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�� �` CONSTRUCTION � <br /> everett PERMIT PERMITNO. 18390 <br /> 259 -8745 <br /> ❑ DEMOLITIQN ❑ COMBINATION ❑ BUILDING �1 MECHANICAL � PLUMBING rJ SI6N <br /> own[p uAn�ooaess ci*r zio anor+e <br /> Steve �tl0[ Owens 906 West�inster Circle Everett ffi8H 98203 258-3160 <br /> �RCHITEGT OR DESIf,NLR MnIL�DORE55 CITY 2iP PHONE <br /> OENER�LCONTF�CTIIi MML�O�PE55 LITY ZIV PnONE LICENSE� <br /> Owner <br /> MECN�NIC�LCONTRACTOR M�ILAOOPESS C11Y 21V P110NE UCENSEI <br /> RUMBINGCONTR�CTJN MML�DOPE55 CiTv ZiV MONE LICENSE� <br /> CtA550F WORK <br /> ❑ NErU �--�- ly� AODI110N ❑ 11LTERATON O REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�LWTIUN Oi WORN <br /> { <br /> DESCRIBE W01:K � <br /> Install fire place insert <br /> NEAT$pURCE <br /> ❑ELECTRICITY ❑ G�S ❑ WOODSTOVE ❑ OTHER <br /> P110POSED USE OF BUiI C'NG <br /> Sin le famil residence I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> g APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEWLDESCRiOTIOROFPRO^ERTY�SnOWBELOWORRTTRGHFIXIRLOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDlNANCES <br /> lOT_BLOLN _OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. T4E GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISI�NS OF ANY OTIiER <br /> STATE OR LOCAL LAW REC�ULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBApORE55 SIGNAT R OFCONTRA R.PUTMORIIEDAGfNT.OPOWNER I OATE <br /> 906 Westminster 617td(itX Circle z �j� y��,ny�_ k�124��� <br /> I"�^ <br />. PLUMBING MECHANICAL <br />� NO. T1'PE OF FIXTURE OH ITEM FEE NO. TYPE OF EOUIPMENT I'EE <br />� WATER CLOSET(TOILET) A�C—A/HNDLG UNITS—H.P. <br />� BATMTUB REFRIGERATION UNITS—HP.EA. <br /> LAVATORY(WqSH�ASIN) BOILERS—0 TLlN P. <br /> SNOWER GAS FlHED A C.UNITS—B.TL. <br />. NITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B T.U. M EA. <br /> DISHWASNER WqLLHEATERS—B.T.U. M <br /> LAUNORYTflAV UNITMEATERS—B.T.U. M <br /> CLOTMES WASMER E�'Af'ORATIVE COOLERS <br /> URINAL CLOTHES DRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> OACKFLOW PREVENTERS WATER MEATER <br />� ROOF ORAINS—RAINLEADERS WO00 STOVE <br /> SINK(SERVILE—BAR,ETC� METAL FlREPLACE d CHIMNEV <br /> 1 FIREPIACE INSERT 3O OO <br /> HEAT Pt1MP <br /> GAS PIPING <br /> E%HAUSTFAN <br />� SUB TOTAL f SUB TOT�L 3O OO <br /> PERMIT f PERMIT <br /> TOTALFEE f TOTAIFEE 3O OO <br /> GnONT SEtf�Crc REAR SETCnCK S�DE SEtOnCK PLP.N CMECK NUM�ER FEE RECEIPT N0. <br /> USEIONE LUTi.RErl - <br /> vncnN.stc FEES VALUATION FEE <br /> nves ❑r+o <br /> TVPEOfCONST. OfCUPNNCYGROUP NOOFpWELLINGUM�S DU!LDING 5 <br /> v�uMewc ,1;i2"�87 �' 7rri L'OCRi15R59 ii!:i <br /> SRE OF OLIX= NO OF STORIES MnX OCC LOAO <br /> IdECHANICAL '„__ 30 �Q <br /> INVESTIGAiION FEE ��,�,y��4(e) ;�.';),GL <br /> FIRESPRINNL'.RSFEOUIRED ❑YES ❑NO ��iyry p.) I,IJ <br /> STATE BUILDING SUFCHARGE <br /> STATE'cNERGYSURCNARGE <br /> ��PLICATIONACC OY PUNS�HECK[OBY PPFP FORISSUnNCEDY <br /> DRIVEWAV PERMIT <br /> S.H. TOTAL 30 00 <br /> — PENMIT VAIIDATION <br /> WHEN PfiJPERLV VALIDATED(IN TNIS SPACE)THIS IS VOUR PERMIT <br /> Q <br /> 07 <br /> �� <br /> � <br /> r' <br /> �.���'�.iE:�: f-�I:� <br />