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s <br />rhe e�,xrc� <br />�,N oF <br />everett <br />259-8745 <br />❑ DEMOLITION <br />� ('`')NSTRUCTION � <br />PERMIT <br />❑ COMBINATION <br />PERMIT NQ; _ � � � � � <br />❑ BUILDING C,� MECHANICAL G� PLUMBING ❑ SIGN <br />OWNER � ...... ............. - <br />James 6 Louise Stogdell 6815 Colby Everett 98201 3:3-4443 _ <br />nRLHRECT OR DESIGNEP M4iL AD�AESS CIIY ZIP PNONE <br />GENCHAL CONTR�CTOR M�iL AO��[SS GTY ZiP PNONE LIGENSE • <br />DG Construction 13812 34th Ave. N.W. Marysville, WA 98270 652-6174 DGOON**292C4 <br />_"......_.. _ ............... ueu nnnaFss Crtv Zia �OrvE ��CENS[• <br />RUMBING CONTRALTOH MAIL AD�AES$ CITY 2�� PMONE LICENS[ � <br />,_.� _. .._._. <br />❑ NEW ❑ AODITION C� ALTERATION ❑ RE�AIR <br />V�W�TIONOF WORN <br />i <br />DESLNIBC WORK <br />Move washer, water heater and kitchen si.nk. <br />HFATSOURCE <br />❑ ELECTRICII'Y ❑ GAS ❑ WOODSTOVE <br />Residence <br />ior 1_Z e�a:K _ <br />of lots 1&2 <br />ADDRE55 <br />PLUMBING <br />Pinehurst Div C S. <br />OR ITEM <br />WATER CLOSET �TOILET� <br />6ATN1U0 <br />LAVFTORY�WASN BASIN) <br />SHOWEF <br />RiTCNEN SINN 6 �ISP. <br />DISHWASHER <br />LAUNDRYTFAV <br />CLOTNES WASHER <br />ORINKING FOUNTAIN <br />FLOOfi DRAIN <br />BACNFLOW PREVENTERS <br />ROOF 01iAINS — RAINLEADERS <br />SINK (SERVICE — �AR. ETC � <br />ncc er <br />5U8 TOTAL <br />PERMIT <br />TOTALFEE <br />APER <br />ia�:� <br />FEE <br />5 <br />i <br />f io oi <br />E <br />S 10 01 <br />90ESETORCR <br />VAGANT SITE <br />]YES ❑NO <br />No oF oweu ir�c uwTs <br />MA% OCC LO�D <br />APPP FOA ISSURNf.E �� <br />❑ DEMOLITION <br />❑ on+eA <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AN� EXAMINED THIS <br />APPLICATION AN� KNOW THE SAME TO BE TRUE AND <br />CORPECT. ALL PROVISIONS OF LAWS AND ORDINAtJCES <br />GOVERNING TH�S TVPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCE E PROVISiONS OF ANY OTHER <br />STATE LOCAL W REGULATING CONSTRUCTION OR <br />THE PE FO• ANC OF �ONSTRUCTION. <br />SIGNATU 11' C �TRRClO JTM RIiEO F L OR OWNER DI.TL <br />X �� O ' Z_ <br />MECHANICAL <br />TVPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNIiS — H P EA <br />OOLLERS — B T U: N P <br />GASFIREDAG UNIT$—�.TU <br />FORCEOAIRSVSTEMS—DTU MEA <br />WALLHEAT�'..a—�TU. M <br />UNIT MEATERS — 0 T U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTII.ATION FAN <br />RANGENOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAI FlREPLACE 6 CHIMNEY <br />FlREPLACEINSERT <br />HLATPUMP <br />GAS PIPING <br />[%HAUSTFAN <br />SUBTOT�L <br />VERMIT <br />PLAN <br />rcc <br />FEES YAlUAT10N FEE <br />ouaoiNc 5 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATIONfEE ��-�41e1 <br />STATE BUILDING SURCHARGE � <br />STATEENERGVSURCHARGE � <br />DRI:EWAV PERMIT <br />TOTAL <br />PENMIT VAUDATION <br />WHEN PROPERLV VALI��TLD IIN THIS SPACE) THIS .S VOUR 1'ERMIT <br />,; <br />�� <br />i�i] � � <br />31�50 <br />r� <br />N <br />07 <br />� <br />� <br />