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everett � C'�NSTRUCTION � � <br /> 259 -8745 PERMfIT PERMITNO. 2� 3OO <br /> ❑ DEMOLITION ❑ COMBINATION [1 BUILDING ❑ MECHANICAL ❑ PLUMBING [� SIGN <br /> OWNER M/IIADDRE55 GITY ZIP PHONE <br /> Eylander E:ecrric P.O. Box 1479 Everett, WA 98206 259-2161 <br /> FRCNITECT OR DESIGNER MNIL ADCRESS CITY ZIP PMONE <br /> GENERA�CONTP�CTOR MAIL ADDRESS CITY ?IP %IONE LICENSE� <br /> Owner <br /> AIEGNANICAI CONTRACTOR MAIL AD�NE55 pTY bP PMONE LILENSE� <br /> PLUMBING CONTRACTOR MAIL RDDPESS CITY ZIP PHONE UCENSE� <br /> CUSS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK — <br /> 5.7�0.�Q <br /> DESCRIBEIVORN - <br /> Move segn from 2416 California <br /> HEAT SOl1RLE � <br /> ❑ ELECTRICITY ❑ GAS O WOODSTOVE ❑ OTHER <br /> . moroseo uss oF euaon+c <br /> I HEREBY CERTIFY T'1AT 1 HAVE READ AND EXAMINED THIS <br /> � APPLICAI'ION AND KNOW THE SAME TO BE TRUE AND <br /> . LEGALDESCRIPTIONOFMiOPERTY�SHOWBELOWORAITACMFOURCOPIES� CORRECT. ALL PRJVISIONS OF LAWS AND ORDINANCES <br /> 1,2,3 Mitchel Land & Improvement GOVERNING THIS �iYPE OF WORK WILL BE COM�LIED WITH <br /> LOT_�OLOCK � OF WF{ETHER SPECIFED HEREIN OR NOT. THE GRANfING OF � <br /> Co. 's lst Addition. PEIiMIT DOES P�OT PRESUME l"O GIVE AUTHORITY TO <br /> VIOLATE OF C �NCEL THE PROVISIONS OF ANY OTHER <br /> ST��TE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE RFORM iNCE OF CONSTRUCTION. <br /> JOB FDDRE55 SIGN E OF CON'�iACTOR. O ACE �R OY�j�EN OATE <br /> 3601 Everett Ave. /�� �L -J <br /> z ,,a..:� , p�d. ,�,� y�i <br /> PLUMBING ME HANICA� ' <br /> NO. TYPE OF FlXTURE OR ITEM FEE O. TVPE OF IPMENT FEf: <br /> . WATERCLOSET�TOILcT) NC- A/HNDLGUNITS-H.P. <br /> BATHTUB REF',IGERATION UNITS-H.P.EF. <br /> . IAVATORV(WASH BASIN� pf�LERS-B T.UJHP. <br /> SNOWER C AS FIRED A�C.UNITS-B.T.U. <br /> KITCHEN SINK 8 DISP. rORCED AIR SYSTEMS-8.1'.U. M EA. <br /> DISHWASHER � WALLHEATERS-B.T.U. M <br /> LAUNORVTRAY UNITHEATERS-B.T.U. M <br /> ' CLOTHESWASHER EVAPORqTIVECOOLEf15 <br /> URINAL CLOTHES DRVERS <br /> DRINKING fOUNTAIN � VENTILATION FAN <br /> FLOOR DRAIN RANGE I100D <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS-FAINLEADERS WOOD STOVE <br /> SINK(SERVICE-�Aq.ETC� METAL FIREPLACE 8 CHIMNEV <br /> - FIPEPLACEINSERT <br /> NEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT S PEHMIT <br /> TOTAL FEE S TOTAL FEE <br /> �aONTSETBnCK REARSETOnCK SiDE3[TonCK PLANCHECKNUM6ER FEE RECEIPTNO. <br /> USE ZONE LOT AREA ' <br /> vnc.nNTsrte FEES VALUATION FEE � <br /> ❑YES ❑NO <br /> TYPEOFCONST. OCCUPANCYGHOUP NJ.OPUWEIIINGUNITS �UILDING �`rJ��e 3: ^FhS OOOliR3596 OCB�:�:R <br /> PLUMBING � <br /> SiZE Of BLpG. NO.OF STORiES MA% OCC LOAO ^ <br /> MECHANICAL �� 5 � <br /> INVESTIGATION FEE � <br /> FIRE SPRINNLERS REOUIRED �]VES O NO <br /> STATE BUILDING SURCHARGE �ECY K S.00 <br /> STATEENERGYSURCHARGE <br /> �PPLIC4ilONACC BY PLANSCIiECNEDBV APPR FORISSUANLEOV <br /> Be ORIVEWAV PERMIT <br /> M.bf. DD - traffic TOTAL 5 00 <br /> GE - planning <br /> PERMIT VAIIDATION <br /> WHEN PROPERLV VALIDATED�1N TMIS SPACE)THI515 YOUR PENMIT <br /> � <br /> � <br /> �� <br /> r' <br /> �J <br /> I <br />