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`�� � t''')NSTRUCTION � <br /> everett PERMIT PERMITNO. � 7�84 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ;E71 BUILDIN6 ❑ MECHANICAL ❑ PLUMBIN6 ❑ SION <br /> OWNEIi M�IL�DDNE55 CITr ZIP 1'HUIIE <br /> Kenneth Weston 4627 EtlYM01K� Seahurst Ave. Everett 98203 259-6571 <br /> ARCHrtECT OII OESIONER M�IL�DDNE55 CrtY 2iP MpNE <br /> Impression Design 2229 Jackson Everett 9820's 355-3200 <br /> OENEPSLCONTR�CT011 M�ilAppRf55 CrtV 21P PMONE LICENSE• <br /> Owner <br /> MECN�NICALCONTR�CTOR MMt�O0Rf.55 CifY IIP A�NE LICENSE� <br /> PLUMOIN6CONTR�CTOR AIMl11�DRE55 C'TY tIV MONE LICENSE� <br /> CL�SS OF WORM <br /> � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITIOI� ❑ BUILDINO RELOCATON <br /> VI1lU11T10N Of WqIN <br /> : 80000.00 <br /> DESCRiBE WORK � <br /> Duplex _ <br /> ME�iSOURCE <br /> ❑ ELECTAICITY ❑ �AB ❑ WOODSTOVE ❑ OTHER <br /> a+croseo us�-,��eunoiNa <br /> Rental I HEREBY CERTIFv THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO �E TRUe AND <br /> LEOQOESCPI�TIONOfMOPERTY�SNOWBELOW011�TT�CNfWRCOP�EL� CORRECT. ALL PROVISIONS l�F LAWS AND OflDINANCES <br /> �o4u6 eu�cK464 _ o� fal coners add. GOVERNING THIS TYPE OF WCriK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED I�EREIN OH NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUh1E TO GIVE AUTHOPITY TO <br /> — VIOLATE_QA_CANCEL THE PROVISIONS OF ANY OTHER <br /> S �OR LOCAI. AW REC:ULATING CONSTRUCTION OR <br /> HE P qFORMAN( Ok CONGTRUCTION. <br /> JOB�OONE55 �'+�CN�TU Oi CONTMC 'Al . ['�,� ENT.OP OWNER DATE <br /> 2207 IIRi A&B Chestnut Ave. X ,,,,,,, ,�, Z�''-�7 <br /> PLUMSIN6 � MECMANICAL <br /> N0. TYPE OF FIIfTUflE OR ITEM FEE NO. TYPE OF EOUiPMENT FEE <br /> '1 WRTER CIOSFT�TOIIET� A/C—A�MNDLG UNITS—H P <br /> Q BATIITUB REFRIGERATION UNITS—H P.EA <br /> 't UVAIOFY�WASHBASIN) BOILERS—BTU'NP <br /> SMOWER GASFIREDAC UNITS- BTU <br /> 2 KITCMEN SINK 8 DISP. FOPCED AIR SVSTEMS—B.T U M EA <br /> DISHWASHER WALL HEATEf15—B'. U M <br /> LAUNDRY TPAY UNIT HEATEFS—P T U M <br /> z CLOTFIES WASMER EVAPORATIVE COt�LERS <br /> URINAL CLOTHES DRYFFS <br /> DRINNINOFOUNT�IN 'z VENTILAiIONFAN <br /> FLOOR ORqiN 'z RANGE HOGD <br /> BACNFLQW PREVENTERS Q WATE�MEATER <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINN�SEHVICE—BM,ETC� METAL FIREPLACE 8 CMIMNEY <br /> FIREPIACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%NAUSTFAN <br /> BUBTOTAL { BUBTOTAL <br /> PERMIT { PE ^ ...;( <br /> TOT�LFEE { TOTALFEE <br /> iRONTSETB�CK RE�RSEIb�Cn SIOESEIH�CK PLRNCHELKNUMBER F66.00I�T�IB4 RECEI7TN0 <br /> 20 20 5 "� <br /> EIDG SS .50 <br /> USEZONE LOT�RE� <br /> v�c�r�T siTe FEES ATION FEE <br /> R_p 9000 ❑.E5 ❑N�, <br /> tYPE Of CONST JCCUV�NLV pROUo NO Of OWEILMO UNiPi OUILOING 0.0 549 50 <br /> V-N R-3 2 PLUMBING B SF'CVI s .SO 5O OO <br /> 6RE OF BIOG NO OF STORIES M�k OCC 1 O�D <br /> 2024+480GAR 1 MECMANICAL y � 4B OO <br /> INVESTIGATION FE � ��7�) 73 13 <br /> IIl PRINKLERS REOUIREO YES NO STATE BUILOING SURChIARGE 1 5O <br /> STATEENERGYSURCHAPGE qQ001784� 15 OO <br /> �I'PLIC�TION�CG GY R�NSCNECNEDOY �PP1i fOR65l1�NCEP• <br /> DRIVEWAV PERMIT � ZQ OO <br /> S.H. B.E. L.C. rorn� SEWER s `.50 757 13 <br /> GEFMIT VIILIDATION � � ' <br /> WMEN PROPERLV VALIDATEO pN THIS SPACE�iMIS IS YOUR PEHMIi <br /> C�' <br /> � <br /> �� <br /> L` <br /> •� <br /> I i�i�. 4 L.. . . <br />