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`�E�e� '-'' C�NSTRUCTION -- '`� n <br />QTV OF <br />everett PERMIT PERMITNQ:: �O�J�. <br />�- � g� I o <br />❑ DEMOLITION ❑ COMBINATION C3 BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OWNEF FIAIL�1ppRE55 GITY ZIP FMONE <br />F1r. & htrs. Simpson 2919 19th St. Everett 98201 <br />p�CMITECTOflOESIGNEfl MAILqDDRE55 CItY ZIP PHONE <br />GENERALCONiRACiOR MAILPODPE55 QiY ZIP PNONE UCENSE� <br />Soyden Const. 9029 NE 16th St. Bellevue 98004 953-1409 BOYDECi182PJ <br />MECMnNICALCONTPACiOR M1IMLRODPE55 CIiT 2iP PNONE LICENSE• <br />PLUMUINGCONi11AGTOfl �tAILr10�PE55 CIT1' ZIP FHOHE LIC[NSE• <br />CLA55 OF KOlil <br />❑ NEW ❑ AODITION I� ALTERATION ❑ NEPAIR <br />VAWniIONOF WOPR <br />5 50�.�� <br />CESCN�DE WOl1K <br />Sheetrock attic for bedroom. <br />Hcn.sounce <br />❑ ELECTflICITV � GAS ❑ WOOOSTOVE <br />VSingle family residence <br />�een� oescnivuorv or rneaenrr isNow oe�ow <br />lOi _ OLOCK �_ OF <br />�oonooa¢ss <br />2914 19th St. <br />PLUMBING <br />NO. TYPE OF FI%TUflE OH 1 <br />WATER CLOSET �TOILET� <br />OATIITUB <br />LAVATORY�WASH BASIN� <br />SHOWER <br />KRCMEN SINK 8 OISP. <br />DISHWASHER <br />LAUNDRYiRAY <br />CLOTHES WASMER <br />URINF� <br />DRINKING FOUNTAIN <br />FLOOfi DRAIN <br />DACHFLOW PREVENTEPS <br />ROGf O9AIN5 — RAINLEADEi15 <br />� SINH ISFRVICE — fiAR. EtCJ <br />SUBTOTRL <br />GEPMIT <br />TOTAL FEE <br />TYPE Of CONST Vc <br />5¢EOi�L�G NO <br />FIHE SPRINKLERS PEOl11PED I <br />�Fi`LICPTIONPCCOV PL <br />S.H. <br />FEE <br />s <br />VACFNi Sli[ <br />❑ves L�+o <br />NO Of DW[LLI <br />m+rn ron <br />LO>0 <br />❑ DEMOLITION <br />❑ OTHEfl <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAIv�INED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS'fYPE OF WORK WILL BE COMPUED INITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PqESUME TO GIVE FUTHORITY 70 <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE U7 LOCAL LAW REGULATING CONSTRUCTION OR <br />THE FORMANCE OFCONSTRUCTION. <br />SIG1 P Of i OR.AOiII RI2E�AGENi.OPOWNER DAiE <br />�,�. 9-�- �-�- <br />ArC — A�MNDLG UNITS — H P <br />REFRIGER/+TION UNITS — H P EA. <br />�OILE�S — � T U rH P. <br />GAS Flq[� A C UNITL -� B.T.0 <br />FORCEDAIRSYSTEMS—�TU At <br />tVFLLHEATEliS—B1U Id <br />UNITMEATERS—F3TU M <br />EVAPORAiIV[ COOlERS <br />CLOTMES DRYERS <br />VENTILATION FAN <br />fiANGE HO00 <br />WAiEFMEATER � <br />WOO�STOVE <br />METAL FIREPLACE 6 CMIAINEY <br />FIREPLACE INSEflT <br />HEAT PUMP n9m <br />GFS PIPING <br />E%HAUST FAN tlM <br />a� n <br />sue rpTq <br />PEHMrT� <br />TOTAL FEI <br />Fee <br />BECEIPT N0. <br />FEES VALUATION FEE <br />�UILDING $ SOO.00 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec. e0a�e� <br />SiAIE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEflMIT V4LIOATION <br />W HEN PROPERLY VALIpATE� IIN THIS SPACE� TMIS i5 YOl1q PEl1M111T <br />,,, . . � . � E <br />3 <br />18 <br />�� <br />Q�i <br />N <br />0 <br />N <br />