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eM �,a.�rtien <br />aTv oF <br />everett <br />z5s-s�a5 <br />� C?�NSTRUCTION � � �- .� cC <br />PERMIT PERMIT NQ = �Ov`�" <br />O DEMOLITION O COMBINATION �:'1LDIN0 ❑ MECNANICAL ❑ PLUMBING � SION <br />pyy��p MFILADORESS ' dTY 21P PHONE <br />fQ Loren L. Myere 5930 Fleming St. Everett, WA 98203 353-2119 <br />•RCINTEGTOROES�ONEP MAII�DORE55 CIT' 21P RIONE <br />GENEMICONTMCTOR MAILADURE55 CITV ZIP PHONE L�CENSEI <br />owner <br />IECINNIGLGONTRACTOR MAILADDPESS CITY ZIV PIIONE IICENSEII <br />PLUM&N(iCONTN�CTOR MAIL�DORE55 G17Y ZIP VMONE IIGEN9E1 <br />CU950F WOqK <br />❑ NEW ❑ ADDITION ❑ ALTEMTION C�REPAIA ❑ DEMOLITIUN ❑ BUILDINO RELOCATON <br />VALWTIpJ OF WOi1K <br />s 1500. <br />Peroof houee, composition roofing <br />HE�TSOURCE <br />❑ u�crnicm ❑ cs�s ❑ w000srove ❑ on�en <br />Singla family home <br />LEO�L DESCRIPfION OF PROPERTY (�� BEL <br />LOT _ BLOCN _ OF <br />!OB �OORE55 <br />5930 Fleminq St. <br />PLUTASING <br />Np. TYPE OF FUITURE O <br />WATER C� OSEf (TOILET� <br />BATliTUB <br />LAVATOHY (WASH BASIN) <br />SHOWER <br />KITCMEN SINK 6 DISP. <br />DISlIWA9MER <br />UIUNDRV TMV <br />CLOTIES WASMER <br />URINAL <br />piMNKING FWMAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />pOOF DRAINS - RAINLEADERS <br />31NK (SERNICE - BAR. E7C.) <br />W� TOTAL <br />P[IIAIR <br />TYPE OF CON6T. <br />1::] <br />M�PLMATION �(x.BY <br />V�CANT SITE <br />❑YES ❑NO <br />ISSU�NCE BY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRFCT. ALL PROVISIONS OF LAWS AND OROINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTINO 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 ?ERFORMANCE OF CONSTRUCTION. <br />sir.uen inF o9cnuTRACTon. AUTHORI: ED RGENI. OR OMMER OFTE <br />X <br />TYPE OF EOUIPMENT <br />A/C - A/HNDLG UNITS - H.P. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.U./H.P. <br />CAS FIRED A.C. UNITS - B.T.U. <br />FORCEDAIRSYSTEMS-BT.U. MEA. <br />WALL HEATERS - B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WO00 STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />GAS PIPING <br />E%HAUSTFAN <br />SlM TOTAL <br />PERAMT <br />TOTALPEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDI46 SURCHARO <br />STATEENERGVSURCHAR6E <br />DRIVEWAY PEflM1T <br />TOTAL <br />s 1500. <br />� <br />8�1�i �88 <br />FEE <br />MMEN PROPERLV VALIDATED (IN THIS SPACE) TMIS IS VOUR PERMIT <br />4DDRESS FILE <br />35 <br />3 <br />50 <br />