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«��� <br />cin oF <br />everett <br />259-8745 <br />❑ DEMOLITION <br />{" CC�NSTRUCTiON <br />❑ COMBINATION <br />PERMIT <br />� � �' � <br />PERMIT NQ : �� � �� <br />❑ BUILDING ❑ 9UIECHANICAL ❑ PLUMBING �I SIGN <br />Dnnald Shavrett 6712 Everqreen Way Everett 98203 353-7535 <br />AqCHITECTOROESIGNER MAILA�DlIESS CITY 21P PNONE <br />GENERALCONTNACTOR Mr11LADDPE55 CITY ZIP PMONE LICENSE� <br />ASsoc. <br />CITV ZIP <br />PLUMOING WNTRACTOFl FIAIL AODRE55 QTY 21P PMONE LIGENS[ r <br />CLASS OF WORK <br />�NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />VRLUATION OF 1VORK <br />S 50.00 <br />UESC(iIDE WORH <br />Hanq sian <br />MENTSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />on <br />LOT _ OLOCK � <br />PLUMBING <br />OH ITEM <br />WATER CLOSET (TOILE <br />BATHTUB <br />LAVATORV(WASHBAS <br />SHOWER <br />KITCHEN SINH 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URIPlAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTE <br />qOOF ORAINS — RAINI <br />SINK �SERVICE — BAR. <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />FRONTSETBFCN RURSETBFCK <br />USE20NE LOTAflEA <br />B-2 <br />1YPE OF CONST. OLCUPANCY GR <br />SRE OF BLOG. NO.OF STORIES <br />FIRE SPRINKLERS REOLJIRED ❑ VES ❑ I <br />APPLICATION ACC. BY PLANS CMECNEI <br />Ci.H. I B.E. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND hNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPL�ED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIIVG OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANC E PROVISIONS OF ANY OTHER <br />STATE OR LOCAL L�EGULATIl�G CONSTRUCTION OR <br />AGENT. <br />X <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H P. <br />flEFRIGERATION UNITS — H.P. EA. <br />BOILGflS — B.T.0 /H.P. <br />GAS FIRED A�C. UNITS — 6.T.U. <br />FORCEDAIRSVSTEMS—BT.U. M <br />WALL HEATERS — B.T.LL �+� <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTIIATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIflEPLACE 8 CHIMNEY <br />FIPEPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VACANTSITE <br />�]YES ❑NO <br />NO. OF DIYELL' <br />occ �ono <br />FOR ISSUANCE tlY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATE ENEFGY SURChIARGE <br />DFIVEWAY PERMIT <br />DnTE <br />�� <br />rcc <br />� �� � �� <br />a.. � ■ <br />� 11 <br />•1111' <br />�� �.� <br />a� � �� ■ <br />TOTAL � I <br />PENMIT VALIDATION <br />WHEN PROPEFLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />10DFlESS PILE <br />5 <br />