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�� ��° � �JNSTRUCTION � S : _ /C <br />everett PERMIT PERMITNQ:= � �r U01 <br />259-8745 <br />❑ DEMOLITION ❑ COMf11NAT10N ❑ BUILDIN/i � MECHANICAL ❑ PLUMBING O SION <br />ONNER MAII �DDRESS �iTY Z�p oMONE <br />TIM SMALLW007 1617 Virgtnia Everett WA 98201 252-1086 <br />ARCNrtECT OR DESIGNER MAIL R�URE55 CITY ZIP MVONE <br />GENER�IGONTR�CTOR MRILADDPE55 CITV ZIP PHONE LICENSE� <br />Same <br />MECNANICAL CONTR�CTON MRIL ADDRE55 pTY ZIP PHONE LICENSE I <br />%.UUBING LONTR�CT09 <br />CLASS OF WORK <br />�I NEW ❑ ADDITION ❑ ALTEpATION ❑ pEPAIR <br />VALU�TION OF WORK <br />i <br />D[SCRiBE WORN <br />Install wood stove and chimney <br />MEATSOUPCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE <br />Residence <br />.W AL OESGRIPTION OF FROPI <br />lOt _ BLOCN _ <br />oonooaess <br />1617 Virginia <br />PLUMBING <br />USE20NE <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCNEN SINN 6 DISP. <br />OISHWASMER <br />LAUNDRYTRAV <br />CIOTHFS WASHER <br />URINAL <br />DRINNING FOUNTPIK <br />FLOOR ORAIN <br />SINK (SERVICE — BAR, ETC � <br />SUBTOTAL f <br />PEPMIT S <br />TOTAL FEE _ <br />'ORCK R[Aq SETBACN 51 <br />LOT AREA <br />iVPE OF CONSi <br />512E OF OIUG <br />FIRE SPRINNLERS R <br />RPPIIGAT10NPCC BY <br />OCCUPANCYGROUP <br />NO Or STORI[S <br />PLANS CHECKEO E1Y <br />VRCANiSRE <br />❑YES ❑NO <br />r^ oFowEu <br />❑ UEMOLITION <br />O OTHEH <br />21P PNONE <br />❑ BUILDING RELOCATION <br />I HEREBY CERI'�FY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION 4ND 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 SPE�;IFIED 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 LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAj,yREOP�ONTi�TOIi.AUi110R12FDAfFNT.OqOJfNER DATE <br />x �w: lL(. <br />MECHANICAL <br />FEE NO. TYPE OFEOUIPMENT <br />A%C - A/HN�LG UNITS �- H P <br />REFRIGERATION UNITS - H P. EA. <br />BOILERS - B T.0 iN P. <br />GASFIREDAC UNITS-B ^ ! <br />FORCED AIR SVSTEMS - BSL. M EA. <br />WALLHEATERS-OT.U. aOOO��I�Ol <br />UMTMEATERS-OTL. �fE(,'�{ M <br />EVAPORATIVECOOLERS CRSH <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />� WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSEflT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFnN <br />MAX OCG LOnO <br />�V <br />12/29/86 <br />FEE <br />SUBTOTAL f <br />PERMIT <br />TOTRLFEE S <br />PLAN CI iECK NUMBER FEE RECEIPT NO. <br />FEES VALUATION FEE <br />DUILDING $ <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec. 3041e) <br />STATE BUILDING SURCHARGE <br />STATEENERCVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT YRLIDRTION <br />WHEN PROPERLV VALIDATED �1N TNIS SAOCE� TNI515 VOUR PEflMIT <br />hp[!I�,h':S I i' [ <br />