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the Eveigreen <br />CITY OF <br />everett <br />259-8745 <br />'' �'~IVSTRUCTION <br />PERMIT <br />�-. - <br />PERMIT NQ: �� U r J <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING Cf MECHANICAL 'C$ PLUMBING ❑ SIGN <br />OWNER MAIL4DOHESS CITY ZIP PHONE <br />Auto Mall Assoc 906 SE Ewerett Mall Way Everett, WA 9(3204 <br />AflLHITECTOR0E51GNEfl MAILADDflESS CITY ZIP PHONE <br />GENEflNL CONT3PCTOR MAII ADDRE55 CITV ZIP PHCNE UCENSE � <br />Puget West <br />MECHAI�ICNLCONTflACTOR MAILADDRE55 CITY 21P PHONE LICENSE/ <br />PLUMBINGCONTRACTOR MAILADDl1ES5 CITY ZIP PMONE LICEN58• <br />Rtv.R Plumbing 4625 67th Ave. NE Marysville, WA 98270 334-4357 FRPLU194RP <br />CLASS OF WORK <br />❑ NEW ❑ ADDdTION G,F ALTEflATION ❑ flEPAIR ❑ DEMOLITION ❑ BUILDiNG RELOCATION <br />VALUNTION OF WO9K <br />5 <br />Install 2 toilets, 2 lavs, and water heater, sink, and floor drain. <br />HEATSOURCE <br />❑ ELECTRICITY L� GAS ❑ WOODSTOVE ❑ OTHER <br />Muffler and brake <br />.EGAL DESCflIPTION OF PROPEGTY (5 <br />LOT _ BLOCN _ OF_ <br />PLUMBING <br />tJO. TYPE OF FI%TURE OR ITEM <br />Z WATEfi CLOSET (TOILET� <br />BATHTUB <br />Z LAVATORV (WASH BASIN) <br />SHOWER <br />. RITCHEN SINK 8 DISP. <br />LAUNDRVTRAY <br />CLOTHE3 WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DfiAINS — HAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FRONTSETOACN REARSET6ACN <br />USE20NE LOTAREA <br />TYPE OF CONST. OLCIJ?PNCY GR <br />SIZEOFBLDG. NO.OFSTONIES <br />S.H. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KhOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVI>IONS OF LA6VS ANU ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRAN'i ING OF A <br />PERMIT DOES NOT PRESUME TO G�VE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW RCGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAN FGO TRACT .AUTMORIZEDAGENf,OROWNER DATE <br />x „o.�.� �. nD �—�.-8� <br />FEE NO. TYPE OF E�UIPMENT <br />A/C — A/HN�LG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />OOILEFS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS -- B.T.U. <br />FORCEDAIRSVSTF.MS—B.T.U. PAEA. <br />WALLHEATERS—fl�.U. M <br />UNITHEATE!15-8.1'.U. M <br />EVAPORATIVE COGLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SITE FEES <br />❑ NO <br />�WELLINGUNITS BUILOING <br />PLUMBING <br />C. LOAD <br />MECHANICAL <br />IN:c:T�.iinllUh fLe <br />APPq FOR ISSUANCE OY <br />FEE <br />SUBTOTAL 5 <br />PEflM1T 5 <br />TOTALFEE � ' �S �� <br />FEE � RECEIPTNO. <br />VALUATION' — �_•—�� PEE <br />S'_. _ _. <br />30 00 <br />Sec.304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARCaE <br />DRIVEWAY PERMIT <br />TOTAL <br />F:RMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />ADDRESS FILE <br />$1�50 <br />