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e� �,e,gre� <br />ciTv oF <br />everett <br />259-8745 <br />�"'` C�NSTRUCTION � ''" <br />PERMIT <br />PERMIT NO. <br />18252 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING � MECHANICAL 6c] PLUMdING ❑ SI6N <br />Q�ER M/.ILAD�RESS CITV ZIP PNONE <br />Orlo K Williams 4417 Cresent Ave Everett 98203 252-7922 — <br />ARCMIIECTOROESIGNER MFILAO�RE55 CITY ZIP FNONE <br />80iX0IKX Poroski Desicm 614 W McGraw Se-ttle 98119 281-1»4 _ <br />mucuu rnurwecina MRIL ADOPESS GiY 21P VMONE LICENSE • <br />owner <br />MECN�NICAL GONTRRCTOR MML /.DDRESS CITY 21P PHONE UCENSE � <br />Western Mechanical 1094 Columbia Marysvillec�rv Qp��o 65Z 7103 WF�ONE'�'AMLICENSE <br />VLUMBING CONTR�CTOR MnIL ADDFE55 <br />CLASS OF WORN <br />�NEW 0 ADDITION <br />V�LUATION OF WOflK <br />i <br />❑ ALTERATION ❑ REPAIR ❑ DEMOIITION ❑ BUILDING RELOC�TON <br />Plwnbin and Mechanical for n w 7 't <br />MEATSOURCE <br />❑ ELECTRICITY ❑ OAS O WOODSTOVE � OTHER <br />�oT 18 e�ocK �_ <br />PLUMBING <br />S�LE <br />WATER CLOSET (TOIL! <br />BATHTUB <br />LAVATORV (WASN BA' <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />URINAL <br />DHINKING FOUNTAIN <br />FLOOR DPAIN <br />BACKFLOW PREVENTE <br />ROOF ONAINS — RAINI <br />SINK (SERVICE — BAR. <br />S.H. <br />OR <br />OR ITEM <br />TOTAL <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />qPPLICATION 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 />STA '� LOCAL LAW REGULATING CONSTRUCTION OR <br />TH�'EFiF�F�MANCE � CONSTRUCTION. <br />� ii �nc n f.aYTRRQTAR.P NOA4lD 4GENT, OR O�YNER DATE <br />X <br />MECHANICAL <br />FEE NO. TYPE OFEOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOIlERS — B.T.UIH.P. <br />GAS FIREO 1.C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M <br />WALL HEATERS — B.T.U. M <br />UNIT HEATE:iS — 8 T.U. M <br />EVAPORATIVECOOLERS <br />Z CLOTHESORYERS <br />j8 VENTILATION FAN <br />],7 RANGE HOOD <br />1g WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PEFMIT <br />TOTALFEE <br />VACANTSRE FEES <br />❑YES ❑NO <br />Nn OF DWELLINGUNITS BUILDING <br />PLUMBING <br />M4%.00C LORO <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARGI <br />STATEENERGVSURCHARGE <br />I pPPR FOR ISSUANCE Bl' <br />DRIVEWAV PERMIT <br />a <br />FL E;G <br />_d <br />FEE <br />445 <br />2:S�;F'M COOA�5�6 <br />ELEL `<.b'�.0� <br />TOTAL � I <br />pEpMIT V�LIDIITION <br />WHEN PROPERLV VALIDATED �IN THIS SPACE) TMIS IS YOUR PERMIT <br />,v„ , <br />N <br />� <br />N <br />� <br />� <br />