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the Evergreen <br />cin oF <br />e�erett <br />259-8745 <br />� 'rONSTRUCTIONl� <br />PERMIT <br />PERMIT NO: _ � � � `� � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL '❑ PLUMBING ❑ SIGN <br />OWNER MAlLA0DHE5S CIiV ZIP PHONE <br />Russell Hutchinson 312 Madison Everett, WA 98203 353-3564 <br />RRCHITECTORDESIGNER MAILh00RE55 CITY 21P PMONE <br />GENEfiNLCONTRACTOR MAILADDRESS CITY 21P PMONE LICENSE� <br />MECNANICALCONTfiFGTOR MAILADDRESS CITY ZIP PMONE LICENSE� <br />Natural Gas Equip. Co. 1625 E. Marine View :7r. Everett, WA 98201 258-2441 ANTURGE321K4 <br />PLUMOINGGGNTRACTOR lIAILAo0RE55 CITY ZIP PHONE UCENSE� <br />CLNSS OF WORH <br />❑ NEW ❑ AODITION �ALTERATION ❑ REPAIR ❑ DEMOLITIOtC ❑ BUILDING RELOCATION <br />VAWPTION OF WORN <br />$ <br />OESCRIDE WOFN <br />Install as fire lace lo s. <br />MEATSOURCE <br />O ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER _ <br />LOT _ BLOCK <br />PLUMBING <br />TYPE OF FI) <br />WATEF CLOSET (TOILI <br />BATHTUB <br />LAVATORV�WASNBA: <br />SHOWER <br />FITCHEN SINK 8 DISP. <br />LAUNDRYTflAV <br />CLOTHE.i WASHER <br />URINAL <br />FLOOR <br />ROOF �RAINS — RAWLEAOERS <br />SINK �S'cFVICE — BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />TYPE OF CONST. <br />SIIE OF ��DG. � NO. <br />APPLICPTIONACC.BY � PIANSCHECNED <br />S.H. <br />]YES ❑ND <br />NO.OF DWELLWG <br />MA%.00Q LOAD <br />APPR FOF ISSU/NCE <br />I HEFlEBY CERTIFY TFtAT 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 />GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED .1EREIN OR NOT. THE CiRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAI LAW REC�ULATING CONSTRUCTION OR <br />THE PE FORMANCc OF CONSTRUCTION. <br />SIGNATII f,T�PIZEDAGENT.OROWNER OATE <br />X �o� 0�6 � I <br />M[CHANIC:�L <br />NO. TYPE OF EOUIPMENT <br />A/C — AMNDLG UNITS — H.P. <br />REFFIGEHATION UNITS — H.P. EA. <br />BGILcRS — B.T.U./H P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WAV_HEATERS—B.T.U. M <br />UNITHEATERS—B.i.U. M <br />EVAPORATIVE COOLERS <br />CLOTFIES DRYERS <br />VENTILATION FAN <br />RANGEHO00 _ <br />WATER HEATEW • <br />WOODSTOVE <br />METAL FIREPLACE & CHIMNEV <br />FIREPLACE INSEF T <br />HEAT PI�MP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />?LANCHEC�.NUMBER FEE <br />FEES VALI <br />BUILDING S <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />Sec.304�e) <br />rce <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />�' <br />�..ci <br />c� <br />r� <br />� <br />