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nK� - <br />CITY OF <br />everett <br />��c�c 259-8800 <br />C"�NSTRUCTI�N <br />PERMIT <br />� <br />� <br />PERMIT NQ: _ � o O `� � <br />❑ DEMOLITION O COMBINATION �BUILDING O MECHANICAL ❑ PLUMBING ❑ SION <br />ONMER MRII AODRE55 CITV ZIP MONE <br />Peterson 6007 Oakes Everett 334-3897 <br />•RCMITECTORDESIGNER MRILAODRE55 CITY ZiP PHONE <br />Chips office City Bldg. Fverett <br />GENEN��CONTRACTOR MRILADDR'C55 CITY ZIP MONE LICENSE• <br />Nourigat Conat. Co. P.O. Box 923 S1SZ$d! S![d11[df - Snohomish 98290 334-3847 <br />MECHANIGL GONTRACTOR MAIL ADONESS CITY ZIP PHONE LICENSE � <br />NOURIC98PM <br />PLUMBING CONTRACTOR AIRIL RDDRESS CITY ZIP PHONE LIGENSE • <br />CV1550F WORK <br />❑ NEW �l ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S 8000.00 <br />OESCRIBE WOPN <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ BLOGN <br />PLUMBING <br />WATER CLOSET (TOILET) <br />BATHTUB <br />UVATORY (WnSM BASIN) <br />SHOWER <br />NITCHEN SINK 8 DISP. <br />DISMWASMER <br />LAUNDRYTRAV <br />CLOTHES WASMEN <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETG) <br />APPLICATION RCC 13Y <br />S.H. <br />%.ANS C1IECNEO BY <br />B.E. <br />f <br />vEs ur+o <br />1 OF OIVEILING UNITS <br />MA% OCG LOnD <br />L.C. <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 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 OF; LOCAL LAW REGULAT G CONSTRUCTION OR <br />THE P��� F//////yyy���'''RMANf:E OF CONSTR ION. � <br />S�GNRT�ONTRRCTQq. A�� YED RG � OATE <br />X ia,u i� � !,�—i�-1'i" <br />"TYPE OF EOUIPMENT <br />A/C — A/MNDLG UNITS — HP. <br />REFRIGERATION UNITS — HP. EA. <br />BOILERS — B TL /HP. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B T.0 M EA. <br />WALLHEATERS—B.TL. M <br />UNIT HEATERS — BS.U. M <br />EVAPORA?IVECOO�ERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />PANGEHOOD <br />WATER HEATER • <br />WOOOSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXf1AU5T FAN <br />PLAN CHECK NUMBER <br />87/1Bo47 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGA710N FEE, <br />SUBTOTAL <br />PENGIT <br />6435 I To be collected <br />J <br />VALUATION FEE <br />$ ........ ,... <br />STATE BUILDING SURCHARGE � <br />5'ATEENERGVSURCHARGE NOO�.O04� <br />� ��� <br />fIflIVEWAVPERMIT ���, �� <br />TOTAL P�N CH 56 . �5 <br />PERMIT V�LIDIITION " " +`� • �� <br />WNEN PROPERLY VALIDATED pN THIS SPACE) THI515 VOUR PERMIT <br />AD(!f?[:.$ f iLE <br />J <br />