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��� � C�INSTRUCTION - - <br /> CITV OF <br /> everett PER�AIT PERM�' NQ _ �� ��� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING G SIGN <br /> ���A MPI�AODRF55 OTV pIV MIONE <br /> _ Jeffrev Sper.edowich 6212 Sroadwav Everett WA 98203 353-7285 <br /> ARLNRECT OH OESIGNCR Mnq qODRE`.5 pTV 21P Pr�OtIE ', <br /> G[NER�LCONTRRCTOR MMLnDDRE55 CITvgg2 ZIP MONE IICEN$E� <br /> Everett Builders 5606 Evergreen �4ay Everett, WA 8888�3 353-7161 EVEREB301)H <br /> MECHANICRLCONTiRCTOR M4ILADDNE55 �ITV ZIP PNON[ UCENS[� <br /> MUMHINGCONTd>CTOR MA4ADDRE55 CIT\' ZIP PHONE LICENSE� <br /> CLASS OF WpqN <br /> ❑ NEW ❑ ADDITION � q�TERATION ❑ REPAIH O UEMOLITION ❑ BUILDING RELOCATION <br /> VRIURTION(1F WORN <br /> s 7.622.00 <br /> oes�aiee won� <br /> Reroof, replace windows, concrete slrh <br /> MERTSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOV� ❑ OTHER <br /> VFOPOSEO USE OF BUIL�ING <br /> Single family residence I HEREEY CERTIFY THAT I HAVE READ AND EXAMINFD THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUC- A�JD <br /> iccn�ocscamtiorvorrmorcarvisHownnowoant.na�vouacnrirs� CORRECT. ALL PROVISIONS OF LAWS AnD ORDINANCES <br /> �o, E 5 n�ocK 12 0� Pinehurst Div A Replat �OVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> SlfdtYX8Xi0tp6X8HXR1t4LCji[XB�CXHANiIMgSKSXSYY�IXRgp6Y1IK PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> — VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONS'RUCTION OR <br /> THEPERFORMANCE OFCONSTRUCTION. ' <br /> �uORDDNE55 SIGNnT [�1 CONTRACTGR PUn Z[OnGENi.OROKNC� pnTE /�'��� <br /> 6212 Broadway X % ^ ,�� /� j,�� <br /> PLUMBING MECHANICAL <br /> NG. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT � FEE <br /> WATEP CLOSET�TOILET� A'C–AMNDLG UNITS–N o. <br /> BATHTUB qEFRIGERATION UNITS–H P.EA. <br /> LAVATOFV 1 WASN BASIN) BOILERS–�T U/li P <br /> SHOWER GAS FlRED A C.UNITS–B.T U <br /> KITCHEN SINK 8 DISP. fORCED AIR SYSTC�dS–fl T U M EA <br /> UISHW�SHER WALLHEATERS–BTU M <br /> IAUNDRV TRAV UNIT NFATERS--�S U M <br /> _ IXDT1iE5WASHER EVAPORATNECOOlEflS <br /> URINAL C�OTHES DRYERS <br /> DFINNING FOUNTAIN yENTILATION FAN <br /> FLOOR DNAIN RANGE HOO� <br /> DACKFLOV.^REVENTER$ WATERHEATLR � <br /> RC JF DRAIN�–qAIA'LEADERS WOOD STOVE <br /> SINK BER:ICE–DAF.ETC� METAL FlREPLACE 8 CNRdNEV <br /> FIREPLACEINSENT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTRL <br /> PERMIT S PERMIT <br /> iOTAL FEE f TOTpL FEE <br /> FRONiSETAnCN REMp.ETBnCR SiDESETBACN PLANCHECKNUMDER FEE RECEI7TN0. <br /> iiiiaiae i: OPM OOORN3392 x��� <br /> USE IONE LOT PFER <br /> �•ncaNr sire FEES FE@ <br /> ❑YES ❑NO <br /> TYPEOFLONST OCCUPA�iCYGROIID NOOFOWELLINGUNIiS OUILDING SEL�22. t 9.00 99 OO <br /> PLUMBING L SRCN 3.SO <br /> s¢E oF eioc r�o or sroarts n+ax occ iono <br /> MECHANICAI � <br /> INVESTIGATION PEE Sec.304(e) <br /> FlRE SPRINNLERS REOUIREO ❑ �ES NO <br /> STATE DUILDING SURCHARGE 3 50 <br /> SiATEENERGVSURCHARGE <br /> nrrt�rmioNnce ur 1inRscnE:neonr nrrn ronissunrvr.Env <br /> DRIVEWAV PERMI7 <br /> M.M. TOTAL 102 50 <br /> – PEflM1T VALIDqTION <br /> WHEN PROPERLV VALIDATEO QN THIS SPACE�THIS IS YOUR PERMIT <br /> M <br /> M <br /> N <br /> � <br /> N <br /> AUDkcSS FI' � <br /> i <br />