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ene �,�re„ <br />CITY OF <br />everett <br />259-8745 <br />" C'��NS��RUCTiON <br />PERMIT <br />PERMIT NO. 2154 � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEfi MAILAO�NE55 CITY 21P PNONf: <br />Daniel McCabe M.D. 2001 Mukilteo Blvd. Everett 98203 353-9358 <br />ARCIIITECT OR O[9GNER M�IL ADDf1f.55 CITY Z�P PHONE <br />MAIL AOOfiES.`, <br />CITY <br />PNONE UCIASE� <br />MECNANIC/.LCONTf1RCTOR f,UILADI:RE55 dTY 21P PHONE LICENSE• <br />Evergreen State 8ekk Sheet Metal P.O. Box 1508 Everett 96206 252-3719 EVERGSS121K7 <br />PWMBINGCONTRACTOR MFILA�DRESS dTY ZIP PHONE UCENSE� <br />ClASi OF WORR <br />❑ NEW ❑ ADDITION <br />�A�URTION OF \YpRK <br />S <br />UESCRIBE wORN <br />Gas piping <br />�1 ALTEHATION ❑ pEPAIR <br />NearsouncE � <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />aROPOSED USE OF BUILDING <br />SFR <br />ior _ e�ocK _ <br />�O1 Mukilteo Blvd. <br />PLUMBING <br />TYPE OF FIXTUHE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASHBASINI <br />KITCHEN SINk 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />FLOOH DRAIN <br />BACKFLOW PflEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETG) <br />USElOnE <br />TVPE O? CONST. <br />SRE OF OL^f,. <br />FIRE SPRINKLEP <br />APPIICRT10N �CC <br />S.H. <br />SUBTOTAL f <br />PERMIT S <br />TOT�LFEE S <br />1R SETp�LN SIDE SETOACK <br />AREA <br />VAC�NTSITE <br />❑YES �NO <br />:UPqNCY GROIIP . NO OF DWELLI <br />OF STORIF.S M�% OCC LOp <br />P�AIISCMECK[DOV I APPR <br />FEE <br />OV <br />❑ DEMOLITION <br />❑ OTHEH <br />❑ BUILDING REI.00ATION <br />I HEAEBY 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 />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 REGULATING CONSTRUCTION OR <br />THE PERF RMANCe OF CON TRUCTION. <br />SIGNFTl1RE F ONTfjA�T0�R12 AGENT.OqOWNER DATE <br />X � ! � 6 srq <br />--�-� ----- <br />NC — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U.MP. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FOflCED AIR SYSTEMS — B T.U. M EA. <br />WALLHEAiERS—B.T.U. M <br />UNIT HEATERS — BSL. M <br />EVAPORATIVE COOLERS <br />CLOTHcS�RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />MEiAL FIREPLACE 8 CHIMNEY <br />FIREPIACEINSERT <br />HEAT PUMP <br />GAS PIPI:VG <br />E%HAUSTFAN <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />Si>TE BUILOING SU <br />STATEENERGVSURCHARGE <br />DPIVEWAY PERAl1T <br />TOTAL I I 18IOJ <br />PERMIT VALIOATION <br />IYHEN PROPE1iLY VAIIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />�� <br />C}' <br />1S� <br />� <br />N <br />, ._���� :�. � , � <br />