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e��,e�s� <br />an oF <br />everett <br />259-8745 <br />� C'�NSTRUCTION - <br />PERMIT <br />PERMIT NO. � o S 1 B <br />❑ DEMOLITION ❑ COMBINATION ��UIIDING � MECMANICAL � PLUMBING ❑ 816N <br />��q 6UIL ADDRESS G�Tv ZIP �� <br />Wilbur Penrod 8214 Xavier Way Everett, WA <br />•RCHITECT OR DESIGNEti MAIL �ODPE55 GTY 2iP �O� <br />GENERALCANTR�CTOR MAIL�ODPE55 ��TY ziP �� ���N�� <br />Star Custom Homea <br />MECHIINIC�LCONTRACTOR MRIIADDRE55 ��t� Z�P �� ���N�� <br />PL IN�.CONT �GT R �{ZY�I IO9tI7 �LA RE55 TY 21P ONE 4GENSE� <br />Wa�t a Pgutn�iing ��� Everett, WA 9820� 338-1485 WALTSP156� <br />C��ss or wa+n <br />❑ NEW B ADDITION ❑ ALTERATON ❑ NEPAIR <br />S <br />pE$CRIBE V/ORN <br />Plwnb addition <br />HEATSOUFCE <br />❑ EIECTRICITY ❑ GAS <br />PROPOSED USE OF BUiLDING <br />efr <br />LEGAL UCSCRIPTION OF PROPERTY �SNOW OELOL <br />LOT _ OLOCN � OF <br />JOB RDDRE55 <br />8214 Xavier Way <br />PLUMBING <br />1 <br />TYPE OF FIIITU <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORY�WASMBASIN� <br />SIIOWER <br />KITCHEN SINK 8 OISP. <br />DISMWASHER <br />LAUNDRYTHAV <br />CLOTMES WPShIER <br />URINAL <br />DRINNING FOUNTAIN <br />PLOOR DRAIN <br />= DRAINS — <br />�SERVICE — <br />OFCONST <br />❑ WOODSTOVE <br />❑ DEMOLITION <br />0 orr�en <br />❑ BUILDIN6 REIOCAiION <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 WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR ^ANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTHUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNATURE OF CONTRRCTOR. PUT�ORiZEO AGENT. OR ONT1F�1 DRTE <br />MECHANICAL <br />ON ITEM FEE NO. TYVE OF EOUIPMENT <br />A/C — AMNDLG UNITS — HP. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — B.T.U./M P. <br />GAS FIRED AL. UNITS — B T.U. <br />S CO FORCED AIP SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—BT.U. M <br />UNIT HEATERS — BS.U. M <br />S OO EVAPORATIVECOOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />PANGENO00 <br />L WATER HEATER <br />�g w00DS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL f <br />PENMIT f <br />GROUP INO <br />OF BLDG � NO OF STORIES <br />BY <br />enCK PLAN CMECK N <br />SITE � <br />❑ NO <br />WELLINGUNITS BUILDING <br />PLUM6ING <br />C LORO <br />MECHANICAL <br />pPPR iOR <br />SUB TOTAL f o �� <br />PERMIT 3 � � <br />TOTALFEE 1 <br />FEE RECEIPTNO. <br />>,�l.:h": .C;; JU ��.h�.�.�!' t�{��t��f�� <br />�NVESTIGATION FEE <br />STA7E BUILDING SURCHARG <br />SiATEENERGYSURCHARGE <br />DRIVEWAY PE(iM1T <br />TOTAL <br />j!_;.'+ � c..:,G 2 �� <br />�'-_I;�: t: i.5� 50 <br />Sec.304�e) <br />WHEN PROPESLY VALIDATED (IN TMIS SPACE) THIS IS YOUR PERMIT <br />nn,•���,�s�; r�:. <br />• <br />� <br />