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�� <br />cin o� <br />everett <br />259-8745 <br />'1 1'''�NSTRU�TION <br />PERMIT <br />PERMIT NQ: _ � � � J � <br />I� DEMOLITION ❑ COMBINATIUN ❑ BUILOING ❑ MECHAKiCAL ❑ PLUMBING ❑ SIGN <br />OWNEP MAII ADDRESS CITY ZIP PMONE <br />Parker Williams and Ed Novack 32nd and Oakes Everett 98201 259-4141 <br />ARCMITECT OR OESIGNER MAIL R�ORE55 QTY ZIP PNONE <br />GENEHAL CONTPRCiOR MAIL /�DRE55 CITY ZIP PMONE � ICENSE � <br />Parker Williams <br />MECMRNICALCONTRACTOfi MAR AOORE55 CITY 21P PMONc UCENSE� <br />PLUMBiNGCONTRACTOR MAILAD:aE55 CITY ZIP PMONE LICENSE� <br />GUSS OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR �DEMOLITION ❑ BUILDING RELOCATION <br />VALWTIONOF WORN <br />S �.�Q.Q� <br />DESCRiBE WORK <br />Remove Shinales <br />HERTSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT 1���N 739 OF <br />3131 Rockefeller <br />PLUMBING <br />I:N7�� <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORY�WASHBA'. <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNCRVTRAY <br />OR ITEM <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DHAINS — RAWLEAOER$ <br />SINK fSEP.VICE — BAR. ETC.) <br />OF GON51 <br />APPLICATIONACC OV <br />S.H. <br />SUBTOTAL f <br />PERMIT S <br />TOTpLFEE f <br />4R SETpACN SIDE $ETBnLN <br />TAP[P VACANLSIi[ <br />n.ES ❑�:� <br />�CUPANCVGROUP NOOFOWEILM( <br />� OFSTCHIvS AIr1X OCC IOAD <br />❑ VES ❑ NO <br />euc rW[rKcn nv APPR FOR ISSUI <br />I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br />APPLICATIUN AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />TH ERFORM NCE OF CONSTRUCTION. <br />�N�ATUP Cj'NiR CT AUTMORIZEOAGENT.OROWNEP � �'7 <br />i� �1 ,iu.� ��.�r.�,r.�s-y ._s /� %`,f 1 <br />MECHANICAL <br />NO. TVPE OF EOUIPMENT <br />A�C - A/HNDLG UNIiS - NP. <br />REFRIGERATION UNIT$ — H P. EA. <br />BOILERS — BSIJ MP. <br />GAS FIREO A C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — D.T.0 <br />WALL HEATERS — BS U <br />UNIT HEAT[RS — BS U. <br />EVAPO(IATIVE COOLERS <br />CI.OTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHF.ATER � <br />WOOOSTCVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIflEPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN <br />DUILOING <br />PLUMBING <br />MECHANICAL <br />INVES71G�710N FEE <br />STA7E BUILDING <br />M EA. <br />M <br />M <br />SUBTOTAI <br />PERMIT <br />TOTALFEE <br />FEE REC[ <br />VALUATION <br />5 <br />_�, .�� <br />� <br />� tFC.. U4le) � r <br />GE CNSH 4l.SO <br />:7ATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />FEE <br />TOTAL I � <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED �W THIS SPACE) THIS IS VOUR PERMIT <br />,�no„Ess ru_� <br />� <br />