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�� � C�NSTRUCTION �-- � <br /> everett PERMIT PERMIT NO. 21198 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �7 MECHANICAL ❑ PLUMBING O SIGN <br /> OYMEN MAIL RODRE55 CITY ZIP PMONE <br /> Pasqual E. Dama 1224 Maple St. Everett 98201 339-2665 <br /> ARCNITEQ OR OESIGNER MAIL AODRESS QTY ZIP PNONE <br /> GENEA�LCONTPACTOR MAILADDPE55 CITY 21P PHONE LICENSE� <br /> MECHANIC�LWNTRACTOR MRILAOORE55 �ITY 21P PMONE �ICENSEu <br /> �7ti[NK Owner <br /> MVMBMGCONTRRCTOR MFILAODf1E55 QTY plp PNONE LICENSE• <br /> CLA55 OF WORR <br /> ❑ NEW � ADDITION ❑ ALTERATION ❑ qEPAIR ❑ OEMOLITION � BUILDING RELOCATION <br /> W WATION OF WORN � <br /> S <br /> DESCRIBE WOqK <br /> Install woodstove <br /> MEATSOURCE <br /> ❑ ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTNER <br /> PROPOSED USE OF BUIIDING <br /> SFR I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPROPENTY�SHOWBEIOWORATTACMfOIIRCOPIES) CORRECT. ALl PROVIS� ?NS OF LAWS AND ORDINANCES <br /> l0T_pLOCK _ OF GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHURITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFOflMANCE OF CONSTRUCTION. <br /> .OB RO�RE55 SIGN�TURE ONTRRCTOR.AUTHORIZED�GENT, ONMER OATE <br /> 1224 Ma le X � -� <br /> VLUMBING MECHANICA .� <br /> NO. TYPE OF FI)(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C � HNOLG UNITS—HP. <br /> BAiHTUB REFRI(aERATION UNITS—HP.EA. <br /> LAVATOflY(WASH BASIN) BOILCRS—B T.U.MP. <br /> SHOWEF GAS FIRED A�C.UNITS—B.T.U. <br /> KITCMEN SINK d DISP. FORCED AIR SVSTEMS—B T.LL M EA. <br /> DISHWASHEH WALLHEATERS—B.T.U. M <br /> IAUNDRY TRAY UNIT HEATERS—B.T.LL M <br />. CLOTMES WASHER EVAPORATIVE COOLERS <br />� URINAL CLOTHESDRVERS <br /> DRINNING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAi>,'cTQ) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%MAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PEHMII' S PERMIT <br /> TOTALFEE S TOTALFEE $ <br /> FROr+i SEienCrc aEnR SEToncn Sio[SETBncR PLAN CHECK NUMDER C . <br /> � <br /> USEZONE LOTAREA N00021198 <br /> vncaNrsiTe FEES H�{JATIONS3 .00 FEE <br /> �YES ❑NO p <br /> TVPEOFCONST. OCCUP�NCYGROUP NOAFDWELIINGUNITS BUILDING Y�Cf` :3 •� <br /> PLUMBING <br /> 512E OF�IDG. NO Of STORIES MI1X.OCC LORD <br /> MECHANICAL 30 00 <br /> INVESTIGATION FEE Sec.904�e) <br /> FIRE SPRINKLERS REOUIfiED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC DY PLANSCMECKEDOY APPR FORISSUANCEOV � <br /> DRIVEWAY PERMIT <br /> S.H. TOTAL <br /> 30 00 <br /> PEPMIT VALIOATION <br /> WHEN PROPERLY VALIOATED(IN THIS SP�CE)THIS IS YOUR PERMIT <br /> � <br /> Q� li <br /> •--- <br /> r <br /> N <br /> /.i.':�,h'., Fi� : � <br /> � <br />