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the Eoergrcrn <br />a�� oF <br />everett <br />259-8745 <br />-` C�N�TRUCTI�tV <br />PERMIT <br />PERMIT NQ: ^ � O52 I. <br />� DEMOLITION CJ COMBINATION ❑ BUILDING ❑ M�FCHANICAL ❑ PLUMBING C� SIGN <br />OWNER IAAIL�DORE55 CIT\' ZIP PMONE <br />Weaver. Develo�ment 43 E. Douglas Oak Harbor 96277 675-1013 <br />APCMITECTOFOESIGNER MAItPODRE55 Cliv ZIP PYONE <br />GENERALCONTqqCTOR 1.1AILADORE55 CITV ZIP PNONE UCENSE� <br />B�11 O'Brien & Sons 5037 33rd Ave. W. Everett 98203 353-2454 BILLOE160DH <br />6�ECHANICAIWNTRACTOR IAAILAOORESS CITY ZIP �MONE UCENSE� <br />PLUMBINGWNTRqCTOR MA�LPODRE55 CITY $IP PHONE LICENSE� <br />❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR � DEMOLITION ❑ BUILDING RELOCATION <br />VNLU/ TION OF WORK <br />$ <br />�ESCNBE WORd <br />A��SB DPmolish and remove existinq house. <br />MEAT50URCE <br />❑ ELECTRIfITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOi 7 [fLOCK 11 <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET� <br />pATHTUB <br />LAVATORY �WASH BASIN) <br />SHOWER <br />HITCHEN SINK B DISP. <br />DISHWASHLR <br />LAUNORYTFAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FGUNTAIN <br />FLOOR DHAI4 <br />BACKF�OW PREVENTERS <br />ROOF DRAIMS — RAINLEADERS <br />SINK �SERVICE — BAfl. FTC � <br />USE ZCNE <br />TYVE OF CONST <br />9z[ Or nloG <br />FIRE SPqINNLENS F <br />APPLIC�TIONACC BY <br />S.H. <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />LOT�REn <br />VACPNT SIT[ <br />❑YES ❑NO <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIGNS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WiLL BE COA".^:.IEfi WITH <br />WHETHER SPECIF�ED HEREIN OR NOT. fHE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OT.HER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />$�8Rrt1LH�OFCONTRACTOR,ALLj��OP12EpnGENf.OROYMPi OATL <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPMENT <br />A/C — AMNDLG UNITS — H P <br />REFFIGEFATION UNITS — H P. EA. <br />BOILERS — B.TL.MP. <br />GAS FIRE� AL. UNITS — 0 T.U. <br />FORCED AIR SYSTEMS — B.TL. M EA. <br />WnLL HEATER3 — 07L. M <br />UNITHEATEPS—B.TL. M <br />EVAPORATIVE COOLEP.S <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGENOOD <br />WATERHEATER � O7IZ%IFjH � <br />WOOD STOVE � <br />METAL FIREPLACE 8 CHIMN�["��OSLS <br />FIHEPLACEINSERT B SRCH <br />HEATPUMP NOOO�OSLG <br />GAS PiPING E SRCH <br />E%HAUSTFAN B �RCH <br />sua <br />PI AN CHECK NUMDER <br />OCCUP4NCVGROUP NOOFOV/ELLINGUNITS �UILOING <br />No oF s*onies I �•��= ccc iono <br />p�l�NSCHECHLnAT �pf'PRPoRISSUA4CEIIY <br />PLUMBING <br />MECHANICAI <br />SEWEF. <br />INVEST13ATION FEE � Sec. �04(c) <br />RECEIPT NO. <br />`. SD <br />STATE BUILDING SIJRCHARGE <br />�TATE ENERGV SURCHAfiGE <br />D(iNEWAV PERMIT <br />TOTAL <br />PENMIT VALIDATION <br />WHEN PROPE��Y VALIDATED QN THIS SPFCE) THIS IS VOUR PERMIT <br />;.6c �, ._�. i � <br />0� <br />�� <br />N <br />l_f� <br />O <br />N <br />