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�� '1 C'�N�TRUGTION �' - <br /> CITV OF <br /> everett PERMIT PERMITNO. 20410 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION C� BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MnIL qDORE55 � � CITY 21P p110NE <br /> Carolyn Johnson Everett, S41 337-9108 <br /> RPGHIT[CT OR pE51GNER MRIL qDORE55 CITY ZIP PHONE <br /> GENERALCOHTRACTOR AIqILADL'NESS pTY IIP pnON[ LICENSE• <br /> Mike Kelly Paint and Const. 802 SW 117th Everett 47A 58209 Mr Fp('1 srn 77S-74s7 <br /> MEGH�NICA,CONTRACTOR MAIIADDRE55 �ITY Z�P CIIONE LIC[NSE• <br /> r UMBING CONTRAGTOR MRIL R�ORE55 CIiV ZIP PHONE LICENSE• <br /> GLASS OF WORI( <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION �REPAIR ❑ UEMOLITION ❑ BUILDING RELOCATION <br /> VAWATION OF WORN , <br /> S 2���.�0 <br /> DE"�qIBE WORK <br /> Reroof <br /> IIERT SOURCE <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROVOSEO USE OF BUIIDING <br /> 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single Sdf family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPROPEl1TY�SHOWOELOWORATT�CNiOURCOFiE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior 9'18�ocK 11 oF plat of Pinehur t D' GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED I�EREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TG <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR <br /> THE PERFORM NCE OF CONSTRUCTI N. <br /> JOBADDHESS SIGN4 EOif.ON i�CTOR U 101 I. ENi OWNER AtE <br /> 6101 Commercial X � � 7 7 �� <br /> PLUMBING MECHANICAI <br /> NO. TYPE OF FIXTUHE Op ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) AiC—A/HND:G UNITS—HP. <br /> BATMTUB pEFRIGERATION UNITS—H P.EA. <br /> LAVATORY(WASN BASIN) BOILERS—0 T.0�H.P. <br /> SHOWER GAS FlRED A C UNITS—BS.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B.T U. M EA. <br /> DISHWASHER WALLHEAiERS�-BT.U. M <br /> LAUNOFlVTRAV UNITHEATEFS—BTL. M <br /> CIOTHES WASHER EVAPORATIVE COOL[RS <br /> URINAL CLOTHESDRVEFS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FIOORDRAIN RANGEHOOD <br /> OACKFLOW PREVENTERS YlATER HEATER <br /> ROOF DRAINS—RAINLEADEPS WOOD STOVE <br /> '�i SINK(SERVICE—BAR,ETC.) M1IETAL FIREPLACE 8 CHIMNEV <br /> FIPEPLACEINSEFT <br /> HEATPUMP <br /> GAS PIPING <br /> E%NAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMiT f PERMIT <br /> TOTALFEE f TO � <br /> �aoNTSETBnCK REnaSETonCK SioESErBnCK PLANCHECKNUMDER FEE � RECEIPTNO. <br /> H000^c0410 <br /> USE20NE LOTAREA yqCANTSRE <br /> ❑YES ❑no FEES TION FEE <br /> TYPEOFCONST. OCCUPANCYGROUP NOOLDWELIINGUNIiS BUILDIYG ' � S .50 45 00 <br /> PLUMBING <br /> S12E OF BL�G NO.OF STONiES MA% OCC LOAp <br /> MECHANICAL <br /> INVESTIGATIONFEE Sec.904�e) <br /> FIRE SPRINKLEFS FEOUIRED ❑VES �NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> RPPIICAiION ACC OY PLANS CNECNE��v APPP FOR ISSUANC[OV <br /> DRIVEWAV PERMIT <br /> S.H. T07AL <br /> PERNIT VALIDATION <br /> WHEY PROPE(iLY VALIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> U <br /> [� <br /> '� <br /> � <br /> ' N <br />� ,�c�. ����'. �S . <br />