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r� Fbe.�.+ea� <br />GTV OF <br />everett <br />259-8745 <br />'" P'7NSTRUCTION � <br />PERIVIIT <br />, <br />PERMITNQ:- I o��� <br />❑ DEMOLITION ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />py�ryEq MAILADDRF55 Lltt L> ��E <br />William E. Olson 5031 Colby Ave. Everett 96203 252-0580 <br />ARpnTECTq2DE5iGNEN MulADD1iE55 CITY ZiP M�NE <br />GENENALCONTP�CTOR MAIL�DORESS LiTY IiV PHONE LICEHSE• <br />Everett Builders 5606 Evergreen Way Everett 98203 353-7161 EVEREB*301PH <br />MECHANiL�L CANTRAQOA M��L RD�RE55 CITY ZiP PNONC LiCENSE � <br />PLUMBIHGCONTP�CTOR MA�lI1DDRE55 CITY 21P A�ONE LICENSEI <br />❑ NE1M ❑ ADDITON <br />S 4216.00 <br />Q ALTERATION ❑ REPAIR ❑ OEMOLITION ❑ BUILDING RELOCATION <br />33 Sq shake roof (Reroof) <br />HE�TSpURCE <br />❑ EIFCTRICITY ❑ GI1S ❑ WOODSTOVE ❑ OTHER <br />GF <br />residence <br />ioT _ e�ocK <br />�OORE55 <br />VLUNMIN6 <br />NO. T/VE OF FII(TURE OR <br />K'�TEF CLOSET �TOILET� <br />B�THTUB <br />I�VAtORY (WASM BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />D�SHWASHER <br />LAUMDRVTRAY <br />CLOiNES WASHER <br />URIN�L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRA�NS — NAINLEAOERS <br />SINK (SEhVICE — BAfl. ETC � <br />LONST <br />I HEREBY CERTIFY THAT I IiAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL. i'ROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WFiETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEI THE PROVISIONS OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SI,NAiURE FCONTqqCT00.R�I1NDRi�Ep/G[NT.OROWNER D4TE <br />� <br />(� l <br />X -�`�.11 �Z� �`�I:�fJ C'i_i �i' .<J'_ti . <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A: C— A/MNDLG UNITS — H P <br />REPRIGERATION UNITS — M P. EA. <br />BOIlERS — B T WH P <br />GASFIREDAC UNITS—�TU <br />FOflCED AIR SYSTEMS — 0 T V. M EA <br />WAIL HEATERS —B.T U M <br />UNITHEATERS—BTU M <br />EVAPORATNECOOL[RS <br />CLOTHESDRY[RS <br />VENTILFTION iAN <br />RANGEHOOD <br />WATEPHEATER • <br />WOOOSTOVE <br />Mt1AL hIH6VLAOE 5 GMiMNEY <br />PIREPLACEINSEFT <br />NEAT PUMP <br />GA3 PiPiNG <br />E%HAUSTFAN <br />SU! TOT�L <br />PERMIT <br />TOTIIL FEE <br />P1.AN CHECK NUMBER <br />IOTARER ypCNNiSRE <br />❑ rE5 ❑ NO <br />OCCOPnNCYGROUG NO.OFOWELLINGUNITS BUILOING <br />SIZE Oi bLOG � NO Of STORIES � MR.. OCG LORD <br />AVPLICATIpNAGC BY <br />S.H. <br />MANSCNECNEDBY � APPR <br />PLUMDING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />S7ATEENERGVSURCHARGE <br />DRIVEwAV PERMIT <br />U6/0:/G7 �-0tif'H QQOfik5:;-1 <br />E� S6:CN <br />E�, '9&,,:bb<lel <br />� �.�.1. <br />FEE <br />�� <br />.:iD <br />.!l:l <br />.EO <br />�" 1 50 <br />TOTAL I I <br />PEBMIT VAtIDATION <br />WMEN PROPERIY VALIDATED pN THIS SPACE) THI515 YOUR PE9MIT <br />ADDRESS RLE <br />5� <br />