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�� <br />CIiV OF <br />everett <br />259-8745 <br />- f'7NSTRUCTION <br />PERMIT <br />PERMIT NO. 17988 <br />❑ DEMOLiT10N ❑ COMBINATION [� BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWNER MAIIPDDNE55 CiTY IIP PMONE <br />Kenneth Mc[kizu�ald 3307 Grand Ave. Everett 98201 252-4865 <br />ARCNITECTORpESiGNER MAILADDRE55 CITY ZiP PMONE <br />GENERALCONTRACTOR M4LApOHE55 CITY 21P %IONE LICENSE� <br />Everett Bldrs, Inc. 5606 Evergreen Way Everett 98203 353-7161 EVEREB*301PH <br />MEGMANICALCONTRACTOR MRILADDRE55 CITY 21P PMONE IiCENSE� <br />VLUMBING CONTq�CTOR MRIL ADORE55 CITV 2iP PHONE UCENSE • <br />CUSSOF WORK <br />❑ NEW ❑ ADDITION <br />S 3834.00 <br />I�ALTEpATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Tear off and reroof residence (comp.) (27s8 sq ft) <br />MFATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMEH <br />Residence <br />OR <br />lOT _ BLOLK _ <br />PLUMBING <br />OH ITEM <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORY�WASHBA: <br />SHOWER <br />NITCHEN SINK H DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTMES WASHEH <br />ROOF DPAINS — RAWI <br />SINK �SERVICE — BAR. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAMF TO BE 7RUE 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 AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTIUN OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Of CONTRACTOR. AUTnJR12ED AGENT. OP OWNE(1 DATE <br />� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C - A/NNDLG UNITS - N P. <br />REFRIGERATION UNITS -- HP. EA. <br />UOILEFS- ]T.UMP. <br />GAS FIRED A C. UNITS - B T.U. <br />FORCED FIq SYSTEMS - B.T.U. M EA. <br />WALLHEATERS-BT.U. M <br />UKIT HEATEqS - BSL. M <br />EVAPORATIVECOOLERS <br />CLOTMESDRVEFS <br />VENTILATION FAN <br />RANGEMOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIFEPLACE 8 CHIMNEV <br />FIREPLACEINSLRT <br />HEATPUMP <br />GAS PIPING <br />E%NAUSTFAN <br />SUB T0Tl1l f <br />PERMIT f <br />TOTALFEE f <br />1R5ETOPCK SIOESETBACK PLAN <br />f AqEA <br />V/ LANT SITE <br />❑YES ❑NO <br />TYPEOFCONST OLCOPANCYGROUV NOOFOWELUNGUNItS BUILDING <br />PPPIICRiION RCC BY <br />S.H. <br />PIFNSCNECNG00Y I APPR FORISSUANCEDV <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />S <br />PLUMBING <br />MECHANICAL U4IOi/B( <br />IPNESTIGATION fEE Sec. �(e) <br />STATE BUILDING SURCHARGE gLDG <br />STALE ENERGV SURCHARGE [• .�iRCH <br />DRNEWAV PERMIT , � �� <br />� <br />OOORH4696 I t::f:Kk <br />TOTAL °' °�'�" 64 <br />�urri--�Q_�c.�% <br />PEHMIT VALIOATION <br />WHEN PROPERLV VALIDATED � W THIS SPACE) THIS IS YOUR PEf±M1T <br />" � . <br />• <br />•• <br />