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`�Ev� � � C�7tVSTRUCTl01� <br />evexett PE R M IT <br />�}--'�� �5 t — 881 O <br />PERMIT NO. � Q�J U U <br />� DEMOLITION ❑�CMBINATION ❑ BUILDING R� MECHANICAL ❑ PLUMBING ❑ S�GN <br />OWNER MRILApDAE55 CITT ZiP FMONE <br />Everett Housina Authoritv 14th & Poplar Everett, WA 98201 258-0222 <br />ARCMITECT OR DESIGNER MAIL ADDRESS C�TY 21P PHONE <br />GF.NEAALCONTPACTOR MAILAODRE55 CITT ZIP PHONE LICENSE� <br />Total 13uilder and Dev. Corp. P.O. Box 75386 ��attle, WA 888 98125 784-5126 TOTAI.BD144ST <br />MECNAHICALCONiRACTOF AIAILAOOAE55 Cltt ZIP PMONE LICENSE• <br />Everett Sheet Meta.l <br />RUMBINGCONiRACTOR MAILADDRE55 CITV ZIP PMONE LICENS � <br />;LASS OF WORK <br />❑ NEW ❑ ADDITION <br />S 440.00 <br />C�ALTERATION ❑ REFAIR <br />New ducts ceiling - replace f.ire damaged <br />SAi50URCE <br />] ELEI:TRICITY ❑ GAS ❑ WOODSTOVE <br />LOi _ �LOCH __ <br />�oenocaess <br />602 Linden <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATHTUb <br />LAVATORY IH'ASH AASIN) <br />SHOWER <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />LAIINDPYTRA� <br />CLOTHES WASHCR <br />UR!NAl <br />�RINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS -- �7A111LEADERS <br />SINK �SERVICE — BAR. EiL'.) <br />TVPE OF COKST <br />S�ZE OF OLDG <br />ACC �V <br />❑ DEMOLITION <br />❑ OTHER <br />rJ BUILD�NG RE_OCATION <br />I H�REBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THt SAME TU BE TRUE AND <br />CURRECT. hLL PROVISIONS OF LAWS A?�D ORDINANCES <br />GOVERNING THIS TYPE OF WURK WILL BEl COMPLIEO WITH <br />WHETHER SPECIFI�D HEREIN OR NOT. THL GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTfiER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONS CT ON <br />SIGNATURF.OF CONiRAGTOF Ay ��O ZE GENT. OWNER �ATE <br />/� � <br />X � / % � � o/a� <br />MECHANICAL " � <br />FEE NO. TYPE OF EOUIPMENT <br />A.'C — F/HNDLG UNITS -- H P. <br />FlEFRIGERATION UNITS — HP. EA <br />BOILEPS — BS U iH P <br />GAS FIRED A C. UNITS — BSL. <br />FORCE� AIR SYSTEMS — B T.LL M EA. <br />YlALL HEATERS — B T U. M <br />UNITHEATERS—BTL. M <br />EVAPOflATN[COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />vJATE� 1 MEATER <br />VIOOD 5T0: E <br />METAL FlREPLACE 8 CHIMNEY <br />FlREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAi,JSi FAN <br />S� 9 TOTAL S <br />PEkMI'� S <br />TOTALFEE S <br />ncnvvsElonr: � :aoesetoncK <br />���� A�EA VAC�NT SRE <br />❑ YES ❑ Na <br />OCCI.P�NCVfiROUP NO OF DWELLING <br />NO OF STORiES M�% OCC LOA� <br />PL/.NSCMFGNE�[3Y � APPR FOR <br />�V <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />FEE <br />FEES <br />�UILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SUHCHAiiG <br />STn7EENEFiGVSURCHAFGE <br />DRIVEWAY PERMIT <br />5 <br />Sec.30d�e) <br />FE� <br />M.M. I I ITOTAL I I <br />_. PEiiMIT VALIOATION <br />WH[N FHOPEfiLY VAl�f1ATEf] (IN THIS SPf.CE� TH1515 Y011fi PGRMIT <br />19 <br />19 <br />S� <br />