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the Ev�gr+een <br />CITY OF <br />eve�rett <br />259-8745 <br />� Cjie`NSTRUCTION <br />PERMIT <br />PEHMIT NQ: _ � � � � � <br />C}DEMOLITION I] COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEH MAILADDRE55 ❑IY 21P RrONE <br />Everett E. Williams 8900 Eastview hve. Everett 987.08 337-6097 <br />ANCIIRECTORDESIGNER AIAlLAODREiS CITY ZIP PHONE <br />GENERPLCONTPACTOq MAItADDR[55 CITY ZIP PMONE LICENSE� <br />H Owner <br />MECNANIC4LCONiFRGTOR MAILRDORE55 CITV 21P PHONE LICENS[• <br />PWMpINGCONTRACTOl1 M/.ILAODRE55 CITV 21P PIIONE LILENSE� <br />CLASS OF WORN <br />❑ NEW ❑ ADDIT�ON <br />VAlUr1T10N OF WORK <br />$ <br />❑ ALTERATION ❑ REPAIN ,[� DEMOLITION ❑ BUILDING RELOCATION <br />Demolish garage <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />wr 3=6 e�ocK 3 or <br />PLUMBING <br />Smith Iand Co. <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATHTUO <br />LAVATORY�WASHBASIN) <br />512E <br />HITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�RVTRAV <br />CLOTHES WASHEq <br />URINAL <br />DRINHING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — FAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />SUBTOTAL f <br />VERMIT f <br />TOTAIFEE f <br />LOT AP[A VnCANT SITE <br />❑Y[5 ❑NO <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 AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTIGN OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNRT OFCONTRACTOR.AUIHO�IZEOAGCNT.OPOWNER OATE <br />X ��i �_ OD_ � � /.r�/ ��� <br />MECHANICAL <br />TYPE OF ECUIPMENT <br />A�C — AMNDLG UNITS — H P. <br />REFFIGER�TION UNITS -- H P. EA <br />BOILE(iS — B T U/H P. <br />GASFIREDAC UNITS—BTU <br />FORCED AIR SYSTEMS — B T.0 M EA. <br />WALL HEATERS — 8 i.0 M <br />UNIT HflATERS — BS.U. M <br />EVAPORATIVE COOLEFS <br />CIOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECK <br />NOOfDWEIUNGUNITS BUILDING <br />PLUMBING <br />nax occ ionn <br />MECHANICAL <br />�NACG OY I PLANSCM[CKED�Y FPPR fOR <br />S.H. <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />S7ATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />1:/01/8B <br />SRCH <br />Sec.304�e) <br />Fee <br />IPT NO. <br />OOOAH3595 1k#K <br />PEE <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLV WUDATED pN THIS SPACE) THIS IS VOUR PERMIT <br />l.i.illii_: .:. f��, _ <br />31 50 <br />