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�s� <br />an o' <br />everett <br />259-8745 <br />� C�NSTRUCTION � � <br />PERMIT PERMIT NO. 17216 <br />❑ OEMOLITION ❑ COMBINATION ❑ BUIIDINO jS7 MECHANICAL C� PLUMSINO O MON <br />��� M/�IL�DD11E55 CITY IIP p�qry� <br />Donald A. Smith 315 D1E 192nd Seattle WA 98155 364-4448 <br />ARCNITEGTqiDE51GNER MAILADOi1E55 CITY 21P qpryE <br />OENERAL CONTR�CTOR M�IL �ODPE55 CITY 21P MONE LILENSE � <br />$8111E <br />MECH�NIGI CONTRRCTOR MRIL ADDR[SS <br />CPY ZiP PIIONE LICENSE� <br />PLUMBMG CONTR�CTOR <br />CL�SS OF WORK <br />❑ NEW ❑ ADDITION <br />V�LU�TION OF WORK - <br />i <br />wood stove <br />❑ ELECTRICITY ❑ CAS <br />SFR <br />lOT _ BLC"N <br />5615 Sound Ave <br />PLUMBING <br />NO. TYPE OF FI%Tl <br />WATER CLOSET (TOILET� <br />6ATHTUB <br />LAVATORY�WASHBASIN� <br />SMOWER <br />KITCNEN SINK d DISP. <br />OISHWASHER <br />LAUNDRYTRAV <br />TVPE <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADE <br />SINK �SERVICE — BAR, ETC.) <br />SUBTOT�L <br />PEPMIT <br />TOTALFEE <br />RREA <br />M�IL �D�NE55 <br />❑ ALiERAT10N ❑ REPAIR <br />fli�.'.: <br />OCCUPRNCYGROUP <br />�PPlIGT10NACC OY � PLANS <br />❑ WOODSTOVE <br />VACANT SITE <br />❑res ❑r+a <br />CITY ZIP <br />❑ DEMOLITION <br />❑ OTXER <br />LICENSE r <br />❑ BUILDIN(i RELOCATION <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED TH�S <br />APPLICATION AND KtJOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIUNS 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 LOES NOT PRESUME TO GIVE AUTIIORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNRTURE OF f�JNTRACTOR�TNOitR[q PGENT, fnl OWNEN OATE <br />FEE NO. TYPEOFEOUIPMENT <br />A/C — AiHNDLG UNITS — H P. <br />flEFPIGERATION UNITS — H P. EA. <br />BOILEFS — P.T.0 /HP. <br />GAS FIPEO A C. UNITS — B T.U. <br />FORCEDAIFSYSTEMS—BS.U. MEA. <br />WALLMEATERS—BT.U. M <br />UNIT HEATERS — B T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTPAN <br />unz occ iono <br />SUB TOTIIL <br />PERMIT <br />TOTAL FEE <br />RECEIPT NO. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />VALUATION <br />5 <br />INVESTIGATION FEE I �c.30d�e) <br />STATE BUILOING SUACHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />70TAL 30 <br />PERMIT VALID�TION <br />N'HEN PROPERLV V�\LIDATEU �W iNIS SPACE) THI515 VOUR PERMIT <br />�.?,��r��:i I �LL <br />