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�� <br />an oF <br />everett <br />259-8745 <br />� C( NSTRUCTION <br />PERMIT <br />PERMIT NQ: � � `�? 1 <br />� DEMOIITION � COM0INATION ❑ BUILDING ❑ MECHAN�CAL Z v'O PLUMBIN�oNE ❑ SIGN <br />MPII ADDPE55 QTY <br />OWNER <br />Gordon Caa 914 Sroadway Everett, WA 98201 259-61G �„oNE <br />pq�HITECT OA DESiGNER MAIL RODA[55 <br />CITv ZIP <br />GENERAL CONTPACTOR MAIL ADDNE55 <br />CITY 21P PNONE �ICENSE • <br />LTD Construction 3229 Wetmore #1 Everett, WA 98201 258-2736P LTDC164MD <br />��T, pHpN[ iICENSE x <br />MECNRNICALGONTRnCiOA MAILRDDRES$ <br />PLUMBING GONTR�CTOA MRIL AODRESS <br />��TY Zip PHONE LILENSE � <br />;LASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION <br />I�LURTION OF WORN <br />S <br />]ESGFiBF WORN <br />Demolish abandoned car wast 20 x 60 <br />❑ ELECTRICITY <br />Car wash <br />LOT _ BIOCN .�. <br />See attached <br />❑ REPAIR <br />❑ GAS ❑ WOODSTOVE <br />NO. TYPE OF Flxi� <br />WATER CLOSET �TOILETI <br />OATHTUB <br />LAVATORVIWASHBASIN <br />SHOWER <br />NITCIiEN S�NK 8 DISP. <br />DISHlVASHER <br />LAUNDRY THAV <br />CLOTHFS WASHER <br />URINAL <br />S�ZE <br />DFAIN <br />OR ITEM <br />ROOF ORAINS — RAINLEADERS <br />SINN �SERVICE — BAR. ETC.� <br />SUBTOTAL S <br />PEPMIT f <br />TUTALFEE S <br />AREP VACANT SITE <br />❑ YES ❑ NO <br />� DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED l MS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />GOVERNING THIS TOYPIE'OF WORK WI�L BE COMPL�IED WITH <br />WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A <br />PERMIT DOES NOT PNESUME TO GIVE AUTHORITV TO <br />VIOLATF. Oi; CANCEI THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P FOHMANCE OF CONSTRUCT�ON. <br />Si tUR[ � CONTRRCTOR. Rll JIOR12ED AGENT. f�fj�'N� � ATE ` Y <br />TYPE OF EOUIPMEN7 <br />A;C — A;MNDLG UNITS — H P. <br />flEFRIGER4TION UNITS — H P. EA. <br />BOILERS — B.T U!HP. <br />GAS FNED A C. UNITS — B T U. <br />FORCED4IRSVSTEMS—BTL MEA. <br />WALL HEATEfiS — 0 TL. M <br />UNITHEATERS—B.TU M <br />EVAPORATNE COOLERS <br />CIOTHGSDFYERS <br />VENTILATION FAN <br />RANGEHOOD <br />\YATER IIEATER • <br />WJOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />I1EAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />NOOFDWELLINGUNITS BUILDINC• <br />PLUMBING <br />MA%.00C LOAD <br />MECHANICAL <br />APPR !OR ISSUFNCE DY <br />qFPLICATION <br />M.M. <br />SUBTO7AL <br />PEflMIT <br />INVESTIGATION PEE <br />S7AiE BUILDING SURCHARG'� <br />STATEENERGVSURCHAP.GE <br />DRIVEWAV PERMIT <br />T07AL <br />Sec.304(e) <br />FEE <br />r����� . <br />WHEN PR(�PERLY VALIDATE� (IN THIS SPACE) TH1515 YOUR PERMI <br />4GDFESS FlLE <br />50 <br />31 50 <br />