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1 <br />�� <br />arv oF <br />everett <br />259-8745 <br />'~ CO'�STRUCTION <br />PERMIT <br />_ -�- <br />PERMIT NO. 17 6 9 4 <br />� DEMOLITION ❑ COMBINATION C�} BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAO�RE55 CITY Z�P PHpNE <br />Leona Barber 3006 Nassau Everett 98201 252-7995 <br />�RCHITEGT OR DESIGNER <br />MAIL ADORE55 <br />ZIP <br />GENERALCONTRACTOR MRI�ADORE55 CITY IIP PHONE LIGENSE� <br />Everett Bldrs. Inc. 5606 Evergreen Way Everett 98203 353-7161 EVEREB*311L3 <br />MECHANIL�ICONTR4CTOR MAILNOORES$ �ITY 21P PMONE LILENSE• <br />MUMBING CONTRRCTON MALL ADDRE55 CITY ZIP PHONE IICENSE � <br />G1A550F WORK <br />❑ NEW B ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION O BUILDING RELOCATION <br />VAIVATION OF WORK <br />S 8225.�0 <br />9x8 & 6x4 Additions <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />ngle family residence <br />ior 28 eiocK 723 <br />�osnooness — <br />3006 Nassau <br />PLUMBING <br />OR ITEM <br />WATER CLOSET �TOILET) <br />BATNTUB <br />LAVATORV (WASH BASIN� <br />SHOWEH <br />KITCMEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRYTRAV <br />CLOTNES WASHFR <br />URINAL <br />DRINNING FOUNTAIN <br />F1.00R DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAIN�EP <br />SINK (SERVICE — BAR, ET <br />FUB <br />TOTA�FEE <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLIGATION 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 CAIJCEL THF PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUREpFCONTJ�AGtOy,AUTMOt1yjE[�yQNT.ORONTIER DATE <br />X <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS �- H P. <br />HEFRIGERATION UNITS — H P. EA. <br />BOILERS — B.T.0 /HP. <br />GAS FIRED A.C. UNITS — B T.U. <br />FORCEU AIR SYSTEMS — BS.U. M EA. <br />WALLNEATERS—B.T.U. M <br />UNITNEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CI IIMNEY <br />FIREPLACEINSEflT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />zseiuncrc PLANCHECKNUMBER <br />87/17694 <br />:ANT SITE FEES <br />ES ❑NO <br />TYVEOFCONSt OCCUPANCVGPOUP NOOFOWELL�NGUNITS BUIL�ING <br />OF OLDG I NOAF <br />APVUCATI�N ACC. PY <br />S.H. <br />PLANS CHECNEO OV <br />B.E. <br />MAX.00C LORD <br />APPR FOR ISSIIANLE OV <br />L.C. <br />PLUMRING <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E BUILDING SUI <br />SUBTOTAL 3 <br />PERMIT S <br />TOTALFEE f <br />FEE RECEIPT NO. <br />70.20 83510 <br />VALUATION FEE <br />5 8225.00 108 00 <br />03/11/67 1�= FM OOOPH4429 kl <br />uuooi7�9� <br />��i.304�e���1� .� <br />'E CH£CI; s10 .50 1 50 <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL I I <br />PERMIT VALIDATION <br />WMEN PROPERLV VAIIDAT[D (IN THIS SPACE) THIS IS VOUR PERMIT <br />Nl);�i:E.:J { I� l <br />