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� � '�tl <br />H <br />�HxC~i� <br />yZH <br />li Q <br />pH �J <br />'+tl N � <br />fA N <br />lYO � <br />ON <br />��g <br />n• o <br />'hH� <br />HH <br />gy <br />tN <br />��y <br />HOtn <br />(he Euer�qreai <br />CIiY OF <br />everett <br />259-8745 <br />�`� G JNSTRUCTION <br />PERMIT <br />r• <br />PERMITNQ. �0��� <br />❑ DEMOLITION ❑ CONPBINATION �] BUILDING ❑ MECHANICAL '❑ PLUMBING ❑ SIGN <br />OWNEN MAIIAODNE55 OTV ZiP MONE <br />Marlene tf. Ward Z�3 Harricon �verett 9R7O1 95Q-�9F.f7 <br />AFCNIIECTOF�ESiGNEP MAlLA0DPE55 CiTV Z�P CHDNE <br />G[NER�LCONTR4CTOR MhIL�DDHE55 CITY IIP PHONE LILENSE� <br />Same <br />MEM4NIGNLLONTRRLTOR MRILADDNE55 [ITY ZIP FMONE LILENSE• <br />CIiY 21P %10N[ LILENSE• <br />same <br />C1A550i WORN <br />❑ NEW f�ADDITION ❑ ALTERIITION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIHG NELOCATION <br />WLORIIONOF WORK <br />a 49,804.00 <br />OESCFIBE WORN <br />Addition <br />HERTSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />Single family residence <br />iot 1L193�ocrc 3i�. or <br />PLUMBING <br />WATER CLUSET �TOILET� <br />BAT; ITU� <br />LAVFTORY�WASMOASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISMWASNER <br />LAUNDpYTRAV <br />URINAL <br />DPINKING FOUNTAIN <br />FLOOR DFAIN <br />BACNFLOW PREVENTERS <br />ROOF DFFIN$ — RAINLEADERS <br />SINK �SER19CE — BM. ETC � <br />20 <br />USE20NE <br />R-2 <br />t�r[ or coHsr. <br />V—N <br />5¢EOCOLOG <br />32x34 <br />FlRE SPRINKLERS P <br />APPLICATION ACC �Y <br />S.H. <br />SUBTOT�L <br />PERMIT <br />TOTAL FEE <br />RERR SETB�CN <br />2U <br />LOTPpEA <br />9576 <br />OCCU�'ANCYGROUP <br />R-3 <br />NO Oi STORIES <br />2 <br />J.W. <br />FEE <br />� <br />f <br />S <br />SiDE SELONCN <br />5 <br />VACANi $11L <br />❑res tlr�o <br />NO OF pWELLING UNiLS <br />1 <br />MP% OCC LORD <br />N/A <br />APPp fO11155UPNCE �V <br />J.W. <br />I HEREBY CERTIFV THAT I HAVt 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 CONSTRUCTION OR <br />THE PERFORMANCE OFCONSTRUCTION. <br />Sif.N�TU�[ O� �ONTNAC�R. AUT�ONIZED AGCN'. OR OWNER �pPT[/ � � <br />X � 2�,� <br />MECMANICAL <br />AiC — A:IIN�LG UNITS — N P. <br />FEFRIGERATION UNITS — H P. EA <br />�OILfRS—OTU'!iV <br />GAS FlRED A C. UNITS — BS U. <br />FORCED AIR SYSTEMS - B T U <br />\4ALL HEATERS — 7 T.U. <br />UNIT HEATEFS — B i U. <br />EVAPORATNE COOLERS <br />CLOTHESDFVERS <br />VENTILniiON FAN <br />RANGGHOOD <br />K'ATER MEATER � <br />WOODSTOVE <br />METAL FIqEPLACE 8 CHIMNEV <br />FIPEP�ACE INSERT <br />MEAT PUMP <br />GAS PIPING <br />EXMAUSTFAN <br />PLAN CMECK NUMBER <br />68/20323 <br />�UILDING <br />PLUMDING <br />MECHANICAL <br />INVESTIGATICN FEE ylan <br />STATE OUIIDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />:/ <br />M EA <br />M <br />M <br />�k CH -- ��vrNo <br />g �{15 ,Sp 10653 <br />GMiPJATior6444.65 FEE <br />S <br />7k Sec. Jaa�e) 59 15 <br />TOTAL I I 494I65 <br />PERMIT VALID�TION <br />WMEN PROP@qLY VALIDATED pN THIS SPACE� TMIS IS VOUfi PEPNIT <br />�� <br />N <br />C� <br />O <br />N <br />A;'�0!+.LSS Hl E <br />