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"�F°�'�"' � C-�"1NSTRUCTION /� <br />C�TY Of <br />everett PERMIT PERMIT NO. 21 2`+8 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING � SIGN <br />owr�en u�nu Aooness eitr zi❑ r��or+e <br />Scott A. Girard 5203 S. 4th St. Everett, t9A 98203 339-1127 <br />ARCHrtECiORDE5IGNER MAILADDRE53 GTV ZiP CHON[ <br />GENERnLCONTRnLTOP MAIInODRC55 CIiV IIP PHON[ LIG[NS[• <br />owner <br />MECNANICAL WNTPACTOR 6�All AppHE55 pTY ZIP PHONE UCENSE • <br />PWMO�NGCONTRRGTON MPILAO�RE55 CITY 21P PIIONE UCCNS[� <br />CLA550( WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ flEPA1R <br />\'AWATION OF WORN <br />S <br />ULSCf11pE WORN <br />3 Sxisting wood stove installation <br />N[ATSOURCP <br />❑ ELECTRICITY ❑ GAS ❑ WOOOSTOVE <br />Duplex <br />IEGAL OESCRII <br />ior _ n�ocrc _ <br />� DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE R[AD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />vrsNowoc�owor+n..ncMrouAcowes CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEF 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 IOCAL LAW REGULATING CONSTflUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />smHnivac or cor�nvnr.ron. nun+o�aZ[oncer�t on owr�[n o�re <br />.�rnnonacss <br />52�3 S. 9th.SC%�v�i <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATEF CLOSET (TOILET� <br />�ATHTV� <br />LAVATORY (WASH 6ASIN� <br />SHO\vEF <br />KITCHEN SINK & DISP <br />DISHWASHER <br />LAUNDRVTRAY <br />CIOTHGS WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOOP D�±AIN <br />OACKFLOW PREVEMERS <br />ROOF DFAINS — �AWLEADEPS <br />SINK �SEFiVICE — �AFi. ETC � <br />SUBTOTAL <br />PERMIT <br />TOiALFEE <br />rr+oN*sEronc� n[nnsE�oncrc <br />USEZONE IOTPREA <br />TYP[ OFCONST OCCUPPNCYGRO�P <br />Si2[ OF OLDG NO OF STONi[5 <br />FIRE SPRINKIERS REOUIRED ❑ VES O NO <br />qPPUCATIONACC DY �'LANSCMECrcE�[1� <br />M.M. <br />X , �-Cr,� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMEN7 <br />A-C — A�HNULG UNliti - H P. <br />fiEFfiIGERnTION UNITS — H P. EA <br />OOILERS—�TU IiP <br />GASFN[OnC UNITS—�TU <br />FOFCED AiR SVSiflA15 -- � T U M EA. <br />WPLLHE4TER5—�TU M <br />UNIT HLATEf75 — �.TL M <br />EVAPORATIV[ COOLERS <br />CLOTHES �RVERS <br />I�ENiILATION FAN <br />RANG[HOOD <br />WATER IIEATER <br />1 NOODSTOVE <br />METAL FlREPLACE 8 CHIMNEY <br />FlREPLnCEINSERT <br />HEATPUMP <br />GAS PIPING <br />[XHAUSTFAN <br />1 <br />sioE <br />VACANi SIT[ <br />❑YES ❑NO <br />vo ovawEu <br />APPfI �OR65U�NCEI3T <br />SUBTOTAL <br />VERNIT <br />PLAN CHECK <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVLSTIGATION FEE <br />STATE OUILDING SURCHARG <br />STATEENERGVSURCHAFGE <br />DRIVEWA� PERMIT <br />tt � <br />H00021�48 <br />Sec.304(e) <br />11�15�88 <br />FEF. <br />NO. <br />TOTAL I I <br />PERMIi VALIDA'fION <br />WHEN PROP[��Y VALI�ATGO pN THIS SPACE) THIS IS VOUR PLRMIT <br />� �� <br />� �� <br />� <br />�� <br />N <br />� <br />N <br />