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`�� � �ONSTRUCTION� � <br /> everett PERMIT PERMITNO. � 7560 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING BI MEc:HANICAL O PLUMBING ❑ SIGN <br /> OWNER MRILAODNESS CITV ZIP PNONE <br /> DURTHA E. ERICKSON 1615 - bth Everett WA 98201 259-2395 <br /> ARCHITECTOROESIGNER MAiLADDNESS CITY ZIP PNONE <br /> GENEflALCONTRACTOR MAILADOPE55 CITV 21P PMONE �IGENSE• <br /> Same <br /> MECNANICALWNiFACTOR MRILRODRE55 CITV ZIP GHONE UCENSE� <br /> PLUMBiNGCONTRACTOR MAILA�DRESS CITY Z�P PMONE LICENSEr <br /> CLnSS OF WORK <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAIUAT10N OF WOHK <br /> t <br /> OESCR�BE WORK ' <br /> HEATSOURLE <br /> ❑ ELECTRICITY ❑ GAS XW WODOSTOVE LI OTHER <br /> PROPOSE�USE OF BUILO�NG <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATIC;N AND KNOW THE SAME TO BE TRUE AND <br /> LEGFLDESCRIPTIONOFPBOPEBTYISHOWpELOWORATTACHfOURCOPiES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK __OG 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 OF LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PEREORMANCE OF CONSTRUCTION. <br /> doenooness SIGNAT okCONTRl�CTCR.MSilpii�LEQAGENT,[ROWpER DATE <br /> 1615 - 6th S'� . X ��i_,�L-... � ,,�f •��,�2✓ 12/16/86 <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE Of EOUIPMEN7 FEE <br /> WATER CLOSET(TOILET� A/C—ArHN�LG UNI'i 5—HP <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATOflY(WASM BASIN� DOILERS—B T.U.M P. <br /> SHOWER GAS FIRED A�C.UNITS—BS.U. <br /> KIiCHEN SINK 8 DISP. FORCED AIR SYSTEMS—BS.U. M EA. <br /> DISHWASHER WALLHEATERS—B.TL. �y1 <br /> LAUNDRVTRAV UNITHEATERS—BT.U. ` � 1 ` �� �k <br /> CLOTHES WASHER EVAPORATIVECOOlERS _ <br /> URINAI CLOTHESDflYERS � �^� . <br /> DRINNING FOUNTAIN VENTILATION FAN �` <br /> FLOOH DRAIN A�NGE HOOD � �� � <br /> BACKFLOW PREVENTEiiS VJATER HEATEF <br /> FOOF�RAINS—RAINLEADERE WOOD STOVE <br /> SINK�SERVICE—BAR,ETC� b1ETAL FIREPLACE&CHIMNEV <br /> FIREPLACEINSERT p� <br /> HEAT PU!dP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT f PFNMIT <br /> TOTALFEE S TOTALFEE <br /> pnOr+i5Ei0ACK aennsEienCn 5ioE5erencK PLANCHECKNUMBER FEE RECEIPTNO, <br /> USEZONE ��TAREA VAClNTSITE <br /> ❑ves CJ no FEES VALUATION FEE <br /> TYVEOFLONST OCLUPANCYGROLIP NOOFOWELLINGUNITS BUILDING S <br /> PLUMBING <br /> SIZE OF OLDG ND OF STORIES MA% OCC LOAp <br /> MECHANICAL BO O <br /> INVESTIGATION FEE Sec.904�e) <br /> FI:lE iPRINKLERS REOUIRED ❑�ES O NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATIONACC �V PLFNiCNECNEDOY APPB FORISSUANCEBY <br /> DRIVEWAV PERMIT <br /> TOTAL 3O O <br /> PERMIT 4ALIDATION <br /> WHEN PROPERLV VALIOATED�IN THIS SPACE�TFIIS IS VOUR PEFMIT <br /> 0 <br /> �0 <br /> �..�� <br /> L` <br /> r� <br /> �-... . . .._ <br />