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w�.,a•� <br />c�n oF <br />everett <br />259-8745 <br />^ C�NSTkUCTION ~ ��` .� . <br />PERMIT PERMIa N�= � 8637 <br />❑ DlMOUTION ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINti ❑ 610N <br />pyp�q MAIL ODPESS CI Y 21P RIONE <br />Leo Forest 23 Fern s. �� Everett. <br />ARCNITECT OR DESIONER M�IL AOORE55 CITY ZIP PMONE <br />pENEq/LLCpNTqACTOR MAIL�DDflESS GITY 21' PHONE LIGENSE� <br />Donald L. Kiesser 207 Gifford Arlington, WA 98223 435-6235 ARTTE132NA! <br />MECHANICALCONTMCTOR MAILADDRE55 dTY ZIP PNONE ��OENSEI <br />PLUMBIN6 CONTMCTOR MNL �DDRE55 CITY 21P PHOI.'E LICENSE � <br />GU55OF WORK <br />O NEW ❑ ADDITION BXALTERATION ZBREPAIR <br />VAW�TION OF WOBI( <br />sz7oo.o0 <br />DESCRIBE N'ORM <br />Tear o£f old roof, reroof <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />single family home <br />LOT _ BLOLN <br />23 Fern Rd. <br />PLUMBING <br />NG.�WATERCLOSE7 <br />TYPE <br />UVATORY (WASH BASIN) <br />SHbWER <br />KITilHEN SINK 6 UISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADEflS <br />SINK (SERVICE — BAR. ETC.) <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 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 GFANTING 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 />SiGNATURCmF CONTtiAGTOR. AUIHOFIZEq AGENT. OR OWN�R __ �ATE <br />x <br />MECHANICAL <br />. <br />ITEM FEE NO. TYPE OF EDUIPMENT <br />A/C — A/HN�LG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAE FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — 8.T U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRVER� <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUkP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL f <br />PENMIT S <br />TOTALFEE f <br />SRE Oi BLDG. � NO OF FTORIES <br />ACC.BY <br />M.M. <br />VACANT SITE <br />❑YES ONO <br />N0. OF OWELLING UNITS <br />APPR. <br />PLAN CHEGK NUME <br />FEES <br />BUILDING <br />PLUMBING <br />SUBTOTAL <br />PEHMIT <br />TOTAL FEE <br />$2700 [ <br />MECHANICAL I R SFi;'L�`! <br />INVESTIGATION FEE <br />STATE BUILDING <br />STATEENERGVSURCHARGE <br />DR�VEWAV PERMIT <br />TOTAL � � <br />PENMIT VALIDATION <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THIS IS VOUR PERMIT <br />AODHESS fiLE <br />$0 <br />�� <br />M <br />C.G <br />� <br />� <br />