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u��,��„ <br />CITV OF <br />everett <br />259-8745 <br />C°'NSTRUCTION <br />PERMIT <br />� <br />PERMIT NQ' �, � f O J� <br />G DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING O SIGN <br />OWNER MAILAODflESS (;ITV ZIP PHONE <br />Maaco Paint 9505 Evergreen Way Everett, WA 98209 <br />IIRCMITECT Oq �ESIGNER MAIL ADOPE55 CITY ZIP PHONE <br />GENEBALCONTflACTOfi MAILADOR[55 LITY ZIV PHONE IICENSEe <br />O'Sullivan Construction 1401 W Nickerson Seattle, WA 98119 283-8586 <br />MECMANICAL CONTRhCTOfi AIAII A�DRE55 CITY ZIP PHONE LIGF.NSE � <br />American Heating Inc. 10740 Lake City Way NE Seattle, WA 98125 367-3534 AhfERII212K <br />PWMDINGLONTRACTOR MAtIP�DRE55 CITY 21P PHONE UCENSE• <br />CLA55 OF WOR% <br />�1 NEW ❑ AUDITION <br />VAWATION OF WOfiN <br />$ <br />DESCfiIBE WORN <br />HVAC <br />MEATSOUPCE <br />❑ ELECTRICITY ❑ GAS <br />Auto painting <br />LOT _ OLOCK __ <br />JOBADDRESS <br />9505 Evergreen Way <br />PLUMBING <br />TYPE OF <br />❑ ALTERATION ❑ RcPAIR <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILE7) <br />BATH7UB <br />LAVATORV�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUtJDRY TRAY <br />URINAL <br />DRINKINGFOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEP <br />SINK fSERVICE — RAR ET <br />size oF e�oc <br />qPPLIC4TIONACC OY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PEARSETB/CN <br />N0. OF STORIES <br />) ❑ VES ❑ NO <br />PLANS CHECNE� OY <br />J.S9. <br />❑ WOODSTOVE <br />FEE <br />LANT SITE <br />YES ❑NO <br />MAX.00C. LOAO <br />APPq FOR <br />J.[v. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING HELOCATION <br />I HEFlEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAIVS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK vVILL BE COMPLIED WITH <br />WHETHER SPECIF�ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNnTURE OF CONTPACTOP. AUtHORIZ[D AGENT. OR OWNER DATF <br />X ��/�.4tG� t o�i�zni—�� //-7—� <br />MECHANICAL <br />TYPE OF E�UIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REPR:GERATION UNITS — M.P. EA. <br />BOILEFS — B.T.0 /H a. <br />GAS FIRED A.0 UN:TS— B.T.U. <br />FORCED AIR SVSTFMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—BS.U.�(aGOM� E/ Z <br />EVAPOflATIVE COOLERS <br />CLOTHESORVERS <br />VENTILATION Fi.N <br />RANGEHOOD <br />WATERHEATEP � <br />WOCDSTOVE <br />METAL FIqEPLACE 6 CHIMNEV <br />FlqEPL1G'cINSERT <br />HEAT PUMP <br />GAS PIPI4G <br />E%HAUSTFAN <br />FEES <br />uNirs BUIIDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />suaoozioss <br />Sec.304�e) <br />FEE <br />FEE <br />STATE BUILDINCa SURCHARGE <br />STATE ENEFiGY SURCHARGE <br />ORIVEWAV PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE� THIS IS VOUii PERMIT <br />67 I50 <br />821 50 <br />50 <br />c�i <br />� <br />0 <br />� <br />N <br />