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� a.��.s..� <br />Gtv oF <br />everett <br />259-874F <br />� �NSTRUCTION � � _ : <br />PERMIT PERMITNQ'_ � ��OT, <br />❑ DEMOLITION ❑ COMBINATION O BUILDIN(i ❑ MECHANICAL ❑ PLUMSING ❑&ON <br />� 1MIlADDPE55 <br />Rick Downey 4942 Ocean Ave Everett, WA 98203 347-3490 � <br />AqCNITECT Oq DESIGNER 6UIL �ODRE55 ��ry Z�p �� � <br />CENEP�LCONTR/.CTOq M�ILApORE55 CITY IIP PMONE LICENSE• <br />MEGH�NIGICONTRACTOR MAILADDRESS QTY ZiP PHONE 4CENSE� <br />PLUMBING CONTPACTOR MML ADDRESS QTY ZIP PHONE LICENSE • <br />CL�SS OF WORIt <br />❑ NEW ❑ ADDITION ❑ AL7ERATION � qEPAIR ❑ DEMOLITION <br />VAIUAT10N OF WORN <br />i <br />DESCRIBE WORK " <br />Replace water line with plastic from house to street <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Sinqle family home <br />LOT � �. �(;K __ <br />�oe�ooAess <br />4942 Ocean Ave <br />PLUMBING <br />USE <br />71'VE OF FIf <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATOHV�WASHBA' <br />SMOWER <br />KITCHEN SINK d �ISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />BACKPLOW PREVENTERS <br />ROOF DRAINS — RAINLEAOERS <br />SINK (SERVICE — DAR. ETC! <br />SUB <br />TOTALFEE <br />OCCUPANCYGROUP <br />BLDG INOO:STORIES <br />M.M. <br />PUNS CMECNED OY <br />VACANT SItE <br />❑YE,^, ❑NO <br />NO OF pWELUNG UNITS <br />MA% OCC LORO <br />APPq FOR ISSUFNCE �Y <br />❑ BUILDINO RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK VJILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR ��OT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME Tn GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PRO�'ISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATiVG CONSTHUCTION OR <br />THE PERFORMANCE OF CONSTRUGTtON. <br />SIGNRTURE OF CONTRRCTOR A NORIZED AGENt, ON OWNER DFTE <br />X �K� ,(����u 7/30/86 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/MNDLG UNITS — H.P. <br />REFRIGERATION UNITS — HP. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED AD. UNITS — B.T.U. <br />FORCEDAIRSVSTEMS—BS.U. MEA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U. �� <br />EVAPORATIVE COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEF � <br />WOODSTOVE <br />METAL FIREPIACE 8 CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALfEE <br />PLANCHECKNUMBER FEE <br />FEES VALUATION <br />BUILDING $ <br />PLUM9ING ! <br />MECHANICAL �f�/� lO� <br />INVESTIGATION FEE Sec Od1e1 <br />RECEIPT NO. <br />STATEBUILDINGSURCHARGE � sl .� <br />STATEENERGVSURCHARGE <br />DRIVEWAVPERMIT <br />FEE <br />FEE <br />� 11 <br />III' •I •• <br />TOTAL I � 15I00 <br />PEHMIT VAIIDATION <br />WNEN PROPERLV VALIOATED pN TNIS SPACE) TMIS IS YOUR PERMIT <br />�� <br />Q <br />Qi <br />co <br />�— <br />��.�nrEss raE <br />