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everett � �NSTRUCTION � � = - 17429 <br /> 259 -8745 PERMIT PERMIT NQF_ _ <br /> ❑ OEMOLlTIOA ❑ COMSINATON O lUILDINO � MECHANICAL ❑ PLUM61N0 ❑ iION <br /> 01N161 M�IL�DDRE55 GITY 21P RKNE <br /> Chazles fx 6 Stacy Stirlinq 505 Fiaverly Everett 98201 259-OSAB <br /> �Rb��TECTORDE5IGNlH M��LIIDDRE55 CITv LIP PIqNE <br /> 6FNEMt CONTR�CTOR M�iL�DORE55 CIiY LIF PHONE LICEN9E� <br /> Self <br /> MECM�NIGLCONTP�CTOR M�IUDORE55 CITV 21P PHONE LICEHSE• <br /> PLUMBING CONTRACTqi MAIL ADLRES] CITY 21P PNONE LICENSE Y <br /> CUSS OF WORN <br /> ❑ NEW ❑ ADDITION ❑ AITERATON ❑ NEPAIR O DEMOLITION ❑ 6UILDIN6 RELOC�TION <br /> V�LU�TIMi OF Wq1R <br /> { <br /> DESCRiBE WORR <br /> Installation of wood stove <br /> NEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> vr.oroseo�se or euuoiNc <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> I.EG�LDESGRIPTIONOFPROPERTY�SIIOWBELOWORRTiRLMfOURCOMES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT_e�ocK __or GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEP,EIN OR NOT. TME 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 REGULATING CONSTR:ICTION OR <br /> THE PER60FMANCE O C N RUCTION. <br /> JOB�DDRESS SiGNITUREaPCONTRPCTOR.ALIi 11E A WNER DAiE <br /> 505 Waverly j( 11/6/86 <br /> PLUM8INR MECHANICAL " <br /> NO, TYPE OF FIIITURE OR ITEM FEE NO. PE OF EOUIPME FEE <br /> WATER CLOSET�TOILET� A/C—AM LG UNITS—N P. <br /> BATHTUB REFRIGEFATION UNITS-HP.EA <br /> LAVATORV(WASH BASIN) BOILERS-B T U/M P. <br /> SMOWER GAS FIRED A C UNITS-B TL. <br /> KITCHEN SINN 8 DISP. FOPCED Alfl SVSTEMS-8 TL. M EA. <br /> DISHWASNER WALI HEATERS-B T U. M <br /> LAUNDRYTRAY UNITHEATERS-BT.U. M <br /> CIOTHES WASHER E'JAPORATIVE COOLERS <br /> URINAL CLOTHESDRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> fLOOP ORAIN RANGE NOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> ROOFDRAINS-RAINLEADERS .1 WOODSTOVE 3O OO <br /> SINK(SERVICE-BAfl,ETC.) MEIAL FlREPLACE 8 CNIMNEY <br /> FIREPLACEINSERT <br /> NEATPUMP <br /> GAS PIPING <br /> EXIiqUST FAN <br /> sue ror�� t sua ror�� 30 00 <br /> PERMIT { PERMIT — — <br /> TOT�LFEE i TOTALFEE 3O OO <br /> rRONiSETencK aEnaSE*BnCK sDESErBnCK PLANCHECKNUMBER FEE PECEIPTNO. <br /> USE 20NE ��T AAEA VtCPVT SITE <br /> ❑ve; ❑r+o FEES VAIUATION FEE <br /> TYPEOFGONST OCCUPr1NCYGROUP NOOFDWELLINGUNRS OUILDING $ <br /> PLUMBING I1/06/86 4: 7FIf OOOpN2667 'tY�# <br /> SIIE OF tlIDG NO Of STORIES M�X OCC LORD <br /> MECHANICAL 3O OO <br /> INVESTIGATION FEE M�.J041e1 � .� <br /> FIRE SPRINKLERS REOUIRED n YES ❑NO . <br /> STATE 9UILDING SURCHARGE <br /> STATEENERGYSURCHARGE <br /> qVPLICRTIOYRCCBY PUNSCNEGNED�Y pPPRfORI55l1�NCE�Y <br /> ORIVEWAV PERMIT <br /> M.M. TOT.'l 3 00 <br /> PEPMIT V�LIDATION <br /> WHEN PROPERLY VALIOATED(IN THIS SPACE)THIS IS YOl1R PERMIT <br /> Q1 <br /> N <br /> � <br /> ti <br /> � <br /> /��CRESS f�l E <br />