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e� a�r� <br />CITV OF <br />everett <br />259-8745 <br />"' '�:�ONSTRUCTIOI�^ <br />PERMIT <br />PERMIT NO. 17496 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILG�ING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />OYMEN M�IIn�ORESS CITY 21P PHONE <br />KEN PENIX 3525 Oakes Everett WA 98201 252-3445 <br />ARLHITEC'f OR OESIGNER MAII ADDNE55 CITY 21P PNONE <br />6fNERALCONTRl1CTOR M�ILADORESS CITY 21P PNONE IIGENSE� <br />Everett Builders 5606 Evergreen Way Everett WA 98203 353-7161 EVERES311L3 <br />MECH�NIC�LCONTR�CtOR M�IL��DNESS CITY 21P PHONE 4CENSEI <br />RUMBINGCONTRACTOR M�IUDURESS CITY ZIP PHONE LICENSE� <br />CUSS OF WORK <br />� NEW ❑ ADDITION D ALTERATION [� REPAIR ❑ DEMOLITION O BUILDINO qELOCATION <br />VAWATION OF WORK � <br />s so9o.o0 <br />OESCRIBE M/ORK � <br />Reroof - composition and gutters <br />NEATSOUNCE <br />❑ EIECTRiCITY O GAS ❑ �YOODSTOVE ❑ OTMER <br />Residence <br />LOT _ BIOCK _ <br />4381-856-012-0002 <br />3525 Oakes <br />PLUMBIN6 <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASH BASIN) <br />SMOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASMER <br />URINAL <br />DRINKING FOUNTnIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEAS <br />ROOF DRAINS — RRIN�EADERS <br />SIKK (SERVICE — BAR, ETC.) <br />TYPE OF CONS. <br />SILE Of BLDG <br />�PVLICATIONPCC BY <br />sg <br />SUBTOTAL <br />PEFMIT <br />NO OF STORIES <br />) ❑ YES ❑ NO <br />f'UNS CMECKED BY <br />VRCANT$ITE <br />❑YES ONO <br />MR% <br />APPR FOP ISSUANCE �Y <br />lc <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED 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 DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PRO�ISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEFFORMANCE OF CONSTRUCTION. <br />SIGNRT�%F CONTR/LCTON. R�RR AGENT.OR OMMER OATE <br />X � e n. 11/24/86 <br />MECHANICAI <br />TYPE OF EOUIPMENT <br />A/C - ARiNDLG UNITS - M.P. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - B.T.U.M,P. —�� <br />GAS FIRED A�G UNITS -- B.i V«� o� <br />FORCEDAIRSYSTEMS-B.T.U. M <br />WALL HEATERS - B.T.U. <br />UNITHEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS � <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CMIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL <br />PERMIT <br />euaoiN� E <br />PLUMBING <br />IdECHANICAL <br />INVESTIGATION FEE Sec. 30C(e) <br />FEE <br />STAlE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT VALIDATON <br />WHEN PROPEFLV VALIDATEO pN THIS SPACE) THIS IS VOUR PERMIT <br />n�.;�-iEs:, r�'� �� <br />