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�� - f�NSTRUCTION <br />everett PERMIT PERMITNO. � 7�66 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />��Ep Non Baker c/o Bovey & Assocp�Inc. 4921 Evergreen Way Everett 98203 P���258-6777 <br />PRCMITECT OR DESIGkER MAIL q0�RE55 CITY 21P PIIONE <br />CJNTRPLTON <br />PNONE �ICENSE • <br />MECH�NIC�LCONTqnCIJR MqLADDRESS CITY ZIP PHONE �IGENS[• <br />PWMBING CONTRRGTON MAIL RDDRE55 <br />CLA55Of WOPN <br />❑NEW �ADDITION <br />VALURTION OF WORK <br />$ <br />OESCRiBE WOPK <br />Woodstove <br />❑ ALTERATION ❑ REPAIR <br />❑ ELECTflICITY ❑ GAS ❑ WOODSTOVE <br />Single fainily residence <br />�or _ o�ock _ or <br />5308 4th 5et. �il�'•� <br />PLUMBING <br />7YPE OF FI%TURE OR ITEM <br />WATcN CLOSET �TOILET� <br />�ATHTUB <br />LAVATORY (WA511 �ASIN� <br />SHOWER <br />KITCHEN SIIJH 8 OISP <br />DISHWASMEF <br />LAUNORYiRAY <br />CLOTMES WASHER <br />UFINAL <br />ONINKING FOUNTAIN <br />FLOOR DRAIN <br />�ACNPLOIVPREVENTERS <br />ROOF DRAINS — R�INLEA�ER$ <br />SINN �SERVICL — OAR. ETC � <br />SUBTOTpL <br />PENMIT <br />70TALFEE <br />TYPE Of <br />Si2[OFp�pG �NOOFSTORIES <br />AVPLICAiION ACC pY <br />S.H. <br />QTY jIP <br />❑ DEMOLITION <br />❑ OTHER <br />LIC[NSE • <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED 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 WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW qEGULATING CONSTRUCTION OR <br />THE PERFORMANCE OFCONSTRUCTION. <br />SIGNATURECPCONTIIAGTOR.AUTMORI2[�FGENi.Of10WN[R\r%IjKk1pATE �7 <br />X�o-•1. �Gi I�CI— � � %3.i h/W t:.+ �w.�..--r <br />MECHANICAL <br />TYPE OFFOUIPMCNT FEE <br />A'C — A-NNDIG UNIiS — H P <br />REFRIGERATION UNITS — H P [A <br />BOILERS — P T U�H P <br />GASFIREOAf, VNIT$—BTU. <br />FORCED AIR SYSTEMS — � T U M EA <br />WALLHEATCPS—BTL. M <br />UNITHEATEFS—BTU M <br />EVAPOPATNE COOLERS <br />GLOTHESDRVERS <br />VENTILATION fAN <br />RANGENOOD <br />W.AiERHEATER <br />WOOOSTOVE � <br />METAI FIREPLACE 8 CMIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%NAUSTFAN <br />SUB TOTAL $ <br />PERMIT <br />TOTALiEE <br />PLAN C41ECH IJUM�ER FEE RECEIPT <br />vacnN?srtE FEES VALUATION FEE <br />❑ rEs ❑ Ho <br />r+oocDwe�u�vour+rt5 BUILDING S <br />PLUMBING <br />MAX OCC LUPp , <br />— MECMANICAL Ll'.;��r"�i 'ii'�� l7i�U'F.b»..r'(j <br />INVESTIGATION FEE ,. $et. fnd e <br />,. � <br />STATE �UILDING SURCHARGE !;LLH 5�'� ).QO <br />STATEENERGVSUHCHARGE ��`���� ��� <br />acra voni55unbCEnv <br />ORIVEWAV PERMIT <br />TOTAL 3 <br />PEPMIT VALIDRTION <br />WH[N PROPERLV VALIDATED pN TFIIS SPACE� TMIS IS VOUR PERMIT <br />