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a�� <br />GTV OF <br />everett <br />259-8745 <br />f'7NSTRUCTION <br />PERMIT <br />.�. <br />PERMIT NO. I 7 U J O <br />O DEMOUTION ❑ COMBINATION ❑ BUILDING �.] MECMANICAL O PLUMBING ❑ EIGN <br />pWWER M�ILADDRESS CITY ZIP PIIpryE <br />fAIL TAYLOR 2506 GRAND FvE?FrT WA 98201 252-5034 <br />11Pp11TECT OR DES�GNER MR�L ADDRESS CITY 2iP q�p.�E <br />6ENER�LLONTPRCTOR 4ML�DOPESS GiY bP {MONE LICENSE• <br />Same <br />MEGNANiC�LCONTRALTOR MAtLADORESS CITY ZIP PHpqE UCcrySE� <br />PL'JMBINGCONTP�CTOR MA�LADORESS QTv ZIP PnpNE LIGENSE• <br />O NE11f ❑ ADDIiION ❑ ALiERAT10N ❑ REPAIR ❑ DlMOLITION ❑ SUILDING RELOCATION <br />V�LUATION OF WORN <br />i <br />DESCNIBE WORK . <br />Inspect existi�g fireplace insert <br />11E�T SOUNCE <br />O ELiCTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br />Private residence/child <br />)ESGRIPTION OF R10PEFTY ISNOW BEIOW OR <br />LOT _ BLOCI( �_ Of <br />OBnDDRE55 <br />2508 Grand <br />r�uMeiHc <br />NO. TYPE OF FIXTURE OR <br />WATER �:LOSET (iOILFT� <br />BATNTUB <br />LAVATORY(WASN BASIN <br />SHOWEP <br />KITCHEN SI: IK 8 DISP. <br />OISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHEF <br />DRINKING FOUNTAIN <br />FLOOR OAAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — AAMLEAD[RS <br />SINN �SEA`/�CE — BAR. ETC I <br />BUOTOTAI <br />TOUL fEE <br />19L <br />51ZE OF BLDG. � NO OF <br />�PPLICATIONACC BV <br />fEE <br />VACRNt SITE <br />❑YES ❑NO <br />IUP NOOFDWEIIINGUNrtS <br />MhX OCC IORD <br />O <br />BY APPRFOqISSU/4CEDV <br />I HEREBY CERTIFY THAT I HAVE READ AtdD E�'.AMINED T111S <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO <br />CURRECT. 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 />PFRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OF CANCEL THE PROVISIONS OF ANY OTHER <br />ST4TE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE OF CONTPnQCR. AUiMORIZE� A^vCNT. OR ONTIEP DAIE <br />X 8/22/86 <br />MECHANICAL <br />NO. T1'PE OF EOUIPMENT <br />A�C — AMNDLG UNITS — H P. <br />HEPRIGERATION UNITS — HP. EA. <br />DOILE7S — (i T U%H P. <br />GAS FIRED P.�C UNITS — OS.U. <br />fOFCEDAIRSYSTEMS—BTU MEA. <br />WALL MEATERS — 0 T.0 M <br />UNIT HEATERS — B TL M <br />EVAPORATIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATER HEATER <br />WOOD STOVE �/�Q� 1; <br />METAL �IREPLACE 8 CHIMNEY � <br />FIFcPLACE INSEHT bQ�1'rQSQ <br />HEAT FUMP �(� <br />GAS PIPiNG �(�( <br />E%HAUSTF�N <br />SUlTOTAL <br />PERMIT <br />TOT�LFEE <br />PLAN CHECKNUMBER FEE <br />FEES <br />BUILDINIi <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDIKG SURCHARC, <br />STATE ENERGV SURCHAR(�E <br />DRIVEWAY ?ERM!T <br />TOTAL <br />RECEIPT NO. <br />VAVJATION FEE <br />� <br />Sec 304�e) <br />30 <br />WHEN PROPERLV VALIUATED QN THIS SPACE) TMS �S YOUR PERMIT <br />�i.�.'-'( ... . <br />