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��� <br />cin oF <br />everett <br />259-8745 <br />�. <br />C�NSTRUCTION <br />PERMIT <br />PERMIT NO: _ � � � � `� <br />❑ DEMOLITION ❑ COMBINATION [� BUILDING ❑ MECMANICAL fl PLUMBING ❑ SiGN <br />OWNER MAIIAD�RE55 CI7Y 21P PHONE <br />GYiffin Brown 1402 Rainier Ave. Everett, WA 98201 259-3914 <br />ARCHI7ECT OR OESIGNER MAIL AODRE55 CITY ZIP PHONE <br />GENENAL LONTB/CTOR AIFIL ADDRESS CITY ZIP %IONE LICENSE • <br />Everett Buidlers 5G06 �ergreen Way Everett, Wa 98203 353-7161 EVEREB*311L3 <br />MECMRNICAI CONTR4CTOR MR4 AOORESS CITY 21P PMONE IICENSE � <br />RUMBING CONTR/.GTOR MAIL ADDRESS GTY ZIP PHONE LICENSE • <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑�tEPAIfl ❑ OEMOLITION ❑ BUILDINO FELOCATION <br />S <br />DESGFIBE WORN <br />Recover roof <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />residence <br />LOT _ BLOCN _ OF <br />PLUMBING <br />NO. TYPE OF FURURE OR ITEM <br />WA7ER ClOSET (TOILET) <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />IAUNDRYTRAV <br />�.v�x.0 <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DflAIN <br />BACNfLOW PREVENTERS <br />ROOF ORAINS — RAI�JLEP <br />SINK ISERVICE — BAR. ET <br />S.H. <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />NO OF SIORIES <br />VAC/ NT SITE <br />❑VES ❑NO <br />NO OF OWEILING UNITS <br />Mn% OCC LOAD <br />PLANSCM[CNEDOY � APPR FORISSUANCEOV <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 />WHETHEI? 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 OF CONSTRUCTION. <br />SIGN4T OFCONTR�CTO AU�THOR�i2 DAG�ENT.OROWNER OATE <br />X _ � /��E%[Ytdr 3-/�o-z�� <br />MECHANICAL <br />A/C — A/HNDLG UNITS — HP. <br />REFRIGERATION UNITS — H.P_ EA. <br />BOILEFS -- B T.U.MP. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SVSTEIdS — B.T.U. M EA. <br />WALL HEATERS — 87.U. M <br />UNIT HEATERS — B T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />META� FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAI <br />PENMIT <br />TOTALFEE <br />BUILDING g ZS10.00 <br />PIUMBING <br />MECHANICA� � <br />INVESTIGATION FEE Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEPMIT VALIDATION <br />WHEN PROPERLV VALIOATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />AGiI:�'�I S°, f Il'"- <br />57� 50 <br />