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the Euagreoe <br />CITY OF <br />everett <br />259-8745 <br />�"*JNSTRUCTION - <br />P�RN�IT <br />PERMIT NQ: _ � � J � v <br />❑ DEMOLITION ❑ COMBINATION Cxl BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIiADDRE$5 CITY $IP PHO'IE <br />Jme Brunner 9505 7th Ave. SE Everett 9820� <br />ARCHIicGTOF0E51GNEP AIAILn�pRE55 CITY ZIP PMONE <br />GENERAL LONTRnCTOF MA4 qUDRE55 LRY ZIP PMONE LICEYSE � <br />Damage Repair Service P.O. Box 2045 Everett 987na qa7_a��� nannac'19�n� <br />MECNANICAL CONTRACiOR MAIL AOORE55 LITY ZIP � PMONE LICENSE • <br />PLUMBING LONTRACTOR <br />:LASS OF WONK <br />❑ IJEW ❑ ADDITION <br />s 2000.00 <br />�ESCRIBE KONN <br />Rebuild �iminey <br />MAIL <br />C] ALTERATION [�REPAIR <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />PROPOSED USE OF BUILDiNG <br />Single family =oriY rAsidence <br />LOT _ BLOCN _ OF <br />�oa <br />9505 7th Ave. SE <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (i OILET� <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTHAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FO;INTAIN <br />FIOOR DRAIN <br />BACKFLOW PREVENYERS <br />a00F DHAINS — NAINLEADERS <br />SINK (SERVICE — OAR. ETC � <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />LOT APEA <br />Si2E0FOLDG �NOOFSTORiES <br />RPPLICATIONACCaY �PLANSCMECNEO�Y <br />S.H. <br />Si�E SETaACK <br />VFCFNT SITE <br />❑ves ❑rvo <br />FEE <br />�Y ZIP PNpNE LICENSE • <br />❑ DEMOLITION ❑ BUILUING RELOCATION <br />❑ OTHER <br />I HEREBY CEP,TIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW -HE SAME TO BE TRUE AND <br />CORRECT. ALL PRUVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS Tl'PE O� WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRES�ME TO GIVE AUTHORITY ?O <br />VIJLATE OR CANCEL THE PROV�SIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SyIGNATUPE OF CONTFAQOR. AUTHONZE� FGENT. Ofl OWNEH CATE <br />�\ <br />MECMANICAL <br />ArC — A,HNDLG UNITS -- H; . <br />REFRIGERATION UNITS — HP. EA. <br />B04ERS — B T U.MP. <br />GAS FIRED A.C. UNI'i S— B T.U. <br />FORCED AIR SVSTEMS— �.T.0 M EA. <br />WALL HEATERS — B T.U. M <br />UNITHEATERS—BS.0 M <br />EVAPOPATIVE COOLERS <br />CLOTHESDAYERS <br />VENTILATION FAN <br />RANGEHOOD <br />VlATER HEATEF • <br />WOO�STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />�AS PIPING <br />EXHAUSTFAN <br />uNiT� OWLDING <br />MA% OCC LOAO <br />APPB FOR ISSUANCE HY <br />D.B. <br />PLUMBING <br />MECHANICAL <br />INVESTIGA710N FEE <br />SUB TOTAL <br />PEPMIT <br />TOTALFEE <br />FEE RECEIPTNO. <br />VALUATION FEE <br />OSI�D :'.GM UOU�i�4E <br />/ <br />S7ATE BUILOING SURCHAAfiE <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERIlIT <br />TOTAL <br />PENMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS VOUR PEflMIT <br />� �'cilE:Sii Ff. E <br />