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Uu; Eucrgreer� <br />CITY OF <br />everett <br />259-8745 <br />"' C"�NSTRUCTIC)N <br />PERMIT <br />r -� <br />PERMITNO. ZOG� Z <br />❑ DEMOLITION I� COMDINATION ❑ DUILDING ❑ MECHANICAL O PLUMBIIJG ❑ SiGN <br />OWNER MAILAOOPE55 CITY 21P GFONE <br />Llierett Weeks 6627 Gateway Terr. F.verett 98203 353-4786 _ <br />qRCHITECT OR OESIGNER MAIL POOfiESS CITY 21P PNOIlE <br />Same <br />GENERAL CONTPACTOF MAIL AO�RE55 CITY 2{P PHONE LILENSE t <br />E&S Enterprises Same as above E&SENT'*150C0 <br />MEf.11ANICALCONTRACTOR MAILA�DPE55 LITV ZIP PHONE LILENSEx <br />PLUMBING GONTRACTOR MAII ADDRESS CITY 21P PHONE LICENSE � <br />;LASS OF VfORN <br />�1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR <br />IAWATION OF WORN <br />5 69,361.00 <br />)ESG(iIBE WOF:K <br />Construct new residence. <br />IEFTSOURGE <br />❑ ELEC7RICITY ❑ GAS ❑ WOODSTOVE <br />�or 41 e�ocK _ <br />PLUMBING <br />NO. TYPE OF FI%TURE OR <br />3 WATER CIOSET �TOILET� <br />2 BATHTUB <br />3 LAVATORY�WASHBASIN� <br />1 SHOWER <br />1 KITCHEN $INK 8 DISP. <br />1 DISHWASHER <br />LAUNDRYTRAV <br />1 CLOTHES WASHER <br />URI'JAL <br />DRINKIt.IG fOUNTAIN <br />FLOO� QRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADEflS <br />SINK (SERVI�E — BAF. ETC.) <br />M.M <br />SUBTOTAL S <br />PERMIT 5 <br />TOTALFEE S (O <br />�R SETBACN SIOE SETBACN <br />20 6 <br />AAEA VACANT SITE <br />fl YE5 ❑ NO <br />X <br />CUPANCVGPOUP NO.OFDWELLINGUNITS <br />R-3 1 <br />OFSTONESB MA%.00QL040 <br />1+ g�MT C4 N/A <br />] VES [R NO <br />WSCNEGKEDBV PPPRFORISSl1ANCEBY <br />S.E. <br />B.E. <br />❑ OEFiIOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATIO� <br />I HEREBY CERTIFY THAT I HAVE READ AND eXAMINED THIS <br />APPLICATIO� AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLtED WITH <br />WHETHER SPECIFIED HEREItJ OR NOT. THE GRANTING OF A <br />PER��11T DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR <br />THE PERi�t�RMANCE OF CONSTRUCTION. <br />SIGNATl1RE O." CONTRAGTOR. AUTHOFIZEO AGEN�T, �O�P WNE Dp T[ <br />X �� ,.��4�-�'1� !�'iv 1� L /�Jh %9 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGEFATION UNITS — H �/lQ7/� <br />BOILE S—�.T.U!H.P. � <br />GAS P�nED A.C. UNITS — B.T.lj�O�OS�i3E <br />FORCED AIR SVSTEMS — B.T.�'j��M EA. <br />WALLHEATERS—B.T.U. bOOOZBLS`� <br />UNIT HEATERS — B.T.U. ELDG M c <br />EVAPORATIVE COOLERS PLp,(�` <br />CLOTHES DRVEfiS NFf.N <br />VENTILATION FAN p� N �� <br />RANGEHOOD R SRf u <br />WATER HEATEe7 �_ <br />WOODSTOVE � <br />METAL FIREPLACE 8 CHIMNE ,��� <br />FIREPLACE INSERT ���� 1 <br />HEATPUMP i171_G <br />GAS PIPING 6.��� <br />E%HAUSTFAN <br />SUBTOTAL <br />PEflNiIT <br />TOTALFEE <br />ICHECKNJMBER <br />88/20212 I 365.95 I 10563 <br />BUILDING 69,36 1.00 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE plan <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />Sec.304�e) <br />FEE <br />TOTAL ' I '�'• <br />PERMIT VALI04TION <br />WHEN PRGPERLV VALIOATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />�:DUR[SS fii.� <br />N <br />� <br />N <br />O <br />N <br />