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�� P7NSTRUCTION <br /> everett PERMIT PERMITNO. 18476 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION $}BUILDIN6 ❑ MECHANICAL ❑ PLUMBIN6 ❑ SION <br /> owr�n u•a�oa+ess cirv z�P vMorrt <br /> Jemea W. Woodard 2513 Cleveland Everett 98201 252-6215 <br /> •RCHRECt 0110ESIGNEB M�IL��DRE55 Qiv bP PMONE <br /> OENEFAICONTN�LTOR M�II�DORE55 CIiY IIP PHOHE UCE45E• <br /> Owner <br /> MFCNINIUL CONTP�LTOR M�II��pRE55 CiTv ZIP PNONE LICENSE• <br /> 0.UMBINOCONTRICTOR MM��D�RE55 f.iTv piP R�ONE LtCENSE� <br /> LLASS Of YIORM <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION [�REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION <br /> V�LU�T�OH OF WORK <br /> { I800.�0 <br />' DESCRIBE WORR <br /> Aeroof - repair porch (fmnt) <br /> NEATSOURCE <br /> ❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br /> w�orosco use or ewioina — <br /> Single family roeidence I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND � <br /> LEO�LOESCRIMIONOFPRpfqRTY�SNOWBELOWOP�TT�C11fO1111COP1E51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES II <br /> �ot_Bia� _ a� GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A �. <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO � <br /> VIOLATE OR CANCEL TIiE PROVISIONS OF ANY OTHER <br /> ST OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> T E ERFORMA E OF N TFUCTION. <br /> JOB�OORE54 iGN� �PE Of CD CTO i II!i AGE . R O DATE <br /> 2513 Cleveland ��/ � <br /> PLUMlINO M HANICAL <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEq CLOSET�7'011Eil A�C-AMMDLG UNIiS-N P <br /> &1TNTU8 REFRIGERATION 11Nl i S—H P EA <br /> LAVRTORV(WASM BRSIN� DOI�ERS—8 T U�11 P <br /> SNOWER GAS FIRED A C UNITS—B T U <br /> KITCHEN SINK 8 DISP FORCED AIR SVSTEMS—B T U M EA <br /> �ISHW�SMER WALL MEATERS—B T ll M <br /> LAUNDRY TR�Y UNIT MEATERS—B T U M <br /> CLOTNES WASHER pVAPORATIVE COOLERS <br /> URINAL CLOTHESUPVERS <br /> ORINKINO FOUNTAIN VENTILATION FAN <br /> FLOOR DHAIN RANGE MO00 <br /> BACNfLOW PNEVENTERS WATER HEATER <br /> NOOF DR�INS—RAINlEl1OER5 WOOD STOVE I <br /> SINK(SERVICE—BAR.ETC� METAL FIREPLACE 8 CNIMNEY I <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPIN6 <br /> EXNAUSTFqN <br /> !US TO��L 1 tU!TOTAL <br /> PERMIT ! PfRM1T <br /> TOTALFEE { TOTALFEE <br /> FRONT SETBIICM nE�n sEID�ce siof sF*BeCK PL�N CHECK NUM9ER FEE PECEIPT NO. <br /> USE20NF LOt�REA y�C�NiSrtE <br /> ❑r[s ❑r�o FEEB VALUATION FEE <br /> Tvv[orcor�sT ocwv�Hcranouv NOOiOWELUNOlINRS Bui�otNO ,,6�/18bd�OQ�4 .PM, UUOAH6IQ$ �b��d� <br /> PLUMBING <br /> 91IE OF BlDO NO Of STOR�ES M�M OCC IO�U <br /> MECMANICAL CLDG 24 .OU <br /> INVESTIGATIONfEE �;�0/(e) ` <br /> INK� R R UIRE� YES NO <br /> STATE BUILDINO SURCHARGE 3 50 <br /> STATE ENERGY SUfiCHRR(�E <br /> •PPLICATION�CC BY R�NS CNECKFO BY �PP11 iOR ISSU�NCE BY <br /> DRIVEWAY PERMIT <br /> S.H. L. .C. TOTAL dq p <br /> PEPMR VALIDIITION <br /> WHEN PROPERLY V�LIOAtEO�IN TMtS SPACE�TM15 13 YOUR PERIrt1T <br /> � <br /> �` <br /> � <br /> � <br /> r' <br /> nooaEssra� <br />