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u,e E�r�e� <br />cin oF <br />everett <br />259-8745 <br />^ Cf�NSTRUCTION �.. '""'� <br />PERMIT <br />PERMIT NO. <br />20798 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfl MAILAODRE55 CITY 21P PMONE <br />John Mashburn 5532 Flemina E.verett 9a�m 3S5 2543 <br />ARCHITECTORDESIGNEP MAILApORESS CITV ZIP PMONE <br />dENEN�LCONTRACTOR MAILAODRESS CITY 21P PMONE LILENSEM <br />MELHFNICAL CONTRnCTOR MnIL AODRESS CITV 21P PHONE LICENSE N <br />PLUMPINGCONTRACTOP MAILADLHESS dTY 21P FMONE LICENSE� <br />Owner <br />CLA55OF WORK <br />❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR O DEMOLITION ❑ BUILDING RELOCATION <br />VALUAT'ON OF WORK <br />S <br />Reolace fixtw-es <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ BLOCN _ <br />PLUMBING <br />TYPE OI <br />WATER CLOSET (7 <br />BATHTUB <br />IAVATORV�WASH <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTFAV <br />URINAL <br />DRINKING FOUNTAIN <br />BACKF�OW PREVENTERS <br />ROOF DRAINS — PAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />FEE <br />SUBTOTAL S <br />PERMIT S <br />TOTAL FEE S <br />FRONTSETBACK REARSETBACK SIDESETBRCK <br />USEZONE LOTAREA yqCANTSITE <br />❑YES ❑NO <br />TYPE OF CONST. OCCUPANCY GFOUP NO. OF DWELLING 11NITS <br />512E OF BLDG. NO.OF STOFIES Mn%. OCG �OAO <br />FIRE SPPINKLERS FEOUIRED O �ES ❑ NO <br />APPLICFTION ACC. BV PLANS CHECNEO BV APPR. FOR ISSUANCE BY <br />.SH. <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 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 />jHE PERFORMANCE OF CONSTRUCTION. <br />�SIG TUREOFCONTRACT AUiHORIZEDA T.OROWNER DATE <br />.. _ � _ �i' . , "�, r o a _-,__ <br />MECHANICAL `�" <br />NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.7.0 /H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL HEATEFS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVECOOLERS <br />CLOTHES DRVERS <br />VENTILA710N FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />M EA. <br />M <br />M <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />� <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />•M M <br />Sec.304(e) <br />'1 i <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) TNIS IS VOUR PERMI! <br />i• <br />r,r,ofiLJl � I�_i <br />