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u�.�� <br />c�m aF <br />everett <br />259-8745 <br />��'' C'"'NSTRUCTION <br />PERMIT <br />PERMIT NO. 19714 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING Q MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER 1AR�lADDRE55 QTY ZIP PIIONE <br />Mathew Will�ams 6902 Wetmore Ave. Everett, WA 98203 353-2251 <br />RRCHRECTORDESIGN[R MRILR�DNE55 CITV ZIP PHONE <br />GENER�I CONTRACTOR MnIL nDORE55 LITY ZIP i'HONE UCENSE • <br />Owner <br />MECMRNICAL CONTRACTOR M�AL RDORE55 CI'Y 21P PMO4E UCENSE � <br />FWMBINGCONiRRCTOR MNILAODR[55 CITV 21P PNONE LICENSE� <br />:lASS OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR <br />ULWTIONOf WOAK <br />S <br />)ESCA�BE WORK <br />Woodstove installation <br />iERt SOUPCE <br />❑ ELECTRICITY ❑ G11S ❑ WOODSTOVE <br />�rrxyaa�ay; �•:�. <br />LOT �_ BLOCN _ Of <br />PLUMBING <br />TYPE OF FI7 <br />WATER ClOSET �TOILI <br />BATHTUO <br />LAVATOR��WASH BA: <br />SNOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASNER <br />LAIINORV TRAY <br />O DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I tIEREBY CERTIFY THAT I HAVE READ ANC EXAMINED THIS <br />residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />W�CIOWONATTACHPOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WURK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHONITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF C(9NSTPUCTION. <br />�IGNPTLLRE OF CONTR9C10P. �UTNO�IT.EO AGENi. OR qNNER DATE _ <br />Ave. <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK ISEPVICE — OAR. ETC.1 <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />REnnsF�ancn <br />TVPE OF GON51. ���� <br />SIZEOFBIOG NOOF <br />FIRE SPRINKLERS REOUIRED ❑ Y <br />PPPLICATIONPCG BV PLRNS <br />S.H. <br />FEE <br />VAC4NT SITE <br />❑Y[5 ❑NO <br />NO. OF �WELLING UNITS <br />occ �ono <br />APPR FOR ISSUANCE OY <br />MECHAN�CAL <br />TYPE OF EOUIPMENT <br />A�C — A�HNDLG UNITS — M P. <br />REFPIGFRATION UNITS — li P. EA. <br />OOILERS — U T.U.rH P. <br />GASFIREDAC UNITS—BTL. <br />FORCED AIR SVSTEMS — BSL. M EA. <br />WALI HEATERS — B T.0 M <br />VNIiNEATERS—OTL M <br />EVAPORATIVE COOLERS <br />CLOIHESDRYERS <br />VENTILATION FA4 <br />f7ANGE MOO� <br />WATER MEATER <br />WOODSTOVE <br />METAL fIREPLACE A CHIMNEY <br />FlHEPLACEINSERT <br />NEnT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />FEES <br />BUILDING <br />PLUI.I�ING <br />MECHANICAL <br />INVES7IGATION FEE <br />STATF BUILDING SURCHARIiI <br />STATEENEPGYSURCHARGE <br />DRIVEW.4V PERMIT <br />S <br />Sec.304�e) <br />via <br />FEE <br />NO. <br />TOTAL I I <br />PERMIT VALIDATION <br />WNEN PROPERLV VALIDATED (IN TI115 SPACE) THIS IS YOUR PEflMIT <br />P J' �` '_ <br />