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the Eacrgrcen <br />��TY°� � C-7NSTRUCTI�IV <br />everett pER�91T PERMIT NO 19216 i���� <br />r <br />259-874� • <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �3cMECHANICAL ❑ PLUMBING ❑ SIGN � <br />owr�rn n�na nooaess cirr zir r��oNe �. <br />Lester H. DeRycke 8712 8th Ave. W. L•'verett, WA 98204 355-2701 <br />4RCMITECTORD[SIGNEII MAiLA0pPE55 CITv ZIP P'IONE ' <br />GENERRLCONTRACTOR M\ILAOORESS CrtY ZiP PNON[ UG[NSE+ I <br />MECHANICALCONT{1A�TOli h1NlADDf1E5S CIiY IiP PHON[ LICENSE• I <br />Owne:= <br />PWMBING CONiRNC�OP <br />MAIL <br />CLRSS OF WOIiK <br />❑ NEW ❑ ADDITION O ALTEflATION ❑ REPAIR <br />vawnnoN or won < <br />5 <br />DESCRt9E WORK <br />install free standing fireplace. <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />SingleYfamily residence <br />LOT __ pLOCN _ <br />8712 8th Ave. w. <br />PLUMBING <br />N0. TYPE OF FI%TURE OR ITEM <br />WATER CIOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASH �ASIN) <br />4HOWER <br />NITCHEN SINK & OISP. <br />�ISHWASHEH <br />LAUNDflYTRAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />DACKPLOVJPREVEkTERS <br />ROOF DRAWS — RAINLEA^ERS <br />SINK �SERVICE — dAR, EfC � <br />SIZE OF pLDG <br />ncr, nr <br />SH. <br />SU9TOTAL <br />PERMIT <br />TOTALFEE <br />�oi nnen <br />occuanNcrr,aour <br />COPi[5� <br />cirr zir <br />❑ DEMOLITION <br />❑ OTHER <br />uCENSE• <br />CJ BUILDING RELOCATION <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 ORDINANCES <br />GOVERNINu THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WI1E'1 HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORI'� Y TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANC�OF CON$,TRUQTION. <br />s�mn.li3�P� L�wnv.q.p� un�,^,ny,�n�eW foa owriea _ onrE <br />fiAECHANICAL � ' <br />FEE N0. TYPE OF EOUIPMENT <br />MC — A�HNDLG UNITS -- H P <br />REFRIGERATION UNITS — HP. EA. <br />�OIl.ERS- �TU1N.P <br />GASFIREDAC UNITS—O.TU. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WN1 HEATEflS — p T.0 M <br />UNITH[ATERS—BTU M <br />EVAPORATIVE COOLERS <br />CLOTHESDFYERS <br />VENTILATION FAN <br />RANGEHCOD <br />WATER HEATER <br />1 WOODS70VE <br />METAL FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />F%HAUSTFAN <br />> SUBTOTAL <br />5`I PERMIT <br />� I I I TOTALFEE <br />',io[ SErnnCK PLAN CHECK NUM�ER FEE rRECEIPT NO� <br />VACANi SIl[ <br />❑v�s ❑r�o <br />No aF owEuuvu ur�irs <br />MAX OCC LOAD <br />r�nr�s r.Hecrcen nv I ni'rri � nn ir;sunNce i3r <br />FEE <br />FEES VALUATION fEE <br />BUILDING S <br />PI�M(iING <br />MECHANICAL <br />INVESTIGATION PEE Sec.304(e) <br />STATE BUILDING SURCHAFGE <br />S7A7EENERGYSURCHARGE <br />DRIVEWAV P[RMIT <br />TOTAL <br />PEHMIT VALIDATION <br />R'HEN PROPERLV VALIDATED �W THIS SPACE� THIS IS YOUR PERMR <br />Jl <br />301 00 <br />3 <br />L� <br />C`J <br />L"77 <br />r— <br />