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theEt�ragreen <br />CiTY GF <br />everett <br />259-8745 <br />� C'~�-7NSTRUCTION <br />PERNlIT <br />,� . <br />PERMIT NQ: _ � � 0 � i <br />❑ DEMOL!TION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SICaN <br />O WNEF MRiL A�DRE55 CITY <br />zIP PHONE <br />Everett Hot�.sing Authority 19th & Poplar Everett, WA 95201 258-0222 <br />ARCHRECTORDESiG'�ER NAILAODPE55 CtTY ZIP PNONE <br />G[NERAL CONTRACTOR MAIL ROOPE55 CITY 21P PHONE LICENSE � <br />Total Builders and Dev. Corp P.O. Box 75386 Seattle, WA 98125 <br />MECHANtCaL CONi�ACTOR IAa1L N�DRE55 CITY <br />ZIG PHONE LICENSE � <br />789-5126 TOTALB0144BT <br />PLUMBINGCONTRq�TOR MAILApDRESS CITY ZI4' PMONE LICENSE• <br />Raynark_ Plumbing 4637 Union Bay Pl. NE Seattle, 98105 RAYMAI*208LE <br />CtA550F WORv. <br />❑ NEW ❑ ADDITION <br />VnLUNTION OF WORF <br />$ <br />❑ ALTERATION � REPAIR ❑ OEMOLITION ❑ BUILOING NELOCATION <br />Replace out roof vents and bath fixtures. <br />❑ ELECTRICITY <br />�aovoseo use oF ewioir�c <br />APARTMENT <br />EGAL DESCHIPTION O! PROPE <br />LOi __ GIOCN _ f <br />JE cDp�iE55 <br />604 Linden <br />PLUMBING <br />❑ GAS ❑ WOODSTOVE ❑ �THER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />is�+owoe�owonnTrna�roor�co�i�s� CORRECT. ALL PROVISIONS OF LAWS AND ORDINONCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMP�IED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORIT`f TO <br />VIOLATE OR CANCEL THE PROV:SIONS OF ANY Ol"HER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCI' <br />SIGNATUiIEO�ONiRPCTOR PUTMORIZFD�/Gj NT ON' P pA1E <br />X .�` �i// � .� /: �J �O�i <br />NO. TYPE OF F!XTURE OR <br />WATER CLOSET �TOILET) <br />BAl'NTUD <br />LAVATORY IlVASM �ASIN� <br />SMOWEP <br />KITCHEN SINK 8 D�SP <br />OISHWASHER <br />LAUNDRYTRAI' <br />CLOTHES WASHEP <br />URINA� <br />DRINKING FOUNTAIN <br />FLOOfI DPAIN <br />DACNFLOW PREVENTERS <br />POOF DRAINS — RAINLEADEflS <br />SINK �SEfiVICE — OAR, ETC � <br />FqONT5ETB4CK <br />USE20N[ <br />TVPE OF CONST <br />SUBTOTAL <br />PEAMIT <br />TOTFLFEE <br />I.OTAREA <br />VAGANTSRF <br />❑vE5 ❑NO <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />A: C— A/HN�LG UNITS — H P. <br />REFPIGERATION UNITS �- M P. EA. <br />�OILERS — D T U M.P. <br />GAS FlRED A�C. UNITS — B.T U. <br />FORCEOAIRS\'STEMS—BSL. MEA. <br />WALLHEATERS—BTL M <br />UNII'HE4TER5—BTU. M <br />EVAPORA7IVE COOLERS <br />CLOTHES Df7YEFS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER � <br />WOOOSTOVE <br />METAI FIREPLACE 8 CHIMNEV <br />S OO FIREVLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />FIRE SPRINKLERS REOUIRED ❑ VES ❑ NO <br />STATE BUILDING <br />hPPLICATiOOACC OY <br />S.H. <br />PLNNSCHEGK[OOY �APPI1fOHISSUANCEOY <br />SUB TOTAL <br />PERMIT <br />TOTqLFEE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />� <br />Sec.304�c) <br />NO. <br />FEE <br />TOTA� I I <br />PlAMIT VALIDATIOk <br />WH[N PROPCRLV VAl IDnTED pN 11115 SP�CC� i1115 I� VOUR PERA9IT <br />•• <br />� <br />� <br />