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fAe hlvr7ar�['n <br />��„� �� <br />everett <br />259-8745 <br />- C'7NSTRUCTION <br />PERMIT <br />PERMIT NO. 2 � 47 0 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br />O\\NCIi M4il4DD065 CIIY IIP M�ONC <br />Ferna Bush 2124 Walnut Everett 98201 252-7837 <br />en�unrCl0nDL5�C.N[q MARnou��[55 f.rtv zrr MONE <br />G[N[R�LCON111Af,lOR MAII nD�fiC55 CiiY ZIP PNONE IICENSEI <br />Nalbach Const. 2132 Highland Ave Everett 98201 252-745o Nar.aacN33noH <br />AIEC���NICALCONLR4CIOR M4q�pb�[55 GIY IIP M�ONE LICENSE• <br />RUMpINf•CONTP�CTOR MAILRD�R[55 CITV ZIP %IpNE LICENSE� <br />❑ NEW ❑ ADDITION ❑ ALTERATION �1 REPAIR ❑ DEMOLITION O BUILDIN6 RELOCATON <br />�.iu•*�oN or wonK <br />s 12,000.00 __. _ <br />Repalce roof, gutters, hot water tank �idinc. <br />HE�TSOURCF <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br />residence <br />LOT _ PIOCN _ O <br />PIUMSIN6 <br />NO. T/PE OF FIllTI <br />WA7ER CLOSET �TOIL[T� <br />BATMTUB <br />UVATOAV IWASM �ASIN� <br />SMOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORYTRAV <br />CLOTMES WASHEF <br />UFlINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />BACNFLOW PREVENTERS <br />ROOF DFAINS — RAINLEF <br />SINK ISERVICE — BAR, [T <br />TYPE OF <br />F'U�;i]p <br />S.H. <br />OR ITEM <br />SUBTOT�L <br />PEPMIT <br />TOT�L FEE <br />:K AURSE�[1AGN <br />19TAR[4 <br />T OLCUPFNCYGROU� <br />NO OF STORiES <br />LERSREOUIRED ❑ YES ❑ NU <br />ACC DY �LANSCNECMEDBV <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TMIS <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 PlOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />ST�TE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SI,Nntyin[OFCONTR4CTORnUT 01iIZC0�GENi.OROWNER OATE <br />X �'- � q,�.,Z., 7 - / g -8 � <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />p ti— AMN�LG UNITS — M P <br />REFRIGENATIONUNITS—MP EP <br />OOIlERS — � T.0 M P <br />GASPIHEDAC UNITS—BTL <br />FORC[� AIR SYSTEMS — B T U. M EA <br />WPLLHEATERS—BTU. M <br />UNIiMEATERS—BTU. M <br />EVAPORA7IVE COOLE95 <br />CLOTMES DRYERS <br />VENTILATION FAN <br />HANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 6 CMIIdNEY <br />FIREPLACEINSEPT <br />MEAT PUMP <br />GAS PIPING <br />E%HAUSIFAN <br />Si�C ^.ETNnCN PLAN CHECK N <br />VRCANT SIT[ FE <br />]YES ❑NO <br />r+o or owc�uHc ur+rts 6UILDING <br />PLUMBING <br />MAx 1CC IOAp <br />MECHANICAL <br />APVP PO� <br />SUBTOTAL <br />INVESTIGATION FEE <br />ST�TE �UILDING SURCNARGI <br />STATEENEflGYSURCHARGE <br />oaiv�wnv aEr�Mir <br />1�l1G1.l� <br />Sec.3041e) <br />FEE <br />FEE <br />TOTAL I I <br />PERMIT VALIDRTION <br />WHEN PROPEPLV VAIIGATED �M THIS SPACE� THIS IS VOUR ('CRMIT <br />� : <br />