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�� <br />CITY OF <br />everett <br />259-8745 <br />C'�NSTRUCTION � '` _ - 2� 273 <br />PERMIT PERArIT NQ = . <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL � PLUMBING ❑ SIGN <br />OWNER MAILADORE55 CITY 21P PHONE <br />Bobby D. Loso 2202 60th Everett, WA 98203 339-3667 <br />ARCHITECT OR DESIONER MAIL ADDRESS CITY ZIP PMONE <br />GENERALCONTRRCTOR MRILAODPE55 CITY ZIP PMONE LICENSE� <br />Owner <br />MECMANICRL CONTRACTOR MAIL ADDNESS CITY ZIP PMONE LICENSE � <br />PLUM8INGCONTRACTOR MRILAODRESS CITY ZIP PNONE UCENSE� <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />�RLUATION OF WOFN <br />S <br />)ESCAIBE WORK <br />Existing woodstove installation <br />IEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Single family residence <br />�or _ e�ocK <br />3014 Nassau <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN� <br />KITCHEN SINK 6 OISP. <br />LAUNORVTRAY <br />CLOTMES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />9ACKFLOW PPEVENTEFS <br />ROOF �RAINS — RAINLEADERS <br />SINK ISERVICE — BAP. FTG) <br />TYPE OF CONST <br />ACC DY <br />FOUR <br />SUB T0Tl1l S <br />PEHMIT f <br />TOTALFEE f <br />flEr1H SETIIACK SI�E SETBRCK <br />lOT RFEA ypCANT SITE <br />❑YES ❑NO <br />OCCUPANCYGROUP NOOFOWELLINGUNI <br />NOAF STORIES MAX. OCC IOAD <br />) ❑ VES ❑ NO <br />PLANSCMECKE� OY �PFR FORISSVRNCE <br />❑ DEMOLITION <br />❑ OTHEA <br />❑ BUILDING HELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE A�D <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINA'JCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GFlANTING 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 PERFORMANCE OF CONSTRUCTION. <br />SIGNAIURE OF CONTRRCTOR. �UTIIOl112E� AGENT, Ofi OWNER DATE <br />� <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — HP, <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIPED A�C. UNITS — B.T.U. <br />FORCED AIFi SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—BT.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGFHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIflEPLACEINSEHT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECK NUM�ER <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />STA7EENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />5 <br />±1/2^J88 1 <br />� �04(e) <br />3i�tYX 11/22/88 <br />d�� <br />OOOAk3513 �� <br />30 00 <br />TOTAL � I <br />PERMIT VRLIDATION <br />WNEN PROPERLV VALIDATEO �IN TNIS SPAC[) THIS IS YOUR PERMIT <br />�\DDRE;S FILE <br />