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I r Prr�4rrn <br /> � �� ��� COIVSTRUCTION n <br /> everett PERMIT PERMITNQ: _ � JOJ� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEN M�q �ppRESS LIiV jIP PHpNL <br /> G7.adys B. Delal�erre 1427 100th St. SW Sp.52 Everett, WA 98204 34'/-0639 <br /> �nbarECr on nEsr.r�[A MAII �nnnlss r,ttr lin rnoNE <br /> GEHE��L CONTR��IOR MMl�0��[Sti C�TY IIP M10NE LICENSE• <br /> Owner <br /> MECH�NIC�L GONtO�CtOR M1�1�DDRC55 CItY zIP �MONE I.ICENSE• <br /> %.UMOINGGONTR�CTOR �A�Ile0pnE55 �ITY zll` PHONE �ICENSE• <br /> CU55Of WOqe I <br /> ❑ NEW Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUI�DING HELOCATION <br /> wwenor�or wonK <br /> = 3000.00 <br /> o[scuine wonrc <br /> Oonstruct car_�ort- and steps. <br /> NE�iGOUPCE <br /> ❑ ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ UTNER <br /> moroseo use or eunomo <br /> 58me I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �cceioescnmrior+orrr�oa¢nrrisHowxeowonsruo�rouncori[si CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ��t 52 B�aK _�� Fairway Eatates GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THC GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTiiUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOfl�DJRE55 SiONBIIPCOffONfRRf.iDfi qUi�11�I1Vffl�f.ENt OOOWNER p1iE <br /> 1427 100th St. SW S . 52 X � � � a �q <br /> `PLUM81Nft MECHANICAL <br /> N0. TYPE OF FI%TURE OR ITEM FEE NO. TYVE Of EOUIPMENT fEE <br /> WATER CLOSET�TOILETI A C A�NNDLG UNITS N P <br /> BATHTUB qEFRIGEf1ATION UNITS H P EA <br /> IAVATORV�WASH AASINI 8(.RERS �N T U'M P <br /> SNOWER 6ASFIREOAC UNITS -� BiU <br /> KITCHEN SINK 6 OISP FOnCED AIR SVSTEMS - B T U M EA <br /> DISMWASMER WA�L HEATERS- B T U M <br /> LAUNDf�v TRAV UNIT HEATERS - 0 T U M <br /> CLOTMESWASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORVERS <br /> OPINKING FOUNTAIN VENTILATION FAN <br /> FIOOR DRRIN RANOE HOOD <br /> BACKFLOW PREVENTERS WAiER HEATER � <br /> ROOF�RAINS-RAINLEADERS WOOD STOVE <br /> SINN(SERVICE - AAR,ETG� METAL FI/iEPLACE S CHIMNEV <br /> FIREPLACE INSERT <br /> HEATPUMP <br /> GAS PIP;NG <br /> E%NAUSTFAN <br /> SUBTOTAL � BUBTOTAL <br /> PEHMIT f PERMIT <br /> TOT�L FEE f TOT�L iEE <br /> iRONiSETbeC. nEnlu;Etpn('.x SiOEtiFtnnr,K PIANCMEGNNUMAER fEE RECEIPTNO <br /> usetone io��ae� 88 19095 35.10 93738 <br /> v�ur.r sire FEES VALUATION FEE <br /> ❑YES NO <br /> TVVEOfCONST OCf.l1P�NCVGWUP NOOfOWFILINfiUNIlS BUILDING S3OOO.00 S4 OO <br /> - � PLUMBING <br /> S2E Of BLDG NO O�STORiES Mny OCC iOnp <br /> MECHANICAL <br /> INVESTIGA710N FEE Sec �041e1 <br /> FIRE P(iINKLERS qEOUIREO VES O <br /> STATEBWI�INGSURCNARGE 3 SO <br /> S7ATE ENERGv SURCHARGE <br /> •nvucenor�ecc nr ruHsc��[cweonr errn runissunr�ccnr <br /> DHIVEWAY PERMIT <br /> S.H. B.E. B.E. TOTAL 57 50 <br /> PEPMIT VALI011TION <br /> WHF.N PAOPERLY VAUOATED�IN iH15 SPRCE)TNI515 YOUR PERMIT <br /> �7 <br /> Q1 <br /> 0 <br /> Q� <br /> r� <br />