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r�� <br />c�n oF <br />everett <br />259-8745 <br />� C"`1NSTRUCTION � � <br />. , <br />PERMIT <br />PERMIT NO. <br />216411 <br />❑ DEMOLITION O COMBINATION � BUILDING ❑ MECHANICAI ❑ PLUMBING ❑ 516N <br />OWMEP MAIL���RESS GITV ZIP PMONE <br />Permabilt / Rod Curtis 16521 Hwy 99 Lynnwood 98037 743-1555 _ <br />ARCMITECT OP DESIGNER MAIL AOORE55 CiTY ZIP PNONE <br />GENEF�I CONTMCTOR MAIL p00RE55 CITY ZIP PNONE LICENSE • <br />Permabilt Same PERMASA179JR <br />MECH�NICALCONTR�CTOR M�ILND�RESS CITY ZIP PMONE LIGENSE• <br />PLUMBINQ CONTII�CTOR MAIL ApDRE55 CITY 21P PHONE IICENSE � <br />5 OF WORK <br />NEW ❑ ADDITION ❑ AL7ERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO qEIOCATION <br />= 14 940.00 <br />pESCRIBE WORK , <br />ConsL-ruct pole blda. <br />HEATSOURGE <br />❑ ELECT111qTY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />�or 6 aiocK 4 <br />PLUMlINO <br />T'PE OF FUfTURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SNOM/ER <br />KITCHEN SINN 8 DISP. <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADERS <br />SINK ISERVICE - 9RR. ETC.1 <br />20 5 <br />USE20NE LOTAREA <br />R-2 75 <br />TYPE OF CONST. OCCUPnNCY <br />V-N M- <br />512EOFBLDG. NOOFSTORI <br />996 1 <br />M.M. I J.W. <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 />GOVERNING 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 AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNRTUHE OF CONTRRGTOP. RUTNOR2EU AGENT, OR OWNER O�TE <br />X <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C - A/MNDLG UNITS - H.P. <br />FEFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.0 /ii.P. <br />GAS FIRED A�C. UNITS - B.T.U. <br />FORGED AIR SYSTEMS - B T.U. M EA. <br />WAILNEATERS-B.T.U. M <br />UNIT HEATEHS - B.T.U. M <br />EVAPOiiATIVE COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WRTERHEATER <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSEHT <br />HEATPUMP <br />GAS PIPING <br />EXHRUSTFAN <br />5 89/21640 <br />VALANT E �ES <br />❑YES NO <br />NOCFOWEILINGUNITS BUIL�ING 14,940. <br />N/A <br />PLUMBING <br />MA% OCG. LOAD <br />N�A MECHANICAL <br />F0915SUANCEBV <br />J.W. <br />SUlTOTAL ! <br />PERMIT 1 <br />TOTAL FEE ! <br />FEE RECEIPT NO. <br />81.90 17396 <br />� <br />n Sa.]t�p,�., 162 <br />INVESTIGATION FEE pldri <br />:.� � � <br />S � <br />. �ti � <br />r � :: •� <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PERMIT VAUOIITION <br />WHEN PPOPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />AUJR[SSfI�� <br />3 <br />188 <br />