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u,��n ,.1 <br />cirv oF <br />everett <br />�„�.r„r��-ae �o <br />C'�NSTRUCTION � <br />PERMIT PERMITNO. � SJ76 <br />❑ DEMOLITION ❑ COMBINATION S7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONTIER MAIL ApDRE55 CITY 21P PMONE <br />Cindy Stevens 2309 Mukilteo Blvd. Everett, WA 355-577E <br />ARCHITEGT OR OESIGNER MAIL AOpRESS CITV 21P PNONE <br />Total Concept Services P.O. Box C-2012 Edmonds, WA 98020 672-1203 <br />GENEflNLGONiPRGTOR M/.IIApDPESS CITY 21P PHONE LICENSE� <br />Total Cencept Services TOTALC5177L3 <br />MECHPNICR� CONifiACTOR MRIL ADDFESS CITY 21P PHONE LICENSE � <br />PIUMBING CONTRACTOR MFIL ADORESS CITY 21P PMONE LICENSE • <br />CLr1550F WORK <br />❑ NEW �7 ADDITION <br />VALUATION OF WORK <br />s 600. <br />DESCRiOE WORK <br />2'6" x 20' retaining wall <br />HEATSOU�CE <br />❑ ELECTRIClTV ❑ GAS <br />Residence <br />ior 17 o�ocK � oF <br />PLUMBING <br />❑ ALTERATION O REPAIH <br />❑ WOODSTOVE <br />OR ATT�CH fOUR COPIESI <br />TVPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVhTORY�WASHBA5IN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />OISM�YASHER <br />LAUNDRYTRAV <br />UPINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />TYPE OF CONST <br />SIIE OF BLDG <br />APPUCATIONAGC DY <br />M.M. <br />SUBTOTAL f <br />VENMIT f <br />TOTALFEE f <br />LOT AREA <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <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 />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 PERFORMANCE OF CONSTRUCTION. <br />SiC.vnTUREOICONTlUCtOPJ�UAtlRIZEMGENT.CPOWNER DATE <br />� <br />MECHANICAL <br />FEE NO. TYPE OFEOUIPME <br />A/C - A/I.NDLG UNITS - H.P. <br />REFRIGEFiATION UNITS - H.P. EA. <br />BOILERS - B.T.U./HP. <br />GAS FIREO A.C. UNITS - B.T.U. <br />FORCED AIP SYSTEMS - B.T.U. <br />WALL HEATERS - B.T.U. <br />UNIT HEATERS - B T.U. <br />EVAPORATIVE COOLEFS <br />CLOTHESDqYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEi±HEATER <br />WOOOSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VACANT SITE <br />C]YES ❑NO <br />NOOF�WELLINGUNITS BUILDING <br />M EA. <br />M <br />M <br />SUBTOT�L <br />PERMIT <br />TOTALFEE <br />NUMDER FEE <br />'EES VALUATI01 <br />5 600.00 <br />PLUMBINCa <br />STOPIES MA% OCC LORD <br />MECHANICAL <br />1NVYStAWkAfdMTcfc6cPlan ecTRc. soa�e) <br />ES ❑ NO <br />STATE BUILDING SURCHARGE � . <br />STATEENERGYSURCHARGE - <br />CMECNED OY APPfi FO(i ISSUANCE �Y <br />DRIVEWAYPEtiMIT : <br />B.E. <br />10/19/87 <br />FEE <br />iECEIPT NO. <br />FEE <br />17 00 <br />11 OS <br />3 50 <br />TOTAI. I I <br />PEPMIT VALIDATION <br />VJHEN PROPERLY V�LIDATED �W THIS SPACE) THIS IS VOU� PERMIT <br />31 155 <br />� <br />• <br />i�� i'�•.i[SS � . <br />