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�`�` "��� r"JNSTRUCTION � �� <br />everett PERMIT PERMITNO. 17616 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL (� PLUMBING ❑ SION <br />OMMER MMLAODRE55 GITY ZIP pHpNE <br />Klaus Krane 6006 ae Fleming Everett, WA 98203 <br />IIRCHITECT OR DESIGNER MAIL ADDHESS CITY 21P PHONE <br />'� pENEMLCONTMLTOR M�ILADDRE55 CITY ZIp %10NE LICENSEI <br />I Everett Builders <br />' MECNANICALCONTBAQOR MAILAOORE54 CITY 21P PMONE LICENSE� <br />PLUMBINGCONTMCTOR MAILADDRE55 CITY 21P PIIONE LIGENSEI <br />Trakar Plumbing 2923 Silver Crest Dr. Hothell, WA 98012 337-1717 TRAKA154LP <br />GLASS OF WOpI( <br />❑ NEW C#ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S <br />DESCPIBE WOPK <br />Plwnbing for addition <br />❑ ELECTRICITY O GAS ❑ WOODSTOVE <br />Sir.gle family residence <br />l0T _ BLOCK _ <br />6006 Fleming <br />PLUMBING <br />1 WATER CLOSET (TOILET) <br />1 BATHTUB <br />1 LAVATORV�WASHBASIN) <br />SHOWER <br />1 <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />FLOOR DRAW � <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINIEA�EFS <br />SINK (SERVICE - BAR, ETC.) <br />BU6TOTAL <br />PERMIT <br />OCCUPANCYGROJP <br />512E OF BLOG. I NO. <br />M.M. <br />❑ OTHER <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 />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUHE OF CONTHACTQR. AUTHORRED AGENT.Ofl OWNER DATE <br />X� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />S OO A�C-A/HNDLGUNITS-H.P. <br />S OO REFPIGERATIONUNITS-H.P.EA. <br />S OO BOILERS-f1.T.U./H.P. <br />GAS FIRED A�C. UNITS - B.T.U. <br />FORCED �11R SVSTEMS - B.T.U. M EA. <br />WALL HEAT�RS - 8 T.U. M <br />S OO UNIT HEATEFS - flT.U. M <br />S OO EVAFORATIVECOOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIFEPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />VACANTSITE <br />❑YES ❑NO <br />N0. OF OWELLING UNITS <br />MA%. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEES VALUATION <br />BIIILUING $ <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE O1I��q��O <br />STATE BUILDING <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />a000i�sie <br />i/s/s� <br />FECEIPT NG. <br />�E� <br />TOTAL I I 41I50 <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED QN THIS SPACE) THIS IS VOUfl PERMIT <br />� <br />t� <br />�� <br />�` <br />�� <br />f.Ui1RE; ti FIL' <br />