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�7�a� <br />Ax)x <br />9H(~i� <br />� <br />H�::' <br />K n <br />H 71 <br />oxo <br />� (A H <br />Hx <br />�HC <br />H/��g <br />y�Y C] <br />>H� <br />t'� z <br />HH <br />gy <br />H <br />O q N <br />��� <br />xyti <br />HO[n <br />� <br />(hr F.rrrgrcen <br />��„��� <br />everett <br />259-8745 <br />❑ DEMOLITION <br />C"�NSTRUCTION <br />PERMI� <br />❑ COM�INATION <br />PERMIT NQ -. L � `� U � <br />�J BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />a�w[r� r.aanuon[ss cnv u.� .....�._ <br />4James and Sharon {�awes 1310 Pacific Ave. Everett 98201 25&-4464 <br />nn���irEcror�ncsicr�cn reaiaooncss c�*r zm vNONe <br />pfarvin Taylor <br />G@IE11Al GONTRACiOR hIPIL ApORC55 GTY ZIP �'��O��E LICLKSE � <br />P1cKenzie Custom Homes 16212 Bothell—Everett Hwy kF131 Afillcreek 98012 AICKENCH121�_ <br />---- ...,� ...,.o«� ci z <br />❑ NEW ❑ ADDITION <br />5 20 <br />�dA1L <br />C3 ALTERATION <br />cirv zir �,r�o�+[ uc[r+s[• <br />❑ REPAIR ❑ DEMOLITION ❑ BUILOING RELOCATION <br />Chanqe of use - residential to office. <br />��ent 5ounc[ <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />ior 28=Z�i�cK 738 or <br />PLUMBING <br />TYPE OF FIXTL <br />WATER CLOSET ITOILET� <br />onn+r�o <br />LAVATORV�WASM BASIN� <br />SIIOWER <br />NITCHLN $INH 8 DISP. <br />DISHlVASMER <br />LAUN�RYTRAV <br />CLOTMESWASHER <br />UfiIN'.L <br />._ � �LOOP DRAIN <br />L_I b�f.NFLOWPREVENTERS <br />FOOF DRNNS - RAI NLEAOEflS <br />SINK �SERVICE - DAfi, ETC I <br />� 1� <br />ITEM I FEE <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />dACN RCP�15[IDr1CN <br />i rve oF coNs* <br />V-N <br />512E Oc pLDG <br />ncc or <br />m.r� <br />B-2 <br />J .IV <br />VAC4Ni ��j1E <br />❑YES ❑NO <br />uv rvo or oweui�+c ur+rts <br />unx oc�c iono <br />20 <br />� <br />ur nrrn ronissunr+a.uv <br />�. <br />I fiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION 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 PRESU E TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE�PROVISIONS OF �NY OTHER <br />STATE O LOCAL LAW R�GULATING CONSI RUi,T�rlN OR <br />THE PE��ORMANCE OF C�iNSTRUCTION. <br />ar.h,.lif+forcom c*oi' �(uu}dmieonctrui nr+ov:r�u� on.[ <br />X I/,:' � �—Yc.��.--� - �7�� zi-� �'r <br />1'__�:t '.NICAL ,�� , <br />Nn � 7YPE OF EOUIPMENT FEE _ <br />A-0 - A� HNDLG UNITS - H P <br />REFRIGERATION UNITS - H P EA <br />�OILERS-OTU�HP <br />GASFIREDAC UNIiS-�TU <br />FORCED MR SYSiEMS - � i U. A7 En <br />1YAlLHEATERS-OTU h� <br />UNIiMEATEFS-BTU h� <br />[VAPORATIVE GOOLEfiS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATcRHEATEP � <br />WOODSTOVE <br />AIETAL FIREPLACE A CHIMNEY <br />FIREPLACE WSERT <br />HEATPUMP ;� ^ �•� 7' <br />GAS PIPING <br />E%HAUSTFAN G�(�D^]ERS <br />SUB <br />AN CHECK NU61pER FEE <br />89/21665 134.55 iRBsZ 17417 <br />FEES VALUATION FEE <br />�UILDING 52O r �OO.00 2O7 OO <br />PWM�ING <br />MECHANICAL <br />INVESTIGATICN FEE Sec.30��c� <br />STATE �UILDING SURCHARGE <br />STATE ENERGV SURCHAfiGE <br />DRIVEW�� PERMIT <br />TOTAL � r� <br />PEIIMIT VALIOATION <br />WHEN PFiOPERLY VALI�AT[0 �1N THIS iPACF) THIS IS VOUN PER611T <br />3 <br />50 <br />