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. � <br /> ���� �'7NSTRtJCTION <br /> GTY Or` <br /> �v�rett PERMIT ?ERMITNQ,_� SJ� 3 <br /> 259 -8745 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL L� PLl'MBING ❑ SIGN <br /> ONMER M�HL qO0RE55 � <br /> CITY -- PP PMONE <br /> Lyle and MX�t Mary Kent 7.11�l 4oyt Everett, 95201 7:,:-3576 <br /> ARCHIiECTOPOE5IGNEF M�I�qpDRESS CITV ZIF PHONE <br /> GENEHAI CONTPnLTOR MAIL ADDRE55 GTY 21c PHONE LICENSE• <br /> Nalbach Const 2132 iiighland Ave. Everett 9820] 252-7vS0 NI�LHAC*2300H <br /> MECMRNIC4�CONiRALTOF MAILp00R[55 QiY ZIP PMONE LICENSE[ <br /> PLUMBINGCONTRACTOR MAILApOFE55 CITY ZIP prypNE LICCNSE� <br /> CLASS OP WORN – --"' — <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION [�pEPAl61 L' uFnIOLITION ❑ BUILDING RELOCATION <br /> Vn�U4TIONOFWO�N — �- <br /> SI1��00.0� <br /> DESCRIBE WURN '— <br /> New roof, gutters, insulation, xa[�Xtipiffg cabinets <br /> MEATSOURCE — � <br /> � ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br /> PROPOSE�USEUFBl11l01NG '-- -- ' <br /> Single family BAf�$�AlA1M� residence I HEREDY CERTIFY �fV1A i i MnVE READ H;!O EXAMINED THIS I <br /> ieca�oeseaianovovaawearr�snovioe�owoan*.nc��rouneoaiesi AP?LIGATIOf�! AN6 KNOW THE SAME TO 9E TRUE AND <br /> CO17RECT. ALL �FAVISIONS OF LAWS AND 0:�.7�NANCES <br /> wQ1,�..22 eiocK �2 ov GOVERNING TF'dS TYPE OF WORK 'J✓ILL BE COMPLIEL t"�!?N <br /> — WFIETHER SPE:,IFIED HEREIN OR NO'f. THE GRANTING OF A <br /> PERMIT DOE'o NOT PRFSUME TO GIVE AUTHORITY TO <br /> �— VIOLATE CR CANCEL TYE P�30VISIONS OF ANY OTHER <br /> STATE GH LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE r'ERFORMANCE OF CONSTRUCTION. <br /> �oonooaEss . cn uaE oreor�rnnero njrHomzeo n;Eur.on owr�eq oat=_ <br /> 1110 kIoyt J(�.�ti� . ��� n^�� � <br /> PLUb7BIN:; FSECf{ANICAL —� <br /> NO. TYPE OF FI7(TUflE OR ITEM FEE NO. TYPE OF EOUIPME�.�T FEE <br /> _ WATERCLOSET�TOILET) �— p;C-A/HNDLGUNITS-HP. <br /> 6ATHTUB � R°FRIGERATIONUNITS-HP.EA. <br /> LAVATORY(WASH BASIN) BOILERS-B.T.U./H P. <br /> SHpWER VASFIREOA�C UNITS-B.TU. <br /> 1 KITCHEN SINK 8 DISP. S OO FORCED AIF SVSTEM$-BSL. h1 EA. <br /> DISHIVASHER WALIHEATERS-BS.U. M <br /> LAUNDRYTRAY UNITHEATEflS-B.-LU. M <br /> _ CLOTHES WASHER EVAPOPATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> _ fLOOR DRAIN RANGE HOOD <br /> BACKFLOW PqEV[NTERS N'ATER HEATER • <br /> _ ROOF ORAINS-RAINLEADERS WOO�STOVE <br /> SINK(SERVICE-BAR.ETC.) METAL FlREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> NEAT PUMP <br /> GAS f`IPING <br /> EXHAUSTFAN <br /> SUBTOTAL t S OO SUBTOTAL <br /> i PERMIT S PERMIT <br /> TOTAL FEE f S OO TOTAL FEL <br /> FRONTSET�ACN qEARscLnACR SIDESETBaLN PLANCHECNNUMBER FEE RECEIPTNO. <br /> USE ZONE LOT APEA yq�qNT SITt <br /> ❑ves Ono FEES VALUATION FEE <br /> TYPEOFCONST OCCOPANCYGROUP NOCFDWELLINGUNITS 9UILDING S'.1:L/OOO.00 -�-�' �-�.ZG OO <br /> PLUMBING <br /> SIZE OF BLDG NO UF STOaIES Mn% OCC �OAO <br /> WECHANICAL __.- _ �.., e.JJ <br /> � INVESTIGATIOMfEE �Sec,,:0a�e) , ,: �,�,�. <br /> FIRE SPRINK�ERS REOUIRED ❑YES NO <br /> STATE BUILDING SURCHARGE 3 SO <br /> S7A7EENEFGYSURCHARGE <br /> nPPLICATIONACL OY PLqNSCMECHE00Y AP�R FOf1155UANCf.�Y <br /> DRIVEWAV PERAIIT <br /> S.H. TOTAL 129 50 <br /> GERMIT VALIDATION <br /> WHEN PROPEflLV VALIDATED(IN THIS SPACE)TIiIS IS VOl1R PERMIT <br /> M <br /> M <br /> !_L7 <br /> � <br /> � <br /> '�.i)URtSS !il E <br />