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r� a,spain <br />C�Tv OF <br />everett <br />259-8745 <br />� �JNSTRUCTION � � <br />PERMIT PERMIT NO. 17572 <br />O DEMOLITION O COMBINATION O BUILDINO � MECMANICAL ❑ PLUMlINO ❑ s10M <br />pWN[R M�R �OOAf55 GTY IIP PMOrAE <br />Hnrry 6 Barbara Ombinetti 315 - 106th P1 SE Everett, WA 98204 348-0993 <br />•HCNITECT ON pESbNER MML ADORE55 f.ITY ZIP AIONE <br />6ENFN�L CONfRI1CTOP M�IL �DDRE55 GIlY IIP P1qNE IICENSf � <br />MECMINIC�LCONiR�GTOR M�II�ODRF35 CITv Z�P N�ONE L�CENiE1 <br />MUMBINOCONTR�Gi011 M�Il�0ORE95 GTY IIP PNONE l6kNSE• <br />:USS OF Wp1Y <br />❑ NEW � ADDITION <br />V�W�TIONOf WORM <br />{ <br />UESfNiPE WORN <br />Woodetove installation <br />❑ ELECTRICITY ❑ OA6 <br />Single family �reeidence <br />ior _ a�ocrc _ o <br />❑ ALTlRATION O REPAIR <br />Acct. No. 192805-2-004-0004 <br />315 - 106th P1 SE <br />PLUINSINO <br />TYPE OF FIXTURE OR ITEM <br />WAlER CLOSET (TOILETI <br />BATHTUB <br />L AVATORV � WASH BASIN� <br />SHOWER <br />KITCMEN SINK 8 OISP <br />DISHWASHFR <br />LAUNURYTRAY <br />CLOiHESWA$HER <br />URINAL <br />DRINKING FOUNiAIN <br />FLOOR ORAIN <br />NOOf DR�INS A��NLEIIOE <br />SINR �SERVICE BAR ETC � <br />� sUSTOTAL <br />PERMIT <br />TOTAL FEE <br />FRONiSEIBAf,Y RF4PtiC10��• <br />USF IONf I (11 APE� <br />TYPF OF CONS� OCCUP�Nf.v pnOu1� <br />9iZE Of BL00 NO Ot SIORiES <br />FIRE SPRINNLERS REOUIREO ❑ VES ❑ ND <br />•vMlunoN�"C Nr FIANscNECllEnnr <br />M.M. <br />❑ WOOD8TOVE <br />�q COPiE51 <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDIN6 RELOCATION <br />I HEREBV CERTIFV THAT I HAVE RF_AD AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAA1E TO BE TRUE AND <br />CORRECT. AlL VROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TVPE OF WORK WILL BE COMPLIE� WITH <br />WHETHER SPECIFIEO HEHEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NG1 PRESUME TU GIVE AUTNORITV TO <br />VIOLATE OR CANCEL THE PROVI:iIONS OF ANV OTHEF <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OH <br />THE PEFFOFMANCE OF CONSTRUC710N. <br />SIIiNR�IIPE Of CIlNf041:lOf1 >UII�OI1qFU PfFNi pPOWNEf1 OAiF <br />' � 12/18/8 <br />^ %�. //Yiiii �/�ti2cll n11� <br />MECHANICAL <br />FEE NO. TYPE OF EOUII�MENT <br />A f, A HNf1LG UNITS H P <br />RGFPoGERATIONUNITS HPEA <br />pOq[RS BTU'HP <br />GASfIPED�C UNila- BTU <br />FORCEO AIR SVSTEMS B� U M EA <br />WALI NEAIERS 8 T U M <br />UNITHfATE115 BTU M <br />py�PORATIVE COOLENS <br />CIOTHES �RVERS <br />VENTIIATION FAN <br />RAN6EM000 <br />WATER HERTER <br />1 WOnpSTOVE <br />MEiAI FIREPUCE 6 CHIMNE� <br />FIRE�LACE INSERT <br />HEATPUMP <br />�iA51'IPWG <br />ENNAUSTFRN <br />v�f:�NT SIiE <br />(IvEs L7No <br />No of nwEluNG UNiTs BUILDINfi <br />u.. or,c iwo <br />P{'P1� 1 <br />PLUMB W G <br />6U! TOT11L <br />PERMIT <br />TOT�LFEE <br />NUMBEP fEE <br />'EEB VALUATION <br />S <br />MECHANICAL <br />INVESIIGATION FEE <br />STATE BUII�ING SURCHARG <br />STATE ENERGV SURCHARGE <br />DRIVEWA� PERMIT <br />T:71Z7 <br />HECH <br />TOTAL I I <br />PERMIT V11lIDAT10N <br />WHFN PPJPFRI � V41 If]niED IIN ilUS $PAf.EI TNIS IS VOUR PERMIi <br />