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r� a,ep�n <br />CITY OF <br />everett <br />259-8745 <br />C'�NSTRUCTION <br />PERMIT <br />PERMIT NQ: _ � 9`� � 9 <br />❑ DEMOLITION ❑ COMBINATION C7Z BUILDING ❑ MECHANICAL '❑ PLUMBING ❑ SIGN <br />OYMER MFIIAD�RE55 CITY 21P PHONE <br />Evelyn Eidsnesa 1629 Rainier Ave Everett, WA 98201 259-9778 <br />�RCMITEGT OR �ESIGNER MAII RDDFESS CITY 21P PHONE <br />91ftY CHIP <br />GENER�LCONTR�CTOR MAILADORESS dTY ZIP PHORE LICENSE� <br />Nourigat Conat. Co., INC P.O. Box 923 Snohomish, WA 98290 334-3847 NOURICC187DA <br />MECN�NICA�CONTflRCTOR MFILRO�RE55 CITY ZIP PHONE UCENSEY <br />PLUMBINGCONTq�CTOR M�IL/.DDflE55 CITY 21P PMONE LICENSEI <br />❑ NEW ❑ ADDITION O AITEpATION fja REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATON <br />S 12,000. <br />Roof, window, aheetrock kitche�cab. <br />HEATSOURCE <br />❑ ELECTRICITY O OAS ❑ WOODSTOVE ❑ OTMER <br />Sinqle family reaidence <br />�oT 15 6��� 33: <br />1629 Rai� <br />PLUMBING <br />l:L•� � <br />Plat of Everett Div U <br />WATER CLOSET QOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SMOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHEH <br />LAUNORVTRAV <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — 6AR, ETC.) <br />SUlTOTAL <br />PERMIT <br />TOTAL FEE <br />TYPE OF CONST. <br />SIZE <br />NO OF STORIES <br />APPLICAiION RCC <br />M.M. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PqOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEFEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHOR�TY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OH <br />THE PER�ANCE OF CONSTRUCTION. <br />SIGNATUPE RACTOR, IITHORIZED A NT, OR OVMEH D�TE <br />X ��K i-iz-ss <br />��,.�.�'i?' T' <br />TYPE OF EOUIW <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. I <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALL MEATERS — B.T.U. <br />UNIT HEATERS — B T.U. <br />EVAPORATIVE COOLERS <br />CLOTNESDRVEPS <br />VENTILATION FAN <br />RANGEHOOO <br />WATERHEATER • <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />F�REPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />FEE <br />f BUBTOTAL <br />f PENMIT <br />s TOTALFEE <br />SIpE SET84CK PLAN CHECK NUMBER FEE RECEIPT NO. <br />VACANTSITE FEES VALUATION FEE <br />]YES ❑NO <br />NO.OFDWELLINGUNITS BUILOING g1Z�OOO Z3S <br />PLUMBING <br />NA%.00C LOAO <br />MECHANICAL � <br />INVESTIGATIONFEE ' ��'Sec.�304�e) <br />STATE BUILDING SURCHARGE 3 <br />STATEENERGYSURCHARGE � `� " <br />APPR FOR ISSURNCE UY <br />DRIVEWAV PERMIT <br />TOTAL I I 138I50 <br />iERMIT VALIDATON <br />WHEN PROPEqLV VALIDATED (IN THIS SPACE) TMIS IS YOUR PERMIT <br />Qi <br />.-- <br />� <br />rn <br />� <br />AODFlESS FILE <br />