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�`� C �NSTRUCTION � CAC <br />everett PERMIT PERMIT NQ:: � S`�`�`� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBINGI ❑ SION <br />pyyry�q M�II RODRE55 CITY a'IF PNOME <br />Lee Wilson 6605 Willow Rd. Everett, WA 98203 353-2264 <br />�Rp11TEGTIXiDE51GNEN M�ILADDRE55 GITY ZIP PNOHE <br />OENEMLCANTRACTOR MMLADDRE55 QtY ZIP PMONE LICEHSE� <br />�W(10I <br />MECNANICALCONTRACTOR MAILADDRE55 CITY ZIP PNONE 4LENSE• <br />PLUMBINGCONTR�LTOR M�IL�DORESS CITY LIP R10NE IICCNSE• <br />❑ NEW O ADDITIGN <br />iALU�TION OF WORN <br />f 1600.00 <br />Reroof Residence <br />IEAT SOURCE <br />❑ ELECTRICITY ❑ GAS <br />❑ ALTERATON � REPAIR <br />fazaily residence <br />PROPERTY ISHOW BELOW OP Rl <br />�o. _ o�ocK _ <br />6605 Willow Rd. <br />PLUMBIN6 <br />TYPE OF FII <br />WATER CLOSET �TOILI <br />BATMTUB <br />LAVATORV�WASHBA: <br />SHOWER <br />KITCNEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />DRINKING FOUN7AIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />HOOF DRAINS — RAINLEADtRS <br />SINK �SERVICE — BAR. ETC.) <br />BUBTOTAL <br />PERMIT <br />TOTALFEE <br />CONST <br />SIZE OF BL�G <br />BY I aANSCNECKEDOY <br />S.H. <br />o w000sTove <br />❑ DEMOLITION <br />❑ oTir� A <br />❑ BUILDINO RELOCATON <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITn <br />WHETFiER SPECIFIED HEREIN CR NOT. THF GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTAUCTION OR <br />THE PERFORMANCE OF CONSTqUCTION. � <br />SIGN�TU EOFCONT RGT�R.AUTNOR12EDAGENT.OROWNEfl ONTE7 <br />X �r /� � f �, �—� � <br />MECHANICAL <br />FEE NO. TVPE OF E�UIPMENT <br />A/C — A/MNDLG UNITS — H P. <br />REPRIGERATION UNITS — II P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FlRED A�C. UNITS — B.T.U. <br />FOR^.ED AIR SYSTEMS — B T.U. M <br />WALLNEATERS—BSU. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOIERS <br />� �Wlnt�uNrtM� � <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACE WSERT <br />MEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />f SirE <br />❑ NO <br />OWELLING UNITS <br />MRX OCC LO.O <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEES VALUATION FEE <br />BUILDING a 1600.00 37 00 <br />PLUMBING <br />MECHANICAL UII�7/��i '�:f�.,�� OOI�ANF.��D 'G-{:F:l <br />INVESTIGATION FEE i , �c. �J(1C�e) <br />STATEBUILDINGSURCHARGE j,'.�l(; °-� �.D'J <br />STATEENERGVSURCHARGE � �����rt F �.JU <br />^Pt. -/ � <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT VALIDIITION <br />WHEN PROPERLV VALIDATED (IN TI :IS SPACE) THIS IS VOUR PERMIT <br />nun�iEss r i� e <br />3�50 <br />40150 <br />