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r�� <br />CITY OF <br />everett <br />259-8745 <br />��`` C�NSTRUCTION �; ~`� . <br />PERMIT PERMITNQ�: �� ��� <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAOORE55 CITY ZIP PMONE <br />Ralph Schuck 15621 Ok: Mill Rd. Snohomish 98290 334-0817 <br />ARCHITEGTOROESIGNER MAILAO�liE55 CITY 21P PHONE <br />GENERALCONTRACTOR <br />CITY <br />UCENSE� <br />Owner SCEiUQCR330DL <br />MECMANICALCONTRACTOR MAILAOORESS CITY ZIP PHONE LICENSE� <br />PLUMOIRGCONTPACTOfl MAILAODRE55 CITY ZIP PHONE LICFNSF• <br />� NEW O ADDITION ❑ 4lTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VAWATION OF WOFlK <br />S 59,580.00 <br />DESCRIBE WOPK <br />New Construction <br />HEATSOURLE <br />❑ ELECTRICITY ❑ GAS ❑ WO(�DSTOVE ❑ OTHER <br />LOT 5 BLOCK <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASNUASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAV <br />CLOTHES WASHEA <br />URINAL <br />FLOOR DFAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISEFVICE — PAR ETC 1 <br />TVPE OF <br />S�ZE OF OL�G <br />APPLICATIONACC UY <br />r�. r�. <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />REARSETOPCK <br />20 <br />LOTnREn <br />DCCUPANGYGFOUF <br />R-3 <br />NO OF STORIES <br />1 <br />❑ VES 7f�N0 <br />GLANS CHECNEO OY <br />J.w. <br />6 <br />VACRNT SITE <br />�VES ❑NO <br />NO Oi OWELLIN( <br />1 <br />AIA% OCC. IOAD <br />N/A <br />APt'R /OR ISSUA <br />s.w. <br />I HEREBY CERTIFY THAT � HAVE READ AND EXAMINEU THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL ?ROVISIONS OF LAWS AND ORDIN�\NCES <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 OF CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU{I[OFCONTRpCTOq.AUtNOR12[DA4ENT.OROWNER UATE <br />1 <br />TVPE OF EOUIPMENT <br />A�C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — B.T.0 MP. <br />GAS FIPED A C. UNITS — B T U. <br />FORCEO AIP SVSTEMS — 0 TL. M EA. <br />WALL HEATFqS — 8 T.U. M <br />URITNEATENS—O.T.U. M <br />EVAPORATIVE COOLERS . <br />CLOTHES DRYERS <br />VENTIIATION FAN .1 <br />RANGEHDOD ' <br />WA7ER HEA7EP � P <br />WOODSTOVE ME <br />METAL FIREPLACE 8 CHIMN �L <br />FIREPLl�CE INSERT <br />HEATPUMP �a� <br />GASPIPING xIJWG1VG0 <br />EXNAUSTFAN . <br />SUB <br />PLAN CHECK NUMBER <br />88/21330 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE g <br />STATE BIiILDING SURCHARG <br />STATEENERGYSURCNARC,E <br />DRIVEV/�V PERMIT <br />Basic <br />Sec 904(e) <br />n <br />FEE <br />TOTAL I I <br />PERFIIT VALIOATION <br />WHEN PROPEFLV VALIOATED �IN THIS SPACE� THIS IS VOIJR PERMIT <br />, .. ._�.��5 f I�, , <br />� <br />r <br />M <br />C'Y'� <br />r' <br />N <br />