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the Euagreen <br />CITY" OF <br />everett <br />259-8745 <br />� � C �NSTRUCTION <br />PERMIT <br />PERMIT NO: 2 OO 0� <br />❑ DEMOLITION ❑ COMBINATION C�BUILDING ❑ MECHANICAL '{] PLUMBING ❑ SIGN <br />ONTlER MAIL nODRE55 CIiY ZIP PNONF <br />I.awrence J. Breinn 420 Rockefeller Everett, WA 98201 259-4'��9 <br />ARCHITECT OR DESIGNER MAIL qDDRE55 CITY 21P PNON[ <br />GENERFL CONTPACiOH M1IAIL ADORE55 QTY ZIP PHONE �ICENSE • <br />owaer <br />MECNRNIC/.L CONTBACTOR MAIL AD�RE55 �ITV 21P PNONE LICENSE r <br />PI.UMBINGCONTPRCTOR MAl1.ppDPE55 CITY 2iP WONE LICENSE• <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION L$ pEPAIR ❑ DEMOLITION ❑ BUILD�NG REIOCATION <br />VRLURTIO40F WORN <br />f 8�00.0� <br />DESCRIBE wORK <br />Re-shinvle 8dttlx rooE. <br />NEATSOUNCE � <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />LOT _ BLOCK <br />PLUMBING <br />�� <br />USE ZONE <br />TYf`E <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />NITCNEN SINK 8 DISP. <br />LAUNDRVTRAY <br />LLOTHES WASHER <br />URINAL <br />DRINNING FOUh fAIN <br />FLOOR ORAIN <br />+K <br />— nnirvt <br />— 6AR. <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />roun waiesr <br />FEE <br />I HEREBY CERTIFY THAT I HAV� READ AND EXAMINED THIS <br />APPLICATION AND KNOW T'riE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF bVORK WILL 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 LOCAI LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNATUij�OF CONiRACTp1,AUTMONI2FD�OGSNT.OR OWNLR DRTE <br />X <br />MECHANICAL <br />A/C — A/MNDLG UNITS — NP. <br />REFAIGERATION UNITS — H.P. EA. <br />BOILERS — BS.0 MP. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FOACED AIR SVSTEMS �- BS.U. M EA. <br />WALLHEATERS—D.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVECOOLENS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIRFP�qCE & CMIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPIHG <br />E%HAUSTFA� <br />f <br />f <br />S <br />iICESETBACI( F�ANCHECK <br />IACr1NT SITE ' <br />]YES ❑N� <br />GROUP �NOOFOWEItINGUNIiS ��UILDING <br />3LDG I NO OGSTORiES <br />RINKLERS PEOUIRED ❑ YFS [' NO <br />f'ONACC DY PLANSCH[CK(DOY <br />S.H. <br />PLUMBING <br />MECNANICAL <br />SUBTOTAL <br />BLDG l9�.00 <br />INVESTIGAfION FEE � Sea J041e) <br />_5-y-P�f" <br />STA7E �UILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PEFMIT _ <br />TOTAL <br />PEAMIT V�IIDATION <br />WHEN PROPERLV VAIIDATEO pN THIS SPACE� THIS IS �OUR P[RMIT <br />l,:_- .J_SS � i! � <br />� <br />