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��� <br />CIiV OF <br />Pverett <br />259-ti745 <br />CINSTFiUCTIAN <br />PEi�MIT <br />PERMIT N�. � S S 4 Q <br />❑ DEANOLITION ❑ COMBINATION ❑ BUILDING L�S MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNlR MR�LADORE55 CITY ZIV HONE <br />W. Mitchell / Marsha Cogdill 5910 Beverly Iane Everett 982J3 353-%R8�8 3713 <br />ARCNITECTOROESIGNER MARAD�RESS CItV 21P PNONE <br />GENERALCONTF�CTOR M�ILRDDPESS CITY LiP PNONE IILENSE� <br />MECH�NIC�LCONiP�CTOR MAiL�OD11E55 CITY 2iP PNONE LiCENSE� <br />Dave Swa.tn & English 2072 Little Mtnrt Rd. Mt Vernon 98273 757-0756 ENGLICS174PC <br />VLUMBINGCONiPACTOR MRILAOORE55 CITY ZIP PNONE LILENSE• <br />CL�SF OF WOPN <br />❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />V�LU�TION OF WORN <br />S <br />DESCNIpE WORN . <br />Install two chimney liners and a fireplace insert. <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />lOT _ OIOCK _ Oi <br />5910 Beverly Iane <br />PLUMBING <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP <br />DISHWASHER <br />LAUNDPYTRAY <br />CLOTHES WASHER <br />URINAL <br />DliINNING FOUNTAIN <br />FIOOR DRAIN <br />BACNFLOW PflEVENTERS <br />ROOF DRAINS — flAINLEADERS <br />SINK (SERVICE -- BAR, ETC � <br />trve ov cows* <br />size or o�oc <br />APPLILRTIONRCC �Y <br />S.H. <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />oCCUPaNcrGRour <br />r+o nr sroniEs <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND (`RDINANCES <br />GOVERNING THIS'lYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOl �RESUME TO GIVE AUTHORITY TO <br />VIOLATE Ofl CANCEL THE PROVISIONS UF ANY OTHER <br />STATE OR LOCAL LAW RCGULATING CONSTRUCTION OR <br />THE PERFORMANCE C1c i;ONSTRUCTION. <br />31�NBTUREOLCONTRACTOR./UbARI AGENT.OlIOWNEA � OATE <br />X// / , . / � ' <br />n _ �� . D>J_.:L< ,l � �' �% • ?� -.F. <br />FEE NO. TYPE OF EOUIPMENT <br />ArC — A/HNDLG UNITS — H P <br />REFflIGERATION LNITS — H ? EA <br />BOILERS -- B 7 U./11 P <br />GAS FlRED A C. UNITS — B T U <br />FOflCEU AIP SYSTEMS �- B T U. M EA <br />WA�L NEAiERS — EI T V M <br />UNIT HEATERS — B T U M <br />EVAPOPATWE COOLEPS <br />CLOTHESDAYERS <br />VENTILATION FAN <br />RANGE HOOD <br />1YATER hIEATER <br />WO00 STOVE <br />M[iAL FlREPLACE 6 CHIMNEY <br />1 FIFEPLACE WSEflT <br />HEAiPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />VRCRNi SIiE <br />❑vE5 L1N0 <br />NO OF OWELLMG <br />MA% OCC LOA9 <br />PUNSCHECN[DpY � nPPR f00155UANC[FlY <br />$UBTOTAL <br />PEfIM1T <br />TOTAL FEE <br />BUILDING S <br />PWMBING <br />MECHANICAL <br />INVESTIGATiON FEE � See J04(e) <br />STATE BUILDING SURCHARGE � � � <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMI7 <br />TOTAL <br />PEflMiT VALIDATION <br />WHEN PROPERLY VAI.ID�TED IIN TMIS SPACE� THI515 YOUfl PERMIT <br />i� .�.,_ _.. ! L <br />FEE <br />G[��] � 1 <br />�� <br />G <br />•� <br />� <br />