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�� <br />arr oF <br />everett <br />259-8745 <br />� <br />C�INSTRUCTION �- <br />PERMIT NQ: 19 9 6 9 <br />.� <br />PERMIT <br />❑ DEMOLITION ❑•COMBINATION �I BUILDING ❑ MECHANICAL 'O FLUMBING ❑ SIGN <br />OWNER MPILRUONE55 CITY 21P PMONE <br />Jack Montgomery 1817 Rainier Everett, WA 98201 252-4450 <br />APCHITECT OR OESIGNER MAIL ADDRESS CITY ZIP FHONE <br />GENER�L CONTRAGTOR MRIL AO�RE55 CITY 21P PHONE IICENSE � <br />EVerett Bldrs, Inc. 5606 Elrergreen Way Everett, WA 98203 353-7161 EVEREB*311L3 <br />MECHRNIGAICONTRACTOR MpILApOPE55 CITY ZIP PMON! IICENSE♦ <br />PLUMBING CONTR�CTOR MAIL NDDRE55 CRY ZIP PHONE LILENSE � <br />C1�550F WORN <br />❑ NEW O ADDITION <br />W WATION Oi WORN <br />S 3000.00 <br />Fbundation Repair <br />IEAT $OURCE <br />� ELECTNICITY ❑ GAS <br />lOT � PIOCK _ OI <br />PLUMBING <br />TYPE OF <br />❑ ALTERATION C�REPAIH <br />residence <br />TYPE OF FIl(TURE ON ITEM <br />WATER CLOSET (TOILET) <br />BATMTUB <br />LAVATORV (WASH BASIN� <br />SHOWER <br />KITCHEN SINK d DISP. <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINN �SERVICE — BAR. ETC.� <br />SUBTOTAI <br />PERMIT <br />TOTALFEE <br />�R SETBI.CK <br />f APEA <br />GUPRNCVGROUP <br />SIZE OF BLDG. <br />PVPLICATIONRCC �Y <br />S.H. <br />O WOODSTOVE <br />res u r+o <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT 1 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 SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT QOES 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 PEPFORMANCF OF CONSTRUCTION. <br />�GNATU O CONTRA O RUTMO 12 AGENT.OR OWNER �/ i AT%� ` <br />h � �n a <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A�HNOLG UNITS — M.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIREO A.C. UNITS — B.T.U. <br />PORCED AIF SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLEFS <br />CLOTHESDPYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER • <br />WOODS70VE <br />METAL FIREPLACE S CHIMNEY <br />FIREPLACEINSEHT <br />HEAT PUMP <br />GAS PIPING <br />E%IIAUST FAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />CHECK NUMBER FEE <br />FEES VALU <br />NOOFOWEIIINGUNITS BUILDING <br />occ �ono <br />aorR Foa issunNce ar <br />PLUMBING <br />MECHANICAL <br />INVESTIGAi�ON FEE <br />STATE BUILDING SURCHARGI <br />STATEENERGYSURCH4RGE <br />DRIVEWAV PERMIT <br />TOTAL <br />S 30U0.00 <br />Sec.304(e) <br />FEE <br />NO. <br />WHEN PROPERLY VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />nr.ria:.:s�r,E <br />�� <br />