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rn��e,x.� <br />an oF <br />everett <br />259-8745 <br />"'` t�NSTRUCTION �� '"' - q c <br />PERMIT PERMITNQ:_ I S�`�� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIIApDRE55 CITY ZIP PMONE <br />}ti Hugh Makennzie P.O. Box 12053 Mill Creek 98012 742-3906 <br />ARCHITEGT OP pESIGNER MAIL ADOFESS CITY ZIP PHONE <br />Hugh Mackinsey Homes <br />GENEPAL CONTFACTOfl MRIL l ODRE55 CITY ZIP �HONE LICENSE M <br />Cozy Heating P.O. Box 335 Arlington 98223 435-4904 COZYH157KW <br />MECHANICALCONiRACTOq MAILApDRE55 � CITY ZIP PHONE LICENSEn <br />PLUMBINGCONTRACTOR MAILAODRE55 CITY ZI' PMONE LICENSE� <br />CLASS OF WORN <br />� NEW ❑ ADDITION <br />VA�UATION OF WOPK <br />S l�p-150 <br />Gas piping <br />❑ ALl"EHATION ❑ REPAIR <br />MEATSOUPGE <br />❑ ELECTRICITY ❑ GAS ❑ WOOUSTOVE <br />PROPOSEO USE OF BUILDING <br />Single Family Residence <br />LEGRL �ESCRIPTION OF PROPERTY �SNOW BELOW OR ATTACM FOUR COPIES� <br />9 Kenilworth Yills #7. <br />LOT _ BLOCN _ OF <br />3314 - 56th St SW <br />PLUMBING <br />TYPE OF FI%TURE OH ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN) <br />SHO`VER <br />KITCHEN SINK 8 DISP. <br />DISHWASHEF <br />LAUNDRYTRAY <br />ClO7HES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />PLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOOF ORAINS — RAINLEADEFS <br />SINK (SERVICE — BAR. ETC � <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />TVPE OF CONST <br />FEE <br />S <br />f <br />S <br />VACFNT SITE <br />❑YES ❑NO <br />NO OF OWELLING UNITS <br />512E OF 6LDG. I N0. OF STORiES I Mn% OCG LOAD <br />i —_ <br />FIRE SPRINKLERS REOUIRED ❑ VES ❑ IJO <br />APPLICNTION ACC� BY PLANS CMEGKED OY APPR. FOR ISSUANCE �Y <br />M.M. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELO:ATION <br />I HEREBY CERTIFY �HAT 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 />GOV:RNING 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 />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNPWRE OF CONTRACTOR. AUTHORIZEO AGENT.Oi OWNER DATE <br />I.1 <br />MECHANICAL <br />O. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />RFFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.LI /H P. <br />GAS FIPED AC. UNITS— B.T.U. <br />1 FORCED AIR SVSTEM!: — B.T.U. M �A. <br />WALL HEATERS — B T.0 M <br />UNIT HEATEFS — B.T.U. M <br />EVAPORATIVE COULERS <br />CLOTh{[S DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PEqM17 <br />TOTAL FEE <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />'EE RECEIPT NO. <br />VALUATION FEE <br />� <br />24 00 <br />Se[.3041e) <br />JO:lfit�i _ i: L���r.�..�.r, �. <br />/ <br />;*`���_�; U-:,J,�� <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PROPERLV VALICATED pN THIS SPACE) THIS IS VOUP PERMIT <br />i`.`-1-�ilr:,S FII F <br />m �� <br />