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�� -� �NSTRUCTION � � <br />�verett PERMIT PERMITNO. 17244 <br />259-8745 <br />O DEMOlIT10N O COMSINATION ❑ BUILDING � MECHANICAL ❑ PLUMlINO ❑ s1ON <br />Thomae A@1u Cochran 6507 Ol�ympic Dr Everett, WA c�98203 353-0533 � <br />�RCMITECT OR pESIGNEP 1MIL �DpPESS CITY ZIP pIp1E <br />6ENER�L CANTRACTOR M�IL qppRESS CITY zIP PHONE LICE�ISE � <br />MELNANICAL CONTR�CTOH MNL �DDRE55 CITY 21P PMONE LICENSE • <br />0.UMBING CONTP�CTOq MAIL �DDRESS CITY LIP RIONE LICENSE • <br />CU55OF WORI( <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIq ❑ DEMOLITION ❑ BUILDIN6 RELOCATION <br />VALU�TION OF WORN <br />S <br />Install fireplace insert. <br />HEAT SOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br />Single�family�home <br />3 10 <br />lOT � BLOC't _ <br />6507 Olympic Dr <br />PLUMBING <br />Beverly Hills Div 2 <br />P77i��.'.I <br />WATER CLOSET (TOILET� <br />BATHTI IB <br />LAVATOHV�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISHWASMEP <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOH DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLE.4DERS <br />S�NK �SERVICF. — BAR. ETCJ <br />SUB TOTAL f <br />PERMIT f <br />TOTALFEE f <br />FRONTSEiBRCN REFqSEiBACK SIpE5ET0ACK <br />USEZONE LOTAREA <br />VACRNT SITE <br />❑YES ❑�IO <br />TYpEOFCONST. OCCUFANCYGROUP NOOF�WEL�. <br />SIZE OF BLDG NO OF STOPIES MA%. OCC LOI <br />FIFE SPRINKLERS REOUIRED ❑ VES ❑ NO <br />RPP�IGTION ACC. BY 1'LANS CHECKED BY APPR fOR i55 <br />DRd <br />FEE <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 />GOVEFlNING 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 70 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEfl <br />STATE OR LOCAL LAW REGULATING C'�NSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATl1RE Oi COHTfi/CTOR AUTMORIZED AGENT. OR ONTIER DATE <br />j( �,� � ���_ 9 10/2/86 <br />MECHANICAL <br />A/C — A/HNDLG UNITS — HP. <br />REFRIGERATION L'NIT$ — HP. EA. <br />BOILERS — B T.U.MP. <br />GAS FIPED A�C. UNITS — B.TL. <br />FOPCED AIR SVSTEMS — DS,U. M EA. <br />WAILMEATEHS—BS.U. M <br />UNIT MEATERS — H.T.U. M <br />EVAPOR4TWECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEP HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />rs BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHAqGE <br />m <br />DRIVEWAV PERMIT <br />VALUATION <br />$ <br />TOTAL I I <br />PEHMIT VALIDATION <br />WHEN PROPERLY VALIDATEO !IN TMIS SPRCE) THIS IS VOUR PERMIT <br />i. : � : <br />