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u,eE�e,���„ <br />cin oF <br />everett <br />259-8745 <br />" C'1NS�TRUCTION <br />PERMIT <br />� <br />PERMITNO: �'!0�1 <br />❑ DEMOLITION ❑ COMBINATION [7� BUILDING ❑ NiECHANICAL fl PLUMBING ❑ SIGN <br />OWNER MRiLAD�NE55 �ITY ZIP PFONE <br />Mrs. Hedberge 717 Colby Ave Everett, WA 98201 659-0955 <br />nRCHITECT OR DESIGN[R MRIL ROURE55 CITY ZIP MONE <br />GENERALGpNTRACTOq MAILADDPE55 CITY plP MONE LiC[NSE� <br />owner <br />UECHANIGRLGONTPqCTOR MAILApOHE52 CITY ZIP PHONE LiCENSE• <br />PLUMBING COM"RRCTOR MAiL ADDRESS CITY ZIP Ii�ONE UC[NSE • <br />ClA55Of WORN <br />❑ NEW ❑ AUDITION <br />VALURTION OF WONN <br />5 ZZQO. <br />UESCRIBE WORK <br />R2t00£ <br />NEATSOURL[ <br />❑ ELECTRICITY � GAS <br />PROPOSEU USE Oi BURDING <br />Sinqle family reaidence <br />IEGAL OESCRIPTION Of RiOPERTY �SNOW BELOV <br />1 138 Legion <br />lOT _ 9lOCK _ OF <br />JOBADDRESS <br />717 Colby Ave <br />PLUMBING <br />❑ AL7ERATION <br />TYPE OF FIICTUNE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATOflY�WASM BASIN) <br />SHOwER <br />NITCHEN SINK 8 UISP. <br />DISHWASMER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK ISERVICE — 6AR ETC 1 <br />SUBTOTAI <br />PEHMIT <br />TOTALFEE <br />OCCUPANCV GROUP <br />SIZE OF BIDG. � NO OF STORIES <br />�PPLICqT1ONRCC �Y <br />M.M. <br />LI REPAIR <br />❑ WOODSTOVE <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING NELOCATION <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMI�ED THIS <br />APPLICATION AND KNOW THE SAM'c TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GR.'1NTING OF A <br />PERMIT DOES NOT PRESUME 70 GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CO�STRUCTION UR <br />THE PERFORMANCE OF CONST9UCTION. <br />SIGNeTUP(Oip'�TRACTOR�RUpiQflREOpG[NT.OROWNER OATE <br />X <br />TYPE UF <br />A'C — A/HN�LG UNITS — M P. <br />REFRIGERATIOp UNITS — HP. EA. <br />OOILERS — B T.U.MP. <br />GAS FIRED A C. UNITS — �S.U. <br />FORCED AIR SYSI EMS — �SL. <br />WALL HEATERS — GSL. <br />UNIT HEATERS -- BSL. <br />EVAPORAiWECUO�ERS <br />CLOTHESDFVERS <br />VENTILATION fAN <br />RANGEHOOD <br />WATER HEATEP � <br />WOODSTOVE <br />MFTAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />S <br />s <br />f <br />ilOE SETOACN PLAN CHECK N <br />IACANT SITE FE <br />7res nNo <br />�ooFoweun+cuN�Ts DUILDING <br />PLUMBING <br />AA%. OCCIOAD <br />MECHANICAL <br />IkYY�LL`[NiUI <br />FEE <br />M EA <br />M <br />M <br />SUBTOTAL 3 <br />PERMIT S <br />TOTAL FEE f <br />FEE RECEIPTNO. <br />04/c^8/88 10: 9AM OOOR110343 ### <br />INVESTIGATION FEE � Sec.304(e) <br />STATE �UILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIi <br />TOTAL <br />FEE <br />WHEIJ PROPERIV VALIDATED QN THIS SPACE) TH1315 VOUR PERMIT <br />ADUfIESS F!LE <br />54100 <br />� <br />�� <br />�� <br />i� <br />0 <br />N <br />