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`neE°��" �, -�NSTRUCTION �- G C <br />CITY OF <br />everett PERMIT PERMITNO. � U�JG <br />259-8745 <br />❑ DEMOLI�ION ❑ COMBINATION g%BUII.DING ❑ MECHANICAL ❑ PLUMBING (� SIGN <br />OWNEO MPILA�DPESS CItY ZiP PHONE <br />LOYD SEATS 9018 - 9th Ave SE Everett WA 98203 <br />AFCHITECT OR DESIGNEP MAR AODRE55 CITY ZIP PHONE <br />i ENEPAL CONTFACTOR A1A�L A�DHESS CRY 2iP FHONE LICENSE v <br />5tar Home Improvement 5314 - 2nd Ave S Everett WA 98203 353-9278�AR 'H�'� <br />MECMANICALCONTRFCTOfi MAILFO�RE55 CITY ZIP ^�����QNE/��LICENSE� <br />a j C �i / <br />oiimnninroNTNAf.tOR MFILN�ORE55 CITY ZIP PHLNE UCENSEx <br />;1A550f WOR" <br />❑ NEW Q(ADJITION ❑ ALTEFATION ❑ HEPAIR <br />�qLUATIpN OF WORK <br />5 �5����.�0 <br />)ESCRIBE WORK <br />Add 10'x12' addn and 8'x16' addn <br />iEFT50URCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Residence <br />LOT �!_ ��OCK <br />1��09E55 <br />9018 - 9th Ave SE <br />PLUMBING <br />FIXTURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORV (WASN BASIN) <br />SHOWEP <br />KiTCHEN SIYK 8 DISP. <br />DISHWASHER <br />LAUNORVTRAV <br />GLOTHES WASHER <br />URINAL <br />DRINHING FOUNTAIN <br />FLOOP DRAIN <br />BACKFLOVlPREVENTERS <br />a00F ORAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETCJ <br />0 <br />OF LONST <br />SIZE <br />❑ DEMOLITIUN <br />❑ OTHER <br />❑ 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 />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRAPJTING OF A <br />P[RMIT DOES NOT PFESUME TQ GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PflOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P�µp��FORMANCE/q`-)F COp'��{y�'RUC T�ION. <br />e��.�..��61ncF�urne�rM M�iH�IeJFtlRf,ENT.£1ROWNER �FTE_ , <br />FEE NO. TVPE OF E�UIPMENT <br />A,'C — A/HNDLG UNITS — HP. <br />REFRIGERATION UNITS — HP EA. <br />BOILERS — � T.UMP. <br />GAS FIRED �\�C UNITS — B.T.U. <br />FORCFD NR SYSTEM$ — BS.U. M EA. <br />WALLHEATERS—BT.U. M <br />UNITHEPTEFS—OS.0 M <br />EVAPORATIVE COOLEfiS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />f7ANGE HO00 <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CNIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOTAL S <br />PEflM1T 5 <br />TOTALFEE 1 <br />R[APSETBACH Si0E5ETB�CR <br />2 � � <br />LOT �iVEA VACANt SiTE <br />❑ res o <br />OCf,UP4NCYGROUP NOOFDWELLINGUNrtS <br />NO OF STORIES ��/+% OCC LOAD <br />i <br />; REOUIPED ❑ YES ❑ NO <br />Pv PL�NSCHECK[D�Y nFPq FORi55l1ANCE0� <br />mm I sg <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLANCHECKNUMBER FEE <br />86/16956 105.30 <br />FEES VALUATII <br />ree <br />'.CCIPT NO. <br />80213 <br />BUILO�NG 5 �S�OOO. <br />PLUMBING <br />M1IECHANICAL <br />INVESTIGATION fEE Sec.904(e) <br />3TATE BUILDIN� SUFCWIRGE <br />STATEENERGYSURCHARGE <br />DRiVEWAY PERnAIT <br />TOTAL <br />PEFMIT VALIDATION <br />WHEN PNOPEFLV VALIDATEO (W THIS SPACE) TNIS IS VOUR PERMIT <br />Separate plumbiny and mechanical permits <br />may be required. <br />� <br />162100 <br />1 150 <br />163 150 <br />