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rne � <br />CITY OF <br />everett <br />259-8745 <br />�'` C�NSTRUCTION r-�- ��'� <br />PERMIT <br />PERMIT NO. � � 7 � � <br />❑ DEMOLITION ❑ COMBINA'fION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />pWNER MRIIA�ORE55 CITY 21P PNONE <br />Scott Wallace 1627 Rainier Ave. Everetk, WA 98201 258-6866 <br />ARCNITECi OR OESIGNER MRIL AO�RESS CITY ZII' VHONE <br />GENERALCONTRACTOR MPIlAUORESS CRY 21P PHONE LICENSE� <br />MECMANICALCONTRACTOR MAItADDRESS CITY 21P PNONE IICENSE� <br />Wzv Heatina 20221 67th Ave. NE Arlinqton, WA 98223 435-9054 COZYHD*137NC <br />PLUMBING CONTRACTOR MAIL AUOPE55 CITV 21P PIIONE LICFNSE � <br />❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ DEMOLlTION ❑ BUILDING HELOCATION <br />S <br />DESCRIBE WORN � <br />install aas wall heater and qas water heater. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ OLOCK _ <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATNTUB <br />LAVATORV�WASHBASM) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUIv.�, RV TRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINL[ADERS <br />SINK �SEfiVICE — BAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />OFCONST. <br />SIZE OF <br />NO OF STORIES <br />AP�LICRTIONACC OY <br />S.H. <br />FEE <br />�ACANiSRE <br />]YES ❑NO <br />JO OF OWELLING UNITS <br />AR%.00C LOAO <br />APPR fOR ISSURNCE �Y <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 SPECIFIEO 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 CONSTI7UCTION. <br />SIGNn URE CONTRACTOR AUTM R12 AGGNT.OROWNER DATE <br />X I. ��,��,,tii . �, � - �� _� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />NC — ArHNDLG UNITS — H P. <br />REPRIGERATION UNITS — HP. EA. <br />BOILERS — B T.U/HP. <br />GASfIREDAC UNITS—BS.U. <br />FORCED AIR SVSTEMS — B TL. M EA. <br />WALLHEATERS—BT.U. M <br />UNIT MEATERS — B TL. M <br />EVAPOFATIVE COOIERS <br />CIOTHES DRYEflS <br />VENTILATION FAN <br />RANGEMOOD <br />WATERMEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTRLFEE <br />FEE <br />BUILDING <br />PWMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />5 <br />Sec.304(c) <br />FEE <br />RECEIPT NO. <br />FEE <br />T07AL I I 30I50 <br />PENMIT VALIDATION <br />WHEN PROPERLV VALIDATED lIN THIS SPACE) THI515 YOUR PERMIT <br />N <br />O <br />N <br />� <br />� <br />