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rne E�pr� <br />cm oF <br />everett <br />259-8745 <br />�-. <br />- �ONSTRUCTIO�'� <br />PERMIT <br />�- <br />PERMITNO. � 7`+9� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONTlER MAILpDURESS CITY ZIP PHONE <br />JAMES RICE 1001 - Slst PL SW Everett WA 98203 259-8821 <br />ARCHITECTORDESIGNEfI MAILADDRESS CITY ZIP PHONE <br />GEqER�L CONTNACTOR MAIL ADDRE:S LITY ZIP PHONE UGENSE � <br />MECHANICALCONTflFCTOR MAILr1pOPE55 CITY ZIP PHONE LICENSE� <br />PLUMBINGCONTRACTOR MNILADORESS CITV ZIP PHONE UCENSE/ <br />, CLASSOFWORK <br />. ❑ NEW ❑ ADDITION ❑ ALTEHATION ❑ pEPA1R <br />VALUATION OF WORK <br />' s <br />OESCRIBE WOHN <br />Install fireplace insert <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Residence <br />OR ATTACH FOUN <br />LOT _ BLOCK _ <br />1001 - Slst PL SW <br />PLUMBING <br />TYPE OF FIXTURE OH ITEM <br />WATEfi CLOSET (TOILET) <br />BATHTUB <br />LAVATOFY�WASHBASIN) <br />SHOWER <br />NITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />F1.00R DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEi <br />RINK ISERVICE — BAR, E7 <br />USE20NE <br />SIZE OF BLDG. <br />APPLICATION ACC BY <br />SUBTOTAL <br />PENMIT <br />S <br />❑ �EMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDItJANCES <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 PfiOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN� RE OF CONTRACTOP AUTHOFIZED AGENT, OR OWNEP DAtE <br />J( ( �y;�:.� L� � 11/24/86 <br />i_..__..__. <br />A/C — A; iNDLG UNITS — H.P. <br />REFRIG� RATION UNITS — H�] <br />BOILEFS — B.T.U./H.P. jfE <br />GAS FIRED.4C. UNITS — B.l�,t <br />FORCED AIR SVSTEMS — B.T.U. <br />WALL HEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VEN i ILATION FAN <br />RANGEHOO� <br />WATER HEATER <br />wOODS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECN NUMBER <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />VAC�NT SITE FEES <br />❑VES ❑NO <br />OCCUPANLYG90UP NOOFDWELL.^..uLYITS BUILDING I S <br />ND OF STORiES I MA% <br />OV <br />BV <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />M EA. <br />M <br />M <br />Sec.304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSUFCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PENMIT VALIDATION <br />WHEN PROPEflLV VALIOATED pN THIS SPACEj THIS IS YOUR PERMIT <br />(-pf �... ., .. � <br />