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�� <br />an oF <br />everett <br />259-8745 <br />^ C�NSTRUCTION � <br />PERNlIT <br />PERMIT NU. � J� � 2 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />ONTlER MAIL A�OPE55 CITY ZIP PHONE <br />Sno. COPE 3130 Rockefeller Everett, WA 98201 259-9481 <br />ARCHITEC70ROESIGNER MRILAOURESS CITY 21P PHONE <br />GENER�ICONTRACTOR MAILADDRE55 CITY ZIP VHONE IICENSE• <br />MECH�NICALCONTRAGTOP MMLAD�RESS CITY ZIP PHONE UCENSE• <br />ALLIEL170Gi <br />PLUMBING CONTPRCTOR MAII ADDPE55 CITY 21P PHONE UCENSE � <br />Allied Iandscaping and Irr. 7730 89th Ave. SE Snohimish, WA 98290 568-3197 <br />CLASS O: WOR <br />� NEW <br />VRLUATION OF <br />S <br />❑ ADDITION <br />2600.00 <br />❑ ALTERATON ❑ REPAIR ❑ DEMOLITION ❑ BJILDING RELOCA710N <br />irrigation system <br />HEATSOURLE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br />!fU[Y8YXN1[Yd!)[ GYedit Union <br />LOT _ BLOCK <br />PLUMBING <br />USE SONE <br />�.v�xn� <br />TYPE OF FIIITURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATNTUB <br />LAVATORV (WASH BASIN� <br />SMOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — Rf.INLEAOE <br />SINK (SERVICE —BAR, ETC.� <br />r1CC BY <br />S.H. <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />neaR seToncK <br />IOTARER <br />OCCUVANCV GR W P <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THtS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEftNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHE � HER SPECIFIED HEREIN OR NOT. THE GRAiV � ING 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 CONSTRI:CTION. <br />SIGNqT �FE F CDNTR�CIOR AUTH01i12E0 FGENT, OR OWNER OATE <br />X �� l� /�a..,,,�,1 � / 2 —rS—�'% <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HN�LG UNITS — NP. <br />REFRIGERATION UNITS — H P. EA. <br />001LER5 — BS.0 /H P. <br />GAS FIPED A�C. UNITS — B.T.U. <br />FORCED AIP SYSTEMS — B.T.U. M EA. <br />WALLNEATERS—B.T,U. M <br />UNITNEATERS—BSL. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHO00 <br />S OO YdATER MEATER <br />WOODS'TOVE <br />METAL FlREPLACE 8 CHIMNEY <br />FIREPLACEINSEFT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />f 5 Q( <br />% 1� �� <br />s 15 ( <br />SIDE SFTORCN <br />VPCANT SITE <br />❑YES ❑NO <br />NO OF pWELLING UNITS <br />PLPNSLHECNEDOY � APPR f0lIISSUANCEDY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLANCHECKNUM6ER FEE� <br />FEES VAIUATl01 <br />BUILDING $ � � <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Ser., 304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />�RIVEWAY PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATEO �IN THIS SPACE� THIS IS YOUR PERMIT <br />no�,i�Ess r�.� <br />N <br />� <br />M <br />Q� <br />� <br />