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rne��r� <br />cin oF <br />everett <br />259-8745 <br />C�NSTRUCTION <br />PERMIT <br />PERMIT NO. 19 7 5�J <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLJMBING ❑ SIGN <br />OYMEP MAILA�DRE55 CITY 21P PMONE <br />Maurice Ialonde 2217 73rd St S8 #B Everett, WA 353-6775 <br />ARCHITEGTORDESIGNER �ILADDRESS CITY ZIP PMONE <br />OENEMLC01RRnCTON MnILADDRE55 LITY ZIP PMONE IICENSEII <br />Nalbach Const 2132 Highland Ave Everett, WA 98201 252-7450 NALBAC2300H <br />MECM�lIIC�LCONTR�GTOR MAILADORE55 CITY ZIP FMONE LICENSE• <br />VLUMBINGCONTRACTOH MFILAODRE55 CITY 21P FMONE �ICENSE� <br />CLISS OF WORK <br />❑ NEW ❑ ADDITION U ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO REIOCATION <br />VALUATION OF WORN � <br />s 15��.00 <br />OESCRIBE WORK <br />Fire damaqe repair - electric furnace d duct work <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOYE ❑ OTMEH <br />Duplex <br />LOT � BLOCK _ <br />1025 52nd St SE <br />PLUMBING <br />TYPE OF FUITURE <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATORV (WASH BASIN) <br />KITCHEN SINK 8 DISP. <br />DISHWASHEF <br />LAUNDflYTRAV <br />CLOTHES WASHER <br />DFINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTE <br />ROOF ORAINS — RAINI <br />SINK (SERVICE — BAR, <br />SUBTOTAL <br />PERMIT <br />TOTALFEF. <br />TVPE OF <br />S12EOFBLDG. � NO.OFSTORIES <br />APPLICATION AGC. BY <br />M.M. <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 OROINANCES <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 ALITHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIUREOFCONTRACTOR,AI'THORIZEDAGEN7.OROWNER DATE <br />X <br />�L <br />FEE NO. TYPE OF E�UIPMENT <br />A/C - A/HNDLG UNITS - H.P. <br />FEFFIGEHATION UNITS - H.P. EA. <br />BOILERS - B.T.U./H.P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCEO AIR SVSTEMS - B T.U. M EA. <br />WALL HEATERS - 8 T.U. M <br />UNITHEATERS-BTU. M <br />EVAPORATIVE COOLERS <br />CLOTHES�RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEFT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN <br />CANT SITE I FEES <br />YES ❑NO <br />I. OF pWFLLING UNITS <br />BY <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />FEE <br />BUILDING $ <br />PLUMBING � - <br />MECHANICAL <br />INVESTIGA'fION FEE ��. �(e) . <br />STATE BUILDING SURCHARGE � <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PENMIT VALIOATION <br />WHEN PROPERLY VALIOATED �IN THIS SPACE) THIS IS VOUR PERMIT <br />AUui?EL� f iLt <br />