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the Euergreen <br />CITY OF <br />�verett <br />259-8745 <br />�"1NSTR�CTIf?N <br />PERMIT <br />NERMiTNO. 2� ���1 <br />❑ DEMOLITION `—J COMBINATION ❑ BUILDING H}CMECHANICAL � PLUMBING ❑ SIGN <br />OWNER �•�A�i pp�RE55 CIiT 21P PNONE <br />S. R. Davidson 3822 Hoyt Everett 96201 259-1996 <br />ARCMrtECTORCE51GUER UAII/•O�RE55 CITY ZIP 4'HOHE <br />RIAIL AOORESS <br />1'I�UrvE UCENSE • <br />MECMFNIGLCONTRPCi04i iAAILFpORE55 CITY LIP PNONE LICENSE• <br />Chimney Master 1415 Broadway Everett 98201 259-6666 <br />PLOMp:NGCONTflACTOH MAILh�ORE55 CItY ZIP P40NE LICENSE• <br />LLT$$ OG W�PI" <br />❑ �EW ❑ ADDITION ❑ ALTERATIO�' ❑ REPAIR <br />VALUATION Of WURN <br />S <br />�ESCRI�E KOFN <br />Check insert inst.,lled �mproperly by Craft Stove <br />ME4TSOUPC[ <br />❑ ELECTHICITY ❑ GAS U WOODSTOVE <br />SFR <br />LEGPL �ESWiPT10NOf PROP <br />I.OT � BLOCN � <br />JOOAD�BE55 <br />3822 Hovt <br />PLUMBI�G <br />NO. TYPE OF FIXTURE 0 <br />WATER CLOSET �TOILET� <br />BATMTUB <br />LAVATORY�WASH BASIN) <br />SMOWER <br />NITCHEN SINK 8 �ISP. <br />DISH WASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />OfiINKING FOUNTAIN <br />FLOOR DRAIN <br />6ACHFLOW FREVENTERS <br />ROOf ORAINS — RAINLEADERS <br />SINH �SERVICE — �AR, FTC � <br />SUB TOTAL <br />Pf.RM1T <br />TOTALFEE <br />ncan cEtoncK <br />❑ DEMt�LITION <br />❑ OTHEH <br />C] OUILDING RELOCATION <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 ORDINANCFS <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETIIER SPECIFIEI? HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE ALITHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR I.00AL LAW REGULATING CONSTRUCTION OR <br />THEPERFORMANCEOFCONSTRUCTION. <br />SiGNAiiRF.OfCONTRACiOP.AUTMORI2EOAGENi.O(IOWNCR DATE <br />z ��,�._.:_ -�„ �Mw�Ls<... ia.�s-s�s <br />MECHANICAL <br />ITEM FEE NO. TVPE OF EOUIPMENT <br />A�C -A�HNDLGUNITS—NP <br />REFqIGERATION UNITS — HP. EA. <br />BOLLERS—OTU/MP. <br />GASRFEDAC UNITS—BTU. <br />fORCED AIR SYSTEMS — B T.U. M EA <br />WA��HEATERS—�TU M <br />UNITHGATERS—OTU. M <br />EVAPORATIVE COOLERS <br />CLOTIIES �RVERS <br />VENTILATION FAN <br />RANGE HOOC �I�� <br />WA(ERHEATER A!(� IOI <br />wOODSTOVE � <br />MEfAL FlREPLACE 8 CliIMNEV <br />.L fIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />Tm[OFCONST OCCOPANCYGROIIP <br />szc oF o�oc r�o or s*oaies <br />FIRE SPRINKLERS REOl11RED C YES ❑ NO <br />nrrucn*ia�.nr,c n� v�nrvscr�[crcm�tr <br />PLAN <br />:ANT SITE FEES <br />ES ❑ NO <br />OFCWELLWGUNITS 6UILDING <br />MB% OLC LOAD <br />nvrn rai� is,unr�Ce ov <br />PLUAIBING <br />MECHANICAL <br />SUBTO�AL <br />PERMIT <br />TOTALFEE <br />FEE <br />INVESTIGATION FEE <br />STATE BUILOING SUFCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />S <br />Sec.3041e) <br />FEE <br />FEE <br />TOTAL I I <br />PERMIT YALIDATION <br />YIIIGN PROPERLY VALIf)ATED �IN THIS'.PACE) THIS IS YOUF CE�MIT <br />� <br />