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IAP F.�l'1M�flYMt <br />, �„ ,,� <br />everett <br />259-8745 <br />C"'��fSTRUGTION <br />PERMIT <br />�. <br />PERMITNO. 2OJ I U <br />L1 DEMOUTION ❑ COMBINATION �d BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />O1�NCR <br />Al�ll �UI1111:5: CIIY ZIP M140�uc <br />Severly White Hall G019 Rockefeller Everett 98201 347-8932 <br />nncruica o�� rn:sicr+o� <br />n�nn nnn��c..; crtr nr ruoNc <br />6CNCRAlCON1RnL'10l1 MnIln01111C:5 CIiY l.IP PNONL LICENSE• <br />Mlaoy � Remodeling 14321 2nd Ave. NW Maryyville 98270 652-7222 1[S� MALOYRIL^.36JH <br />NLCIIANIGL C0�1111�CL0� M��� 40DNE55 CItY LIP PIIONE UCl'ISE � <br />1'LUAIAiNG CONiRnCTOR M4i1. 40C11[ Sti <br />CUS$ 01 \VOfiN <br />❑ NEW ❑ AODITION <br />S65?8.00 <br />CAIttE N'ORK <br />Re-roof, bath remodel <br />H[aT soV��cc <br />❑ ELECTRICITY ❑ GAS <br />SFR <br />IEG�I DESCRIPnON Of � <br />LOT _— OLOCN �. � <br />6019 Rockefeller <br />PLUMBING <br />[3ALTERATION ❑ REPAIR <br />on niTnc�� <br />TYPE OF FIXTURE OR ITEM <br />N'ATER CLOSET �TOILFT� <br />BATMTUB <br />LAVATORY�WASM�AS�N) <br />SHOWER <br />KITCMEN SINK 8 DISP <br />DISHWASNER <br />lAUN7RYTRAY <br />CLOTMEG wFSHER <br />URINAL <br />�RINNING FOUNTAIN <br />FLOOR ORAIN <br />BACNFLOW PflEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISERVICE — �AA. ETC � <br />OG CONST <br />512E CG <br />S.H. <br />❑ WOODSTOVE <br />SUBTOTAL S <br />PERMIT f <br />TOTALFEE f <br />LOT AREn <br />OCLUPPNCYGROUP <br />NO OF ST�RIES <br />p O YES � NO <br />PLANS C�QCN[D 11Y <br />[N�G <br />Ll DEMOLITION <br />❑ OTHER <br />LIP PIIONE LICENSE� <br />❑ BUILDING REIOCATION <br />I HEREBY CERTIFY THAT I HAVL READ AND EXAMINED THIS <br />APPLICATION AND KNOW THF SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUMF TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL TNE PROVISIONS OF ANY OTHER <br />STATE OR LOC�L LAW REGULATING CONSTRUCTION OR <br />THE PERFORM.1NCE: OF CONSTRUCTION. <br />51(:NATIJR[ Of CONLc4Ci0fi, AUiMORI [0 FGENT. Dfi OWNEfl DATE <br />X �'����� �����1 �PT, .2P /fb� <br />MECHANICAL <br />FEE N0. TVPE OF EOUIPMENT FEE <br />A� C— A�HNDLG UNITS — M P <br />REFRIGERATION UNITS — N P EA. <br />OOILERS — � T.0 M P <br />GAS FIRED A C. UNITS — B T U <br />FORCEU AIR SY57EM5 — 0 T U M EA <br />WALLHEATERS—BT.U. M <br />UNIi HEATERS — 0 TL. �� <br />EVAPORATIVECOOLERS <br />CLOTHES �RVERS <br />VENTILATION FAN <br />RANGEMO00 <br />WATER NEATFR <br />wOOD S70VE <br />MF.TAL FIAEPLACE 8 CHI6INEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%1 iAUST FAN , <br />VACANTSRE <br />❑YES ONO <br />NO Of OWELUNG <br />MAa <br />� pn itisl <br />PIAN CNECN NUMDEH <br />FEES <br />,5 eui�oiNc <br />PIUM�iNG <br />MFCHANICAL <br />INVESTIGATION fEE <br />STATE BUILDING SURCHARGI <br />STATEENERGYSURCHARGE <br />OY <br />DRIV[WAY PERMIi <br />' R EIP7 NO. <br />EG Yl i. <br />E SRCH S '.50 <br />(�(�ATIOI�1 FEE <br />56526.00 9� <br />15 <br />Sec.7041c) <br />3 <br />TOTAL � I <br />PERMIT VALIDATION <br />WHEN P(70PERLY VAUDATED pN THIS SPACE� 7NIS IS VOUR PERMIT <br />� <br />r� <br />Qi <br />Q <br />c� <br />