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rhe �5�ogreen <br />arr oF <br />everett <br />259-8745 <br />�, <br />CC"'VSTRUCTION <br />PERMIT <br />, <br />� � <br />PERMIT NQ: . � 0 � � `� <br />❑ DEMOLITION ❑ COMBINATION 7� BUILDING ❑ MECHANICAL 't7 PLUMBING ❑ SIGN <br />OWNER MAllA00PE55 CITY ZIP PHONE <br />Dr. R Mrs. W. Salama 2415 Taylor Drive Everett <br />ARCHITECT OR DESIGNER MAR pDDNE55 dTY 21P PHONE <br />Ronald Jchnson �9601 - 23rd NW Seattle 98177 546-2288 <br />GENERAL CONTRAGTOR MAiL ADDRESS LITY 21P PMONE LICENSE � <br />James Gaf£ney Construction, Inc. 1715 - 100th Pl. SE Everett 98208 338-2114 <br />MECH�NICALGONTR�CTOR MRiLI�ORE55 CrtY ZIP PHCNE UCENSE� <br />JA ME 56 C256QK <br />PLUMBINGCONTRRCTOR 4RILNDDRE55 CITY ZIP VHONE UCENSE� <br />❑ NEW C�DDITION � ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATON <br />VRLU�TION OF WORN <br />S 130,000.00 <br />OESCRIBE WOR�. <br />Residence remodel <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br />Residence <br />LOT � 9LOGK � <br />JOBADORE55 <br />2415 Tavlor <br />PLUMBING <br />WATER CLOSET �TOILE <br />BATHTUA <br />LAVATOHY�WASHBAS <br />SHOWEF <br />KITCHEN SINK 8 �ISP. <br />DISHWASHEF <br />LAUNDRVTRAY <br />CLOTHES WASHF�; <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DPAIN <br />BACKFLOW PREVENTE <br />ROOF DRAIN� — RRIN: <br />SINK �SERVICE — DAP, <br />25' <br />TVPE OF <br />SIZE OF OLDG. <br />1634 add <br />tR� <br />ITEM <br />a JB TOTAL <br />PENMIT <br />TOTALFEE <br />�RSET9nCN <br />Z5� <br />f ARER <br />CUPnNCY GR� <br />R-3 <br />AF SiORIES <br />2 <br />BE <br />FEE <br />%'y � <br />�RLANT SITE <br />]YES �NO <br />�O OF OVJEL_.NG UNITS <br />1 <br />AnX.00C LOAD <br />NA <br />nrra rte issunHc[ or <br />BE <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 CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />�PERFORMANCE OP C STR�� N. <br />SiGN TURE Of CONiRRLTOR. MOR ENT OWNER DR1E <br />1(� r _7�� � <br />A/C -� A/HN�LG UNITS - H P. <br />HEFRIGEPATION UNITS - MP. EA. <br />BOI�ERS - B.T U.M.P. <br />GAS FlRED AQ UNITS - B.T.U. <br />FORCED AIR SVSTEMS - B TL. M EA. <br />WALLHEATERS-B.T.U. M <br />UNITHEATER$-B.T.U. M <br />EVAPORhTIVECOOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />NFNGEHOOD <br />WATE(i MEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSLPT <br />HEATPUMP <br />GAS PIPING <br />EXMAUSTFAN <br />HECK NUMBE�.R <br />88/20125 <br />SUBTOT�L <br />PERMIT <br />TOTALFEE <br />FEE <br />483.93 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION fEE <br />STATE BUILDING SURCHARG <br />STATE ENERGY SU(iCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />a iso <br />I•t:�l�:�l <br />FEE <br />748 <br />' PERMIT VRL1011TION <br />Separate plumbing & rnechanical Wlll }J0 TCC�UITC.'fl, WHEN PROPEflLV VAUDATED (W THIS SPACE) THIS IS VOUR PERMIT <br />AitG"r�iSS F��_E <br />�� <br />N <br />� <br />O <br />� <br />� <br />