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��,�,.� <br />Gn oF <br />ever�ett <br />259-8745 <br />C�NSTRUCTION _ <br />PERII�IT PERMITNQ.�17137 <br />❑ DEMOLITIOH ❑ COMBINATION � BUILDING ❑ MECHANICAL O PLUMSING �&6N <br />ONTIER MML RDDRE55 CITY ZIP PHONE <br />Charles Griffis 2610 Grand #3 Everett, WA 98201 252-7952 <br />ARCHiTECT OR DESIGNER MAR ADDRESS CITY ziP MpNE <br />GENEN�L CONTRACTOR MAIL ADDRE$$ C�T' 21P PNONE LICENSE • <br />Self <br />MECHIWIGLCONTP�CTOR MRRApDHE$5 QTV 21P PHONE LICENSE• <br />PLUMBING GONTq�CTOH MML ADDPE55 ��TV ZIP P110NE LICENSE � <br />CUSS OF WORN <br />O NEW ❑ ADDITON � ALTERATION ❑ REPAIR ❑ DEMOLITION <br />S 1000.00 <br />T-111 siding, reside <br />IEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />25-26 <br />ior _ e�ocK 616 <br />2610 Grand <br />PLU1�91NG <br />TYPE OF FIl <br />WATER CLOSET �TOILF <br />BATNTUB <br />LAVATORY�WASH BAS <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASMER <br />LAUNURYTRAY <br />CLOTHES WASMER <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOV:PREVENTE <br />ROOF DRAINS — RAINL <br />SINK (SERVICE — BAR, <br />of Everett <br />SUBTOTAL <br />VERMIT <br />TYPE <br />VACANTSRE <br />❑Y[5 ❑ND <br />NO OF DWELLING UNITS <br />512E OF BLOG. I NO OF STORIES � M�% OCC LOAD <br />APFLIGATION ACC DY <br />M.M. <br />PLANSCHECNEDOY I APP� FORISSUFNCE <br />❑ BUILDING RELOCATION <br />I 1iEREBY 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 OF NOT. THE GRANTING OF A <br />PENMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL ?HE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL I.AW REGULATING CONSTRUCTION OR <br />THE RFO MANCE OF CONSTRUCTION. <br />SiGN URE O ONTR9GTOR, AUTHORiZ[D AGENT. OR OWNER ORTE <br />X � � � '1.L ' �� �7 9/8/86 <br />TYPE OF EOUIPMENT <br />A/C — AiHNDLG UNITS — H P. <br />REFRIGERATIOH UNITS — MP EA. <br />BOILERS — BSL.MP. <br />GASFIREDFC UNITS-3T.U. <br />FORCEDAIRSVSTEMS—BT.U. MEA. <br />WALL HEATER� -- B T.U. M <br />UNITHEATERS—OT.0 M <br />EVAPORATNECOOLERS <br />CLOTHESDRYERS <br />VENTILATION F�N <br />RANGEHOUD <br />WATER HEATER • <br />WOOOS70VE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PER <br />TOT n <br />F�I.f SRCH P.�SIPT NO. <br />GAS{i t 6.50 <br />FEES VALIIATION <br />BUILDING $ — <br />PLUMBING <br />MECHANICAL \ � <br />INVESTIGATION FEE �i�I'�� <br />STATE BUILDING SURCHARGE -�-'� <br />STATEENERGVSURCMARGE <br />DRIVEWAV PERMIT <br />FEE <br />TOTAL � I <br />PEFMIT VALIDATION <br />WHEN PROPEFLV VALIOATED pN THIS FPACE) 1'HIS IS YOUF PERMIT <br />r.00,;rss r � <br />26 <br />