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e�� <br />ciTv oF <br />everett <br />259-8745 <br />� <br />C'`��NSTRUCTION <br />PERMIT <br />PERMIT NO. I 03 � 2 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C�MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEf! MAl1.AUDRE55 CITY ZiP MIONE <br />Keino Watson 4927 Narback Rd. Everett 98203 355-4692 <br />�RCNITECTORUESIGNER MAILADUPE55 CITV ZIP PHONE <br />GENER�LCONTR�CTOR MAILPDDRESS C�TY ZIP PMONE LICENSE• <br />Self <br />MEGi1ANICQCONiFRCTOR MAILqODRESS CITv ZIP PNONE LILENSE• <br />Self <br />PLUMBING GONTRPCTOR MPII qUDRE55 CITY ZIP PMONE LICENSE � <br />CLASS OF WORK <br />❑ NEW Q�ADOITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VQUATION OF WOPK � <br />�0�.00 <br />Water M9! heater heat pump <br />HEATSOUPCE <br />❑ ELECTIi1CITY ❑ OAS ❑ WOODSTOVE ❑ OTMER <br />Residence <br />�or 4 eiocK 8 <br />4927 Narbeck Rd. <br />PLUMBING <br />CG7�� <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORV�WASHBA; <br />SHOWER <br />KITCHEN SINN 8 �ISP. <br />OISHWASMER <br />LAUNORVTP�V <br />OH ITEM <br />UFlINAL <br />OflINKING FOUNTAIN <br />FLOOF ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAl11S — RAINLEAOERS <br />SINK (SERVICE —BAq. ETCJ <br />SUBTOTA� <br />VEHMIT <br />TOTALFEE <br />LOT 4REF <br />TYPE OF CONST <br />NO OF <br />PPPLICATION ACC. BV <br />S.H. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />.4PPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CURFECT. 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 AEGULATING CONSTRUCTION OR <br />THE ORMANCE OF CONSTRUGTION. � <br />SIG AtY OF CONTRACIOfi. AyTMp�LED AGENT, 01i OVMER / qIITE <br />[ti �%,�/i 3 <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HN�LG UNITS — H.P. <br />PEFRIGERATION UNITS — H.P. EA. <br />BOILFRS — B.T.U./H.P. <br />GAS FIRED AC. UNITS — B.T.U. <br />FORCEO AIR SVSTEMS — B T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.LU. M <br />EVAPORATIVE COOLEFS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />1 WATER HEATER :10dt PURIj� <br />WOODS70VE <br />METAL FIREPLACE 8 CNIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />G.1S PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />lE SeToncK PLAN CHECK NUM6ER FEE <br />cnNrsiTe FEES VALU <br />YE$ ❑NO <br />i.ovov�E�uHGuniTs BUILDING S <br />PLUMBING Uo/� / <br />�z. occ icno <br />MECHANICAL <br />VJt <br />INVESTIGATION FEE urS@�� <br />i. C. <br />STATE BUIL�ING SURCHARG <br />STA7EENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />�OTAL <br />ChCCi� <br />., <br />6 50 <br />1$ ZB 00 <br />21 50 <br />RECEIPT NO. <br />ATION FEE <br />n� � :.; ��rs n n��� s <br />� 21 50 <br />�Oa'(el ;., .`l <br />?� ,5� <br />21 50 <br />WHEN PROP[RLV VALIDATED �'�' THIS SPACE) THIS!S VOUR PERMIT <br />n� n�E.,s ri�� <br />N <br />� <br />Cr'� <br />O� <br />� <br />