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tf� Et�crgrem <br />CITY OF <br />everett <br />259-8745 <br />-` C �NSTRUCTION <br />PERMIT <br />PERMIT NO. � J � J`� <br />❑ DEMOLITION ❑ COMBINATIOI. ❑ BUILDING ,[d MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWN[li b�AILADf�8E55 CitY ZIP PHONC <br />Norman Barringer 18905 7Sth Y1. S9. Edmonds, I4A 98020 775-3285 <br />ARp�IIECTOROES�GNCl1 MF�LADORE55 ^4Y LP @{pNE <br />GENERALCONiRACTOR M�ILApDRE55 GTV ZiP F110NE LICENSE� <br />�aaa�x <br />MECMANICALCOMN4CTOR MNLADDRESS CITY 21? PMONE LICENSC� <br />Owner <br />PWMOINGCONTRACTOR MnILADORE55 QTV ZIP PIIONE IICENSE� <br />;U55O( WCRK <br />❑ NEW rJ ADDITION <br />IPLUATION OI WORK <br />$ <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION <br />Fireplace insert i.nstallation <br />NEFTSOURCE <br />O ELECTRICITY � GAS ❑ WOODSTOVE <br />Single family residence <br />EG4L DCSCRIPi10�! OF PROPERTY �SNOW �E10\Y OP Al 1AC11 I OUR GOPi[5� <br />tOT _ OLOCH _ Of <br />9022 a 4th P1. SHX SE <br />PLUMBING <br />NO. TYPE OF FIXTURE 0 <br />WATER (,LOSET �TOILETi <br />UATHTUF3 <br />LAVATORY �WASH BASIN) <br />S�Ow[R <br />KITCHEN SINK A pISW <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTH[S WASHER <br />unir�ni <br />DRINNING FOII'�TAIN <br />FLOOii DRAIN <br />UACKFLOW PREVENTEPS <br />ROOF DRAINS - RAINLE�DERS <br />SINK �SERVICE - BAR. E1C � <br />TYPE OF CONST <br />size or o�oc <br />nrruc�iit�r„-.�:�� �i. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />rt[nn s[tnncK <br />1 OT AHE4 <br />OCWPANCV GftOUP <br />NO OF STORiES <br />) ❑VF:S �NO <br />r�nNs crECKco or <br />upE SET[1nCrc <br />�ACANT SITE <br />7YE5 ❑NO <br />�O OF DWEIIING UN�15 <br />nnz or,C �ono <br />nrri� raiuswnun_irv <br />❑ OTHER <br />❑ BUIIDING �iELOCATION <br />I HEREBY CERTIFY TH,1T � HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME J BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THiS TYPE OF WORK WILL BE COMPLIED WITH <br />WHEiFiER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLnTE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATF OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEHFORMANCE OF CONSTRUCTION. <br />cacrvnrtll�[ or GoM nnciujv. nuir� ni2co n,u+r. on O�tt:en �nic <br />{' i�// � ��� i/ <br />i� A�. /'. / !t //�,r�/ -i..i��. �.-�. i %.Z�' 7 <br />k0. � TYPE OF EOUIPMENT <br />A�C � A� HNDLG UNITS - H P <br />fiEFRIGERATION UNITS - H P EA <br />l301L[RS - B T U��� P <br />GASFREOAC UNITS-E3TU <br />FORCE� AIR SYSTEM$ - � T.0 M EA <br />WALLHEATERS�-�TU td <br />UNIT HEATERS - � T ll M <br />EVAPOP4TIVE COOLERS <br />CLOTHESDFVERS <br />VENTILATION FAN <br />RANGEHOOD <br />IVATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE d CHIMNEY <br />1 FIR[PLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%NAUSTFAN <br />PLAN CHECK NUM�ER <br />FEES <br />BUILDING <br />PLU1d01NG <br />IdECHANICAL <br />INVESTIGATION FEE <br />STATF �UILDING SU <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />STATEENERGYSURCHAflGE <br />OfiNHVAY PERMIT <br />5 <br />Sec.30a�e) <br />RECEIPT NO. <br />E� 1 � <br />707A1 I I 30I00 <br />PEAMIT VALIDATION <br />WNCN PqOPCNLY VALIUAT[0 � W THIS $fACE) THIS I$ VOUR PERMIT <br />�' <br />�� <br />r- <br />Q� <br />r� <br />