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the ELcrg�ren <br />CITY OF <br />everett <br />259-8745 <br />. C�NSTRUCTION � � . <br />PERMIT PERMIT NQ: _ � ��0� <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I}� M�CHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEii MNILAppRE55 CItY ].IP PMONE <br />BURL SROWN 8406 - 8th Place Everett WA 98204 355-1101 <br />ARCHITGCT OR DESIGNER MAIL AppPESS CITY ZIP PMONL <br />GENERALCONTPNCTOR <br />MAIL AODRE55 <br />ZIP PNONE LICENSE M <br />MECHANICALCONTflACTOR MAIL/DDPE55 QTY ZIP PHONE LICENSE� <br />PWMBING CONTRACTOR <br />� NEW ❑ ADDITION <br />VALUATION OF WORK <br />$ <br />OESCNpE wOfiK <br />Install wood stove <br />NEATSOURCE <br />❑ ELECTRICITY ❑ GAS <br />residence <br />LOT _ BLOCK _ <br />8406 - 8th P1 <br />PLUMBING <br />NG. TYPE OF FI%TURE OP <br />WATER CLOSET (TOILET� <br />BAl4TU8 <br />LAVATORV(WASHBASIN) <br />SHOWEfl <br />KITCHEN SINK 8 DISP. <br />DISHWASHEfl <br />LAUNDFVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DPAIN <br />BACKFLOW PREVENTERS <br />i700F DRAINS - RAINLEADERS <br />SINK (SEFVICE - BAR, ETG) <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />LOT AREA <br />TYPE OFWNST. <br />GPOUP <br />MAIL AOOOE55 <br />❑ ALTERATION ❑ REPAIR <br />❑ WOODSTOVE <br />VACANT SITE <br />❑ ves ❑ No <br />SIZE Or BLDG. NO OF STORIES M�X OCC. LOAO <br />4PPLILATIONACG 9Y <br />fV ZIP PMONE LICENSE• <br />❑ OEMOLITION ❑ BUILDING RELOCATION <br />❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIOIJ AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />�.OVERNING 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 (7EGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNATURF. OF CONTRACTOR. AUtHOR12ED FGENT, OR OWNER D�TE <br />X �,� �.�.,�,^ 9/23/86 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — BSL MP <br />GAS PIREO A�C. UNITS — B.T.U. <br />FORCED Alii SYSTEMS — 8 T.U. AI EA. <br />WALLHEATERS—B.CU. M <br />UNIT HEATERS — B.T.U. �d <br />EVAPORFTIVE COOLEPS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIqEPLACE INSERT / G <br />HEAT PUMP � <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECK NUMBEF <br />FEES <br />uwrs BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />pY <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />S <br />Sec.304�e) <br />FEE <br />FEE <br />STA7E BUILDING SURCHARGE <br />S7ATEENERGYSURCHARGE <br />D(iIVEWAY PERMIT <br />TOTAL <br />PEHMIT VALIDATION <br />WHEN PROPEfiLV VAIIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />� - ...`�J I i�[ <br />