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rne E�Sreen <br />CITY OF <br />everett <br />259-8745 <br />'�` t�NSTRUCTION'", � =-17863 <br />PERMIT PERMIT NQ:-. <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �1 MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRE55 CITY 21P - PHONE <br />Dong Libby 6101 Oakes Everett, WA 98203 355-5201 <br />ARCHITEGt OR OESIGNER MAIL ADDRE55 CITV ZIP PMONE <br />GENENALCONTRACTOR MnILRDDRE55 CITY 21P PMONE LICENSE• <br />Owner <br />MECMANICALCONTRACTON MNILNOORE55 CITY 21P P�iONE UCENSE• <br />PLUMBING CONTBACTOF MNIL NOORESS CItY 21P PNONE LICENSE r <br />Owner <br />❑ NEW � ADDITION ❑ ALTERAT�ON ❑ REPAIR <br />S <br />DESCRiBE WORK <br />Me Move/install hot water heater <br />HF.ATSOURCE <br />❑ ELECTRICITY � GAS ❑ WOODSTOVE <br />Home <br />IEGAL DESCFIPTION OF PROP <br />lOT _ OLOCh _ <br />JOBAODRE55 <br />6101 Oakes <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASM BA�!:+� <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTNES WASNER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS— RAINLEADERS <br />SINK ISERVICE — BAR, ETCJ <br />SUBTOTAL <br />PERMIT <br />TOTAIFEE <br />USE ZONE <br />TVPE OF CONST OC <br />Si2EOF�LDG ��O <br />FIRE SPRINKLERS REOUIRED I <br />APPIIC/.TION4CC �Y PL <br />M.M. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILD�NG RELOGATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED "iHIS <br />APPLICATION AND KNOW THE SAME TO BE TaUE 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 OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFOFMANCE OFCONSTRUCTION. <br />sicr+nruay�e /oF/�cor+�rnacron n�oniz�o ncer+r. on owr+en 3/3/87 <br />X LLM�JA/n. �AD� <br />NO. TYPE OF EOUIPMENT <br />A�C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — HP EA. <br />BOILERS — �.T.U./H P. <br />GAS FIRED A.C. UNIT$ — B.TL. <br />PORCEO AIR SYSTEMS — � T.U. M EA. <br />WALLHEATERS—BTL. �d <br />UNIT HEATERS — B.T.U. M <br />EVAPORATWECOOLERS <br />CLOTNESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />]. WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />f <br />f <br />f <br />SiOE SETPACN PLAN <br />VACANi SItE <br />] VES ❑ NO <br />�:POUP �NOOFDWEILING <br />MA% OCC. LOFO <br />(ORISSUANCE�Y <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E BUILDING SU <br />SUBTOTAL <br />PEPMIT <br />TOTAL FEE <br />Sec. <br />uo�oi <br />STATEENERGYSURCHARGE I CHECK <br />DRIVEWAY PEFiMIT <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLY VAIIDAIFD I�N THIS SPAC[) THIS IS YOU(7 PERMIT <br />ii�so <br />l,JUPL'�..-: I �� C J <br />