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the F�rrA�rvti�n <br />��r��� <br />everett <br />259-8745 <br />�ONSTRUCTION <br />PERMIT <br />r- <br />PERMIT NO. � 8 5 3 U <br />❑ DEMOLITION ❑ COMBINATION Q�BUILDING ❑ MECHANICAL ❑ PLUM9ING O SIGN <br />owr�[�� unii norn�[v; cnr zu� rnoNe <br />Reynold X!(8 Ross 503 Rose Way Everett 98203 353-3461 <br />enr�urr[ini�n�s¢:Htn M�IL�DDRC:S CiIY 21P PHONE <br />GENGIMICOMOPCTOP AUIIPDDi1E5ti GtY 16` VMONE LICENSE� <br />Owner <br />MFCMnNiC�ICONIR4C10R AI�Il�00RES5 CI1V IIP f'HONE LIGENSE• <br />PWINOIN6CONIR�CiOP AI�ILPpOR[SS CITV LP PHONE LICEN$E• <br />CU55 Oi 1YOfiN <br />❑ NEW ❑ ADDITION <br />\'nLURTION UF iYOAN <br />i So�.O� <br />oe�wme wonK <br />Repair Carport <br />r�cnT sounce <br />O ELECTRICITV ❑ GAS <br />vaovosco use or ouuowc <br />Carport <br />lE6AL OESCfiIPTION O� i'RO�EBtY �SMOW li[l0\' <br />lOt _ BLOCK _ OF <br />JOB�DOAE55 <br />503 Rose Way <br />PLUMBING <br />❑ ALTERATION <br />FIXTURE OR ITEM <br />WATER CLOSEi �TOiLET� <br />BATHTUO <br />LAVATORY�WASF+DASIN� <br />SHOWER <br />KITCMEN SINN d DISP <br />�ISMWASHER <br />LAUNDRYiRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOA DRAIN <br />BACKFLOW PPEVENTEFS <br />POOF DRAINS — FAINLEADERS <br />SINK �SERVICE — BAF. ETC � <br />TYVE OF CONST <br />512E <br />pPPLICATION f.CC HY <br />S.H. <br />Q�REPAIR <br />❑ WOODSTOVE <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <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 />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED K'ITH <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 L L LAW REGULATING CONSTRUCTION OR <br />THE PERFORM F CONST N. <br />SIG UBIO�CON1f1ACT 4, NORIZE GENT.OR WNER �ATE <br />z�..,.� - - 7-i�-�7 <br />FEE NO. TYPE OF EOUIPMENT <br />A�C — A�HNDLG UNIiS — �� P. <br />REFRIGEPAT10Y UNITS — H P. EA <br />DO�LERS — � T U!N P <br />GASFIREOAD UNITS—BT.0 <br />FORCEDAIRSYSiEMS—BTU MEA. <br />WALL HEATE�S — 8 T U. M <br />IiNITNEATEFS—�TL M <br />EVAPORATIVE COOLERS <br />CLOTHESDPYERS <br />VENTILATION FAN <br />R�NGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />[%HAUSTFAN <br />SUBTOTAL i <br />PERhl1T f <br />TOTALFEE f <br />RERRS[i8/•CN SIOESETC4CN <br />LOT APEA yACANT $IT[ <br />❑res ❑r+o <br />OCCUPANGVGROl1P NOOFDWELLINGl1NiTS <br />NO OF STOPIES MA% OCC LORO <br />) ❑ VES ❑ NO <br />Pl�NSCMECK[DDY �PPP �ORISSU4NL[OY <br />L.C. <br />SUBT07AL <br />PEflM1T <br />TOTALFEE <br />PLAN CNECK NUMBER FEE <br />FEES VALU <br />BUILOING S 50 <br />PLUM�ING <br />MECI IANICAL <br />INVESTIGATION FEE <br />STATE BUILDING <br />STATEENERGVSURCHARGE <br />pRIVEWAY PERMIT <br />Sec.304(e) <br />i!U':�,... _.. ,_ <br />,n <br />FEE <br />NO. <br />TOTAL I I <br />PEPMIT VALIDATION <br />WHEN PFiOPEFLV VALIDATf.D pN THIS SPACE) THIS P3 YOUR PERMIT <br />