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`�� � �1NSTRUCTfON . C <br />everett PERMIT PERMIT NQ : � ��U�� <br />�_ �� d59-�la - <br />❑ DEMOLITION ❑ COMBINATION (s�c BUILD!NG ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEF MAILAOORE55 CITY 21P PMONE <br />Mrs. Hjozk 3209 Hoyt Ave. N203 EVerEtt, WA 98201 252-7752 <br />PRCHITEGT OR OESIGNER MAIL ADORESi GTY ZIP TIONE <br />GENER4LCONTRA�TOP MAILAODRE55 Crv 21P VHONE LILENSEr <br />Pac-West Const. Inc. 10929 #C Hwy 99 S. EVerett, WA 98204 347-1991 PACT4EC*191PP <br />MECHRNtCALCOUTHACTOR MnILADORE55 CITY ZIP PHONE IICENSE• <br />CLn55 OF N'ORN <br />❑ Nf.t: ❑ ADDITION <br />S 900.00 <br />Install fire door esit <br />J�] ALTERATION ❑ HEPAIR <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Condominium <br />UR <br />LOT _ �LOCK _ <br />3209 i:oyt #203 <br />PLUMBING <br />NO. TYPE OF Fl1CTURE OR ITEM <br />WATER CLOSET �TOILET� <br />BAiHTUB <br />LAVATORY�WASH BASIN� <br />SHOWER <br />KITCNEN SINK 8 DISP. <br />OISMWASHEP. <br />LAUNOflYTHAV <br />CLOTMES WASHER <br />URIN�L <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PflEIENTERS <br />ROOF DRAINS — RAINLEADEPS <br />SINN (SERVICE — BAR, ETC � <br />ZONE <br />TVPE OF CONST <br />512E OF BLDG <br />S.H. <br />FEE <br />SUBTOTAL S <br />PEqM1T f <br />TOTkLFEE S <br />REARSETBACH SIpESET��CN <br />�OT AREA V�CANi SITE <br />❑vc; ❑r+o <br />OCCUR�NCYGfVO�P NOOFONELLINGUNITS <br />NO OF STORIES !AR% OCC LORD <br />) ❑ VES ❑ NC <br />PL/NSCNECKEOGY APPRFCR155UP'ICEfIV <br />B.E. <br />CITv <br />❑ DEMOLITION <br />❑ OTHEH <br />ZIP PHONE L'CENSE• <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. AL� PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMFLIED WITH <br />WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THL PROVISIONS OF ANY OTHER <br />STA�OR LOCAL LAW ,REGULATING CONSTRUCTION OR <br />OROWNER � DATE <br />A/C — A/HNDLG UNITS — H P. <br />REFRIGE�ATION UNITS — H P. EA. <br />BOILERS — B.TL.M P. <br />GAS FIRE� 0.C. UNITS — B.TL. <br />FORCEDAIPSVSTEMS—BTU. MEA. <br />WALLHEATERS—BT.U. M <br />UNITHEATERS—BT.0 M <br />EVPPORATIVE COO.ERS <br />CLOTNES�RYERS <br />VENTILATION FAN <br />HANGEH�OD <br />WATERHEATER � <br />WOODSTOVE <br />ME�AL FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUM11P <br />GAS PIPING <br />E%F1AU5T FAN <br />PI.AN CHECN <br />BUILUING <br />PLUMBING <br />MECHANICAL <br />INVESTIGA710Y FEE <br />FEE <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE RECEIPTNO. <br />VAIUATION FEE <br />5 90G.00 <br />Sec.904�0) <br />STATE BUILDING SURCHAqGE � I <br />STATEENERGVSURCNARGE <br />ORIVFWAY PERMIT <br />TOTAL <br />PEflMIT VALIDATION <br />WHEN PROPERLY VAU�ATED �IN THIS SPACE) TH1515 YOUP PERMIT <br />• <br />