11Y <br />S.H. <br />BUBTOTAL i <br />PERMIT f <br />TOT�LFEE f <br />nLnnSErpefn !IinFtiETNALn <br />lOT �qE� y�UNT SRE <br />❑YCS I]NO <br />occursr�c cnouv r�o or nw[iu <br />NO of Sron�ES Mnx Occ lna <br />PI ANti <br />C!Iv <br />❑ DEMOLITION <br />O OTHER <br />V��ONE UCENSE � <br />❑ BUILDIHQ RELOCATION <br />I HEREBY CEFTIFV THAT I HAVE READ AND EXAMINEO THIS <br />APPLICATION AND HNOW THE SAME TO BE TRUE AND <br />CORRECT. Al_L PROVISIONS Of LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WIIL BE COMPLIED WITH <br />WHETHER SPECIFIFD HEREIN OR NOT. 7HE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OH CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING !:ONSTRUCTION OR <br />THE PERFORM.rtNCE OF CONSTFUCTION. <br />s� ,N��unc o� coN*nn. toi+ �uryoniz[o �cEN� on owr�cn n�1t <br />X �� � ,° �1 <br />;� ,!>�.,,,.� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A C A�HNOLG UNITS H P <br />REFRIGERATION UNITS -� H P EA <br />DOILERS- f3TU�NP <br />GASIIREOACl1NIT5 fliU <br />FORCED AIR SYSTEMS - 0 T U M CA <br />WALL HEATERS Q T U M <br />UNIT HEATERS 8 T U M <br />EVAPORATIVE COOLERS <br />CLOTMESOHVERS <br />VENTIUTION FAN <br />RANGEMOOD <br />WATERMEATER <br />WOOD STOVE <br />METAL fIREPLACE 8 CNIMNEV <br />1 FlREPLACEINSERT <br />MEAIPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />r nn istiu�NLr Bv <br />BUB T0T11L <br />PERMIT <br />TOTAL FEE <br />FEE <br />rcc <br />FEES I VALUATION � FEE <br />DUILDING E <br />PLUMOING <br />MECHANICAL <br />INVESTIGAiION FEE S!c 70d�rj <br />STA1E BUILDING SURCHARGE <br />SiATEENEi1GYSURCHARGE <br />ORIVEWAV PEHMIT <br />TOTAL <br />PF.RLIIT VAUDIITION <br />WMEN PROPFRLY VAIIDATE[] �IN TMIS SPACEI THI515 YOUR PERMIT <br />; <br />N <br />N <br />N <br />� <br />� <br />