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nc� t.l vrRr.+�+� <br />�,,, �, <br />everett <br />259-8745 <br />C'�NSTRUCTION <br />PERMIT <br />� <br />PERMIT NQ: _. �� � � � <br />O DEMOLITION ❑ COMBINATION O BUILDING fRJ MECMANICAL ❑ PLUMBING ❑ SION <br />ovmo� um�. nunn[ss air zm �wwr+e <br />Carolyn Adrian 4931 Vista P1 Everett, WA 98203 252-8510 <br />qqC1u1[CIOIID[SIf•NC� AIMI�DURC55 LIiY ZIP �M10NE <br />GCNCRMCONi11�CT0� MML4DORL55 CIIY ZIP 1'HONE UCENSE• <br />owner <br />M[C1��NiptCONiR�C10R MmlR00�f;S CIIY 21P P��ONE LICENSE/ <br />1'LUMOINGCONiP�C10� MAIL�nDRC55 CIIV ZIP i'NON[ UCENSE� <br />:L�SS Of WORIt <br />[] NEW L� AODITION <br />uw�'�.,n or wonn <br />S <br />)ESCRIBE N'ONK <br />Wood stove inatallation <br />��E�t sounr.E <br />❑ ELECTRICITY ❑ GAS <br />vno�oseo use ov eunort+a <br />Sinqle fami]y residence <br />LEfi�l o[SC�irnoN O� inp�ntv �SUOw Pclo+ <br />l01 _ PIOCK _ O( <br />�oe.00aess <br />4931 Vista Place <br />PLUMSIN6 <br />NO. TYPE OF FI[TURE OR <br />WATER CIOSET �TOiLET� <br />B�THTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCMEN SINK 6 C�SV. <br />D�SMWASMER � <br />LAUN�RYTRAV <br />{ING FOVNTAIN <br />R DRAIN <br />IFLOW PNEVENTENS <br />° DRAINS — RAINLEADERS <br />(SERVICE — BAR. ETC � <br />20NE <br />OFCONST <br />s�ze ov oioc <br />M.M. <br />SUBTOTAL <br />PERMIT <br />TOTAIFEE <br />❑ ALTERATl.r.N <br />GPOUP <br />PtFNS GHECN[01{y <br />❑ REPAIR <br />�WOODSTOVE <br />❑ OEMOLITION <br />❑ OTHER <br />❑ BUILDINO RELOCATION <br />1 HEREBY CERTIFY THAT I HAVE FEAD 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 WITH <br />WhIETHER SPECIFIED HEREIN OR NOT. �iHE GRANTING OF A <br />PEFiM1T DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR IOCAL lAW REGULATING CONSTRUCTION OR <br />THE P RFORMANCE OF CONSTliUCTION. <br />SIG G O� CO T1IACTOIi RU OR [0 �GENT. OR ONTIER OATE <br />x �� %,,�, /���: - /D �S%� <br />MECHANICAL <br />TYPE OF EDUIPI <br />A'C — A/HNDLG UNITS — H P <br />REFRIGERATION UNITS — H P. I <br />BOILERS — B T U1N F. <br />GAS FIRED A C. UNITS — O.T U. <br />FOfiCED AIR SVSTEMS — B T U <br />WALI IIEATERS — B T U <br />UNIT HEATEFS — B T U <br />EVAPO�ATIVE COOLERS <br />CLOTHES �RYEHS <br />VENTIIATION FAN <br />RAIJGE HOOD <br />WATEFHEATER � <br />WOODSiOVE <br />MFTAL FlREPLACE 8 CHIMNEY <br />FIREPLACE WSERT <br />NEA' 1'UMP <br />('.qc pIPING <br />E%HAUSTFAN <br />si�[ 5[iilnGrc PLAN GHEQ< nUMI <br />vncnNt site FEES <br />❑r�s ❑No <br />occ wno <br />Arrn ron <br />SUB TOT11L <br />PERMIT <br />TOTAIFEE <br />BUIL�ING <br />PLUMDING <br />MECH�NICAL <br />INVESTIGATION PEf: <br />STATE DUILDING SUflCHAflG' <br />STATEENERGYSUf�CHARGE <br />ORIVEWAY PERMIi <br />:� <br />M EA <br />M <br />M <br />TOTAL � I <br />PERMIT VALIDATION <br />WMEN PROPERLY VALIDAIE� UN THIS SPACE� THIS IS YOUH PERMIT <br />, ; �::,._. <br />30 <br />� <br />N <br />� <br />� <br />N <br />