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the Ecm71rern <br />CI; Y OF <br />everett <br />259-8745 <br />- C7NSTRUC�i ION <br />PERMi7,' <br />PERMITNQ:- � lU�� <br />❑ DEMOLITION 7�(COMBINATIOYJ � BUILDING O MECHAN7CAL ❑ PLUMBIN^u ❑ SIGN <br />ONRJEF MAI� qDDRE55 CITV Z�P PNONE <br />Elsie Simms 501 Wilmington Everett <br />nacrirccr oa oEsicr�E2 <br />n+>i� nDonEss <br />GENERALCONiR4CTOR M41LApURE55 CITY ZIP PNOM1E LICENSE• <br />My-Ed Construction P.O. Box 1012 Everett 98206 334-3487 MYEDC**223M7 <br />MECMANiCqLGONiR/QOR 1d4�LApOPE55 CITY ZIP PHpNE LICENSE♦ <br />PLUMBINGCONTR�LTOR IAFILPppRESS CITV Zi�' PY.DNE LICENSE• <br />� NEW ❑ ADDITION �] pLTERATION �] REPAIR � DEMOLITION ❑ BUILDING RELOCATION <br />VNLUATiON Of WOAK <br />S 1��0�.0� <br />DESCRiBE WORK <br />Remove sectior�s of house , add insulatiun,XV(��fi�re-roof, new siding, new windows <br />IJ ELECTRICITY ❑ GAS ❑ WOOOS70VE ❑ OTHER <br />2 family residence <br />�or3&4 niocK 790 ov <br />JOB >DDRE55 <br />3305 Hoyt <br />PLUMBING <br />Plat of Everett <br />NO. TYPE OF FI%TURE OR lTEM <br />WFTER CIOSET �TOILET� <br />BATHTUB <br />LAVATORY�WASHBASIN� <br />SHOWER <br />KITCMEN SINK 8 DtSP. <br />DISHIYASHER <br />LAUNDR`lTRAY <br />CLOTMES WnSMER <br />URINAL <br />DRINNING FUUNTAIN <br />FLWRORFW —_ <br />OACKFLOW PREVENTERS <br />POOF DRAINS — RAINL[ADERS <br />SINK �SEFVICE — BwR, ETC � <br />vnorv*seroacK <br />USE 20NE <br />TYPE OF CONST <br />SiZE OF BLOG <br />FlRE SPRINKLEFS R <br />nrrucnnor�acc or <br />S.H. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />ARCN <br />� <br />S <br />S <br />�ioE sEiEaACK <br />V�CANi SIi[ <br />C1vES ❑ NO <br />OCCIIPANCYGROJ� ��lDOlOWELLINGUNITS <br />NO Of STORIES I MA% OCC LOnO <br />r�nr�;a��cr.Eoov � nran ronusunNr,cor <br />t <br />I HEREBY CERTIFY THAT 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 />GOVERNlNG THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OA CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />`.iGNAiFqE Of CONIRACTOR AUiMORIZEC �GENT.OR O\'1NER OPTE <br />X <br />�dECHANICAL <br />A C— A: HNDLG UNITS — H P <br />FEFRIGERATIOM UNITS — H P. EA <br />BOILERS—BTU/HP <br />GAS FlRED A C. UNITS — BSL. <br />FORCED AIR SVSTEMS — �SL. <br />WALL HEATERS — B T U <br />UIJIT HEATERS — BSL <br />EVAPORATIVECOOLERS <br />CLOfMESDRVERS <br />VENTILATION FAN <br />RANGEHOOU <br />WATERHEATER � <br />WOODSTOVE <br />METAL FIflEPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%MAUSTFAN <br />SUBTOTAL <br />PENMiT <br />TOTALFEE <br />PLAN CNECKNUMDER FEE <br />FEES VALU <br />�UILDING �1����.�� X x�'���� <br />PLUMBI�G <br />MECHANICAL <br />INVES7IGA7ION FEE � Sec. <br />STATE BUILOING <br />STATEENERGVSURCHARGE <br />DqIVEWAV PEPMIT <br />FEE <br />M EA <br />M <br />A1 <br />RECEIPT NO. <br />V FEE <br />11% � <br />i'NI'� Li:�nH.�flL � <br />��L'.'�� t n <br />TOTAL I � 1 <br />�EPMIT VALIDATION <br />WHEN PROPERLV VALIOATED I W 71115 SPPCEI TIII515 YOUR PERMIT <br />L <br />