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u,��,�.�n <br />CITY OF <br />everett <br />259-8745 <br />� C"1NSTRUCTION <br />PERMIT <br />PFRMIT NO. 19704 <br />O DEMOLITION � COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWNEN MAII.ApDRE55 CITY ZIP PNONE <br />Gary Clyatt 3d2 1479 130th Ave NE Bellewe, WA 98005 953-5504 � 9�- 3� �7 � <br />APCMRECT OR OESIGNER MAII AO�RESS CITY ZIP MONE <br />GENERR�CONTRACTOR MAILAODRE55 CITY 21P PHONE LICENSE� <br />owner <br />MECH4NICAL CONTRAGTOR MRIL ApDRE55 QTY ZiP PMONE LILENSE � <br />PWMBINGCONTRACTOR MAILApORE55 CItY 21F VMONE UCENSEr <br />CLA$$ OF WORN <br />❑ NEW ❑ ADDITION <br />U4TIDN OF WORN <br />S 6�0�0. <br />� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCAT�ON <br />New l�sheet rock, carpet and gi flooring, 2 base board heaters <br />HEAT SOUfi <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Singel famil� residence <br />lpT _ �LOCK _ <br />BADDRE55 <br />3622 Rockefeller Ave <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY �WASIi BASIN� <br />SHOWER <br />KITCHEN SINH 8 DISP. <br />OISHWASHER <br />LAUNORYTRAY <br />CLOTHES WASMER <br />URiNAL <br />DRINNING FOUNT.�IN <br />FLOOR DRAIN <br />BACKFLOW PNEVENTERS <br />ROOF �RAINS - RAINLEADEfiS <br />SINK �SERVIJE - BAR. ETC � <br />TYPE OF <br />SiZE OF OL�G <br />b`..M. <br />SUBTOTAL <br />P�flMIT <br />TOTALFEE <br />\R SETpACN <br />lOT APEA <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 />GOVERN�NG THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPLC�FIED HEREIN OR NOT. THE GRANTING 0�= 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 PERFORMA CE OF CONSTRUCTION. <br />$IGNAT RE OF LONTR CR. AUTIIORIZED AGENT. OR OWNER OATE <br />X�� L, �� 3; 10/88 8�(3Ax <br />TYPE OF EOUIPMENT <br />A/C - A/MNDIG UNITS - H P. <br />REPRIGEflATION UNITS - H P. EA. <br />BOILERS - B T.UIM P. <br />GAS FIRED A C. UNITS - B T.U. <br />FORCED AIR SY£TEMS - BS U. M EA. <br />WALL HEATERS -- B T.U. M <br />UNIT H&1TER5 - OS.0 M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />fiANGE HOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIPEPLACE 8 CH;MNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />VACANT SiTE FF <br />❑YES ❑NO <br />NOOFD�'lELLiNGUNITS BUILUING <br />PLUMBINC <br />MA% OCC LOPD <br />AIECHANICAL <br />�Y � PLANS CHECNED OV � PPf P FOR ISSU4NCE UV <br />SUBTOTpL <br />PERMIT <br />TOTAL FEE <br />FEE <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG�. <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />VALUATION <br />FEE <br />56,000 � 81 <br />Sec. 3w(e) <br />TOTAL I I <br />PERMIT VRLIUATION <br />\YHEN PROPERLY VALIDATED (W THIS SPAfE� THIS IS VOUR PERMIT <br />llf' {{E:�S I �i "t <br />3 <br />84150 <br />