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r� e�+�» <br />cirr oF <br />everett <br />259-8745 <br />"� C�NSTRUCTION <br />PERINIT <br />�•. .� <br />PERMIT NQ: =• � S � � � <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OWNEN MAILADDRE55 CITY ZIP PNONE <br />R. L. Everlein 2503 lst W. Seattle, WA 98119 284-6727 <br />pRCNITECT OR pE51GNER MRIL AOORE55 CIiV ZIP PMONE <br />GENERAL GONTflACTOR MnIL AD�PE55 CITY 21V PMONE LICENSE � <br />owner <br />MEGIIRNICAL CONTRRCTON ��A�L NO�AE55 CITY 21P PMONE LICENSE � <br />MUMpINGCONTR4CTON Mrl1�ADORE55 CITV 21P PMONE IICENSE� <br />:USS OF WORN <br />❑ NEW L ADDITION <br />f 500. <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />Extend plumbing to new addition <br />NEATSOURCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT � OLOCK _ <br />500 Wood Pl. <br />PLUMBING <br />1 hiEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />irris�wwoewwonnrrna�vounco�i�si CORRECT. A�L PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING TNIS TYPE OF WORK 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 PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN4TURE Of CON/TMCtOR, AUTHOR12E0 nGENT. OR OWNER ORTE <br />X /'�f ��Y�i,; 9/21/87 97C�x <br />WATER CLOSET �TOILET) <br />6ATHTUB <br />LAVATORY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISlIWASHEP <br />LAUNDRYTRAV <br />CLOTNES WASNER <br />URINAL <br />ORINKING FOUNTAIN <br />FLCOR DHAIN <br />BACNPLOW PREVENTERS <br />ROOf DRAINS — NAINLEADERS <br />SINK �SEFVICE — �AR. ETCJ <br />MECHANICAL <br />ITEM FEE NO. TYPE OF E�UIPMENT <br />lO O ��C — A/HNOLG UNITS — HP. <br />5 REFRIGER�TIONUNITS—HP.EA. <br />OOILERS — 0 T.0 /NP. <br />GAS FIliED A C UNITS — DS.U. <br />FORCEO NR SVSTEMS — B T.U. M EA. <br />WALLHEATERS—OTL. M <br />UNII NEATEFS — B iL. M <br />EVAPOPATWECOOLERS _ <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATFRt1EATER � <br />WOOOSTOVE <br />METAL FIREPLACE 8 C1IIMNEV <br />FIAEPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAI S �U Ul <br />PERMIT S ZO OC <br />TOTALFEE S QO OC <br />;N PERRSETOACN SiDESET�ACK <br />lOT AREP ypCANT SIiE <br />❑YES ❑NO <br />T. OCCUPRNCYGROUP YOOfOWELLINGUNIiS <br />NO OF STORIES MA% OCG LOAD <br />LEHS REOUIRED ❑ YES ❑ NO <br />ACC !3Y VLANS CMELNEO BY APPR FOR ISSUANC[ 13Y <br />CHECK <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE �UILDING SU <br />SUB TOT�L <br />PERMIT <br />TOTALFEE <br />FEE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />5 <br />Sec.304(e) <br />FEE <br />NO. <br />TOTAL � I <br />PERMIT VALIDATION <br />WHEN PROPERLY VALID4TED �IN THIS SPACE) THIS IS YOUR PERMIT <br />hDGP�LS:; i-�.'_'t <br />m 11 <br />