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tne Euagreen <br />cin oF <br />everett <br />259-8745 <br />C7NSTR�CTION � <br />P�i�MIT <br />PERMII' NQ : � U U �" <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I� MECNANICAL ❑ PLUdIBING ❑ SIGN <br />OWNEF MPILADDRE55 CIiY ZIP �HONE <br />Richard W. Thomas 607 Madison St. Everett 98203 355-8627 <br />ARCNITECT OR OESIGNER MNL ADDflE55 GITY 21P PNONE <br />GENFRALCONTRACTOR MAiLA00RE55 CITY ZIP PNONE 4CENSEM <br />MECNANICALCJNTRACTOR MAILqDDRESS CITV ZIP PMONE LICENSE� <br />owner <br />PLUMBING CONTRAC'OR MAIL A�OPE55 CITY ZIP PHONE LICENSE • <br />CLASS OF WURK <br />❑ NEW G,� ADDITIJN ❑ ALTERATItlN ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Install fireplace insert <br />HEATSOURCF. <br />❑ ELECTRiCITV ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />ffif3l8 <br />�or _ oiocK _. <br />PLUMBING <br />TVPE OF FIXTURE OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHOWER <br />1(IIGHEN tINK 8 DISP. <br />DIS�iWASHER <br />LAUNDRVTRAV <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />flOOF DRAINS — RAINLEi <br />SINK (SERVICE — BAR, El <br />TYPE OF CONST. <br />SIZE OF pLDG. <br />APPLICATION <br />S.H. <br />PERMIT <br />TOTALFEE <br />NO OF STORIES <br />PLRNSCMECKEO <br />I HEREB':' CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIO�J AND KNOW THE SAME TO 9E TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORD�NADJCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NC�T. THE GRANTIhG OF A <br />PERMIT DQES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR C�NCEL THE PROVISIO�:S OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING GONSTRUCTION OR <br />THE PERFORM.ANCE OF CONSTRUCTION. <br />SIGNAT _�E OF OONT%� %Ri UTHC R;�DP GENT�_OR OWNER DATE <br />X 7L� •{ � �/—�7 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — H.P. <br />REFRIGERATIONUNITS—H.P EA. <br />BOILERS — B T.0 /H.P. <br />GAS FIREO A.C. UNITS — B.T.U. <br />PORCED AIR SYSTEMS — B.T.U. M EA. <br />WALL HEATERS — B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />� WATER HEATER • <br />WOOD STOVE <br />METAL FIREPLACE 8 CFIIMNEY <br />1 FIRHPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SITE <br />❑ NO <br />uNrts <br />FOR ISSUANLE BY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE 6UILDING SURCHARGI <br />STATEENERGVSURCHARGE <br />DRIVEWAV FERMIT <br />TOTAL <br />5 <br />nJVUr.Lifr i � <br />- .�:J� t>.l <br />_,.�_., O�JJ <br />Sec.304(e) <br />FEE <br />V✓HEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />AC�DRESS FtLE <br />