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�`� � C'�NSTRUCTION - �- <br />everett PERMIT PERMI7 NO. � 67 � 2 <br />259-8745 <br />❑ DEMOLITION C3 COMBINATION ❑ BUILDING ❑ MECNANICAL ❑ PLUMBING ❑ SI6N <br />OW�q MML�DORESS CITY IIP PHONE <br />Richard D. York 5416 Wetmore Ever�tt, WA 98203 355-0786 <br />�NCMIiELT OR pE51GNER MRIL �D�RE55 CITV 2�v PHONF <br />GENERAL CAHTR�CTOR MAIL �UDRE55 CrtY ZIP PNONE LiLENSE � <br />Self <br />MECH�NIGLCONTRnCTOR ��ILAD�RE55 diY 21P 1'NONE LICENSE� <br />PLUMBMGCONTR�CTOR ��II��DPE55 CITV 2iV MONE LILENSE• <br />❑ NEW � ADDITION <br />V�LUATiON OL WORK <br />S <br />pESCRIBE WORN <br />Add dormer and bathroom <br />❑ EIECTRICITY � GAS <br />❑ ALTEHATION ❑ REPAIR <br />❑ WOODSTOVE <br />iq`OSED USE Of BUILDING <br />yttfocN�f�uci Single family residence <br />9 1 <br />lOT � BLOLN �� <br />ow oeww on errnen voua coniesi <br />Iaurel Heights <br />5416 Wetmore <br />PLUMBIN(i <br />NO. TYPE OF FII(TURE OR ITEM <br />WATER CLOSET (TOILEi� <br />BATHTUB <br />LAVATOPY (WASH BASIPq <br />1 SHOWER <br />KITCHEN SINK 8 OISP. <br />OISMWASHER <br />LAUNDRV TRA\' <br />C�OTMES WASHER <br />URINAL <br />DHINKING FOUNTAIN <br />FLOOF ORAIN <br />BACKFLOW PF7EVENTERS <br />ROOF DRAINS — RAINLEADEFS <br />SINK (SERVICE — BAR, ETCJ <br />TYPE OF CONST <br />SUBTOTAL f <br />PERMIT S <br />TOT�L FEE f <br />fR SETNnCK St0[ SF <br />f�REP VPCFN <br />❑ rEs <br />CUCANCYGHOUP NO OF <br />BLOG I NO OF S10HIE5 � Mn% <br />FPPLIGRTIONACCOY IPLANSCMECN[ODY <br />L.0 <br />Cross reference eacpired permits <br />10852, 11036 & 11039 <br />AFPR <br />❑ DEMOLITION <br />❑ OTFIER <br />❑ BUILDING RELOC11T10N <br />I HEREBY CER'fIFY THAT I HAVE READ AND FXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />C�OVERNING THIS TYPE OF WUHK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PR VISIONS OF ANV OTIIER <br />STATF OR LOCAL LAW REGULA ING CONSTRUCTION OR <br />THE PERF�RM�CE P CONSTRU TION. <br />SIGN OI\C�NT TOR/ ORIZEORG T. ROWN[R URTE <br />z v c � 7%2jfi6 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT � <br />A�C — AR INDLG UNITS -� N.P <br />PEFRIGERATION UNITS — HP. EA. <br />BOILERS—BTU/HP. <br />S OO GASFlREDAC UNITS—BTU. <br />FORCED AIR SYSTEMS — B TL M EA. <br />WAILNEATEHS—BSL. M <br />UNIiHEnTERS—BT.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENiILAT10N FAN <br />RANGE H W D <br />WpTER HE0.TER <br />WOODSTOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIflEPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN <br />E FEES <br />NO <br />;u�Ncur+rts BUILDING <br />PLUM�ING <br />ono <br />MECHhNICAL <br />L.C. <br />WHEN <br />� <br />� <br />,. ;': ��:. <br />� <br />SUB T0T11L <br />PERMIT <br />FEE I x�� �dle) <br />SURCHARGE <br />RECEIPT NO. <br />FEE <br />%2 <br />2� <br />4 <br />Y VALIDATED pN THIS SPACE) THIS IS VOUR PERMIT <br />� <br />