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�E�� <br />CITY OF <br />everett <br />259-8745 <br />� C7NSTRUCiION � <br />PERMIT <br />PERMIT NO. � 9 4 � 4 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � pLUMBING ❑ SIGN <br />OYMEP MAILADORESS GITI 21P PMONE <br />Henry and Teresina M. Middendorf 603� Manor P1. Everett, WA 98203 353-7659 <br />ARCHiTECT OR OESIGNEP MqIL pDDHESS �ITY ZIP PHONE <br />GENERALCONTRACTOR MrIILRODRE55 CITY 21P PHONE LICENSE♦ <br />IAECNANICALCONTl1qCTOR MAiL�ODRE55 LITV ZIP pMONE LILENSE• <br />259-�131 <br />PLUMBINGCONTRACTOF MqILqDORE55 �ITV 21P PHONE LICENSEr <br />Holmstad's Plinnbing and Heating 3211 Sroadway Everett, WA 98201 HOLMSPH251KW <br />CLA55OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ pEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VRLUATION OF WORK . <br />S <br />OESCRIBE WORN <br />Bdtl]YOOIII <br />MFATSOURCE <br />0 ELECTRICITY ❑ GAS ❑ WOODSTOVE iJ OTfiER <br />'HOVOSEO USE OF B W IDING <br />Residence <br />.EGPL OESCFIVTION OF PRUPERTY (SH01 <br />LOT _ BLOCK _ OF_ <br />OBAODRESS <br />5621 :,owell Rd. <br />PLUMBING <br />TYPE OF FIXTUHE C <br />WATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORY�W�SHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISNWA511ER <br />LAUNDRVTRAV <br />CLOTHES WASNER <br />URINAL <br />DflINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFIOW PREVENTERS <br />ROOF DRAINS — RAIN' EA�ERS <br />SINK (SERVICE — BAR, ETC. � <br />SUBTOTAL <br />FERMIT <br />TOTALFEE <br />PLANS CNECKEO OY <br />S.H, <br />I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COFr ECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVE�9NING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO IiIVE AUTHORITY Tp <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P FORMANCE OF STqUCTION. <br />9GN R�F CONTqA . U ORIZ A' NT.OR OWN R UATE <br />Xv / —/i_ �✓� <br />MECHANICAL <br />FEE WO. TYPE OF E�UIPMENT <br />OO A/C—A/HNDLGUNITS—HP. <br />flEFqIGEflATION UNITS — H.". EA. <br />OO DOILERS—B.T.U.M.P. <br />OO GAS FIREO A�C. UNITS — B.T.U. <br />FO(iCED Alfl SYSTEMS — B.T.U. M EA. <br />WALLNEATER$—B.T.U. M <br />UNITHEATENS—B.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTIIEa DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATE(i <br />WOODSTOVE <br />METAL FIflEPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GASPIPING �-- <br />� EXHAUSTFAN � <br />f 10 l <br />f 25 Y ( <br />itCE SETAACK <br />IACANT SITE <br />]VES ❑NO <br />JU. OF DWELLING UNITS <br />,IAX. OCC. IOAD <br />>PPR. FOR ISSUPNCE OY <br />PIAN CHECK <br />BUILDING <br />PLUMBING <br />IdECHANICAI <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />FEE <br />STATEENERGVSURCHARGE <br />DIiIVEWAV PEtiM1T <br />� <br />FEE <br />FEE <br />� _. <br />. . SuC:.304�e) .� . <br />TOTAL I I 25 <br />PENMIT VALIDATION <br />WHEh r'flOPEflLV VALIOATED (IN THIS SPACE) THI$ IS VOUR PERMIT <br />/1Gl .iL.`_-, . ..._ <br />\ <br />