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u�� <br />cirv oF <br />everett <br />259-8745 <br />�NS?R�JCTION <br />PERNilT <br />hERMIT NQ� _ 17949 <br />❑ DEMOLITION ❑ COMBINATION [� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfl MPILAODRESS CITY 21P PMONE <br />Ge�rge Gartrell 6031 Flemming Rd. Everett 98203 353-1531 <br />ARCMREGTORDESIGNER MAILADDRESS CITY ZIP PHONE <br />GENEM�CONTRACTOH MAILw00PE55 CITY ZIP PMONE UCENSE• <br />Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 <br />MECHANICAICONTRACTOR MqILADDRE55 LITY 21P FHONE LICENSE� <br />EVEREB*301PH <br />PLUMBINGCONTRACTOR MAILAODRESS CITV 21P PNONE �ICENSE• <br />❑ NEW ❑ ADDITION <br />s 948.00 <br />� ALTEpATION � REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Roof recover <br />HEATSOURCE <br />❑ ELECTHICITV O GAS ❑ WOODSTOVE � OTHER <br />Sinqle fmailv residence <br />LOT _ B�OCK _ <br />6031 <br />PLUMBING <br />NO. <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PFEVENTERS <br />ROOF �RAINS — RAINLEP <br />SINK (SERVICE — BAR, ET <br />SUB <br />TOTALFEE <br />TYPE OF CONST. <br />SIZE OF BLDG. <br />APPUCATION ACC. BY <br />S.H. <br />FEE <br />VACANT SITE <br />❑ YES ❑ NO <br />LOAO <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 GRANTI�dG 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 />SIGNNTURGBF�CONTHACTOR.AU7F/DPIZEDAGENT.OROWNEfl OATE <br />� <br />MECHANICAL <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H,P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS -- B T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOt7O S70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECK NUMBER <br />FEES <br />eui�owc <br />PLUMBING <br />MECHAN�CAL <br />INVESTIGATION FEE <br />STATE BUILDING SUF <br />��� <br />FEE <br />SUB TOTAL <br />PENMIT <br />TOTAL FEE 3 <br />FEE RECEIPTNO. <br />03/25/87 2:1 'FFf OOOpN4618 B:�'k:K <br />�',�': � � �� <br />1 <br />`'la� Il ■ <br />��■ <br />� i � 1 . �� <br />STATE ENERGV SURCHARGE � E� SRCH <br />DRIVEWAV PERM1IIT <br />TOTAL <br />E SRCH £i.50 <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PE1iMiT <br />ADORESS FILE <br />� <br />Qi <br />�- <br />rn <br />� <br />� <br />