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��ti�� <br />CITY OF <br />everett <br />259-8745 <br />� C"11VSTRUCTION - <br />PERMIT <br />PERMIT NO. �� 7 6� <br />❑ DEMOLITION ❑ COMBINATION L�c BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAODRE55 CITY ZIP PMON[ <br />Ken Clyatt 1479 130th Ave. NE Bellewe, WA 98005 453-5504 <br />n,iCNRECTOR0E51GNER MRILp0�RE55 CITY ZiP PXONE <br />GENERAL CONTRACTOR MRIL ADDfiE55 QTY ZIP PNON[ IICENSE � . <br />Owner ' <br />MECHRNICRLCON'11ACTOF MAILAD�f1E5S CITY 21P %IONE LICENSE• I <br />MAILAO�NE55 CITY ZIP %iONE UCENSE• <br />CLASS OF WORN <br />❑ NEW ❑ ADDITIOk C�ALTERATION ❑ REPAIH ❑ UEMOLITION O BUILDING RELOCATION �, <br />VAWATION OF WORR <br />t 10�0.00 <br />pESCRIBE WORK � <br />Enclose Garaqe <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT _ BLOCK <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV(WASHBASIN) <br />$HOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORVTRAY <br />CLOTMES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />flWF DRAINS — RAINLEADERS <br />SINH �SEHVICE — BAR, ETC.1 <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />USEZONE � LOTAREA <br />APPLIC4LIONACC GY <br />S.H <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OFDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR MOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR <br />THE PERFOFMANCE OF CONSTRUCTION. <br />SiGNATy4jE OF CONTRAAtOP. AUTNOR12ED r1GENi. OR OWNER D! TE <br />X� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITg — 11 p. <br />FEFRIGERATION UNITS — H.P. EA. <br />BOILERS — �S.U.MP. <br />GAS PIRED A�C. UNITS — D.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M <br />WALLHEATER$—BT.U. M <br />UNITHEATERS—B.TL. M <br />EVAPORATIVE COOLERS <br />CLOTl1ES DRVERS <br />VENTILATION FAN <br />RANGEHO00 <br />WATERHEATER <br />WOODSiOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />siD[ SETnncn � PLAN CHECK NUMBER <br />VPCANT SITE <br />❑YES ❑NO <br />GPOUP NO OF DWELLING UNITS <br />PUNS CHECNE� OY <br />APPR FOR �SSU4NCE 6Y <br />FEES <br />eui�owc <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FCE <br />STA7E BUILDING <br />FEE <br />SUBTOTAL S <br />PERMIT <br />TOTALFEE S <br />FEE RECEIPT NO. <br />VALUATION FEE <br />51�0�.�� 25 �� <br />Sec.304(e) <br />'E 3 50 <br />STATEENERGVSURCHARGE <br />ORIVEWAV PERMIT <br />TO7AL I I 28�50 <br />PEPMIT VRLIDRTION <br />WMEN PROPEPLY VALIDATED �M THIS SPACE� THIS IS VOUR PERMIT <br />�� <br />�� <br />C� <br />Q� <br />T� <br />nnu:��s; : i,-� <br />