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C <br />Ihe £vergrpen <br />�„� oF <br />everett <br />CITY MALL 259�8745 <br />r ^,ONSTRUCTIO�' <br />PERMIT <br />,:: <br />PERMIT NO. 11878 <br />EVEREiT. WA 98201 ❑ COMBINATION C,� BUILDING ❑ MECHANICAL ❑ FLUMBING <br />OWNER MAIL ADORE55 CITY ZIP PHONE <br />GILPIN/REED PARTNERSHIP 103U AVE. D SNOHMISH 98290 568-2181 <br />FRCMITECT OR DESIGNER MAIL AODRE55 CITY 21P PNONE <br />GENER�LCONTR�GtOR M�IL�DORESS CRY ZIP PXONE 4CENSE� <br />SAME <br />MEGH�NIGALCONTRA�TOR MRII.ADDRE55 �ITY 21� PHONE LICENSE� <br />PLUMBING GONTR�GiOP MAIL ROORE55 CITY ZiP PHOYE LICENSE � <br />CI NEW ❑ ADDITION ❑ q�TEHATION ❑ REPAIR (�( DEMOLITION ❑ FENCE ❑ SIGN O WOOD STOVE/FIREPLACE INSERT <br />VALII�TION OF WORK <br />s 00.00 <br />DESCRIBE WORN � <br />DEMOLISN SINGLE FAMILY RESIDENC <br />wr 2 4' ?s�...K 6 3 8 oF <br />2724 <br />PLUMBIN6 <br />N0. TYPE OF FI%TUAE <br />WATER CLOSET�TOILEn <br />BATHiUB <br />SHOWER <br />KITCHEN 51NK 8 <br />LAUNDRYTRAV <br />CLOTMES WASHER <br />WATEfl MEATEfl <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR ORAIN <br />ROOF DHAINS - RAINLEADERS <br />SINK �SERVICE - BAR, ETC.� <br />Sua TOTAL <br />PERMIT <br />TOTAL FEE <br />APPNOVALS <br />1. ENVIRONMENTAL CMECK LIST <br />2. BUILDING PLANS <br />3. FIRE MYDRANT <br />1. FIRE PROTECTION SYSTEM <br />5. GRADING <br />i� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />JRRTTACMFOURGOPIES) CORRECT. AlL PROVISIONS OF LAWS AND ORDINANCES <br />LL 2ND ADD. 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 AUTHORITY TO VIOLATE <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />_ PERFORMANCE O' CONSTRUCTION. <br />�GNRTURyEF�ONy14CtOR pF{qUiH ED R E'NT d/' 'AiEQ' <br />n � �� � % J <br />� <br />f <br />f <br />REAR YARD S <br />VACANT SITE <br />:-:YES ::NO <br />NO. OF DWEL <br />MAX. OCG LC <br />FIRE SPRINKL <br />REOUIRED <br />�;YES ..�NO <br />BY IAPPfl.FOR <br />i� <br />TYPE OF EOUIPMENT <br />AIR CONO. UNITS - H.P. EA. <br />REFRIGERATION UNITS - H.P. EA. <br />BOILERS - H.P. EA. <br />GAS FIRED F.C. UNITS - TONNAGE <br />FORCED AIR SVSTEMS - B.T.U. <br />WALL HEATERS - B.T,U. <br />UNIT HEATERS - B.T U. <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />AIR MANOLING UNIT - <br />STOVE - WOOD <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSERT <br />MEAT PUMP <br />FEES <br />9 W LDING <br />PLUMBING <br />MECMANICAL <br />OTMER <br />PENALTY <br />TOTAL <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />S <br />EA. <br />M EA. <br />M <br />M <br />C.F.M. <br />HECEIPT NO. <br />VALUATION I FEE <br />WNEN PflOPERLY VALIDATED �IN TMIS 9PACi1dHIS IS��1�I�RBID �-�'�"' <br />76V7 V v <br />� <br />YOUR RECEIP,�,� <br />THANK YOU <br />ADDRESS FILE <br />13�83 <br />--"'I <br />