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e� a�nrm <br />CIiV OF <br />everett <br />259-8745 <br />- ('�NSTRUCTION - <br />PERMIT <br />^ <br />PERMIT NO. 18178 <br />❑ OEMOLITION ❑ COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBINa ❑ 810N <br />OVMER MMI�OOPE55 CiTY ZIP RqNE <br />laobert W. :fohneon 716 94th 6t. SI[ E Everett 98204 347-1361 <br />�RCHITECT090E91UNER M�IUDDRE55 CITY 2�P PIIONE <br />OENER�tCONTn�CTON M�LL�OW1E55 CiTr Ziv cHO�+E IiCENSE� <br />Evereeet Buildera 5606 Evergreen Way Evarett 98203 353-7161 <br />MECM�NIL�LCONTH�CtOR M�IL�OOPE55 CrtY 2iP MqNE LICENSE� <br />EVEAEB*301PH <br />VLUMBINO CONiR�CTOR MML �UDRE55 CrtV ZiP MONE IICENSE � <br />GUS50: W011K <br />❑ NEW ❑ ADDITION Ga AITERATION ❑ REPAIR ❑ DEMOLITION ❑ SUILOINO RELOCATION <br />V�LU�TION Of WOI�K <br />s 3267.00 <br />DESGPIBE W011N <br />Tear off and reroof existing residence <br />HE�T SOIIRLE <br />❑ ELECTRICITY ❑ OAB ❑ WOOD8TOVE ❑ OTMER <br />iot _ oiocK _ <br />JOB�DORE59 <br />ne 9atn st. se <br />PLUMSINO <br />W�TER CIOSET �TOILET� <br />BATMTUB <br />LAVATORY �WASM BASiNI <br />DISHWASHEH <br />LAUNORYTRAV <br />CLOTMES WIISHER <br />UHINAL <br />ORINKINO FOUNTAIN <br />FLOOR OR�IN <br />B�CKfLOW PREVENTENS <br />ROOF DflAINS -- PAINLEA <br />muv mcuv�rc — weo ct <br />BUBTOTAL <br />PERMIT <br />TOTALFEE <br />OCCUPANCY GRO�P <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 TVPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OF NOT. THE 6RANTINO OF A <br />PERMIT OOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE CANCEL THE PROVISIONS OF ANY OTHE�; <br />STATE O LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PE RMAN¢'E OF CONSTHUCTION. <br />SiGH�tUR U CONTRAdIO�Ay(MORi2EO�6ENi OROWNER DQE <br />^ <br />MECHANICAL <br />A'C - AMNOLG UNIiS — H P <br />REFRIGERATION UNITS — H P EA <br />OOILERS—�TU/HP <br />GAS FIPED n C UNITS — B 7 U <br />f'ORCED AIR SVSTEMS — B i U M <br />WALLHEnTERS—BTU M <br />UNIT HEATERS �- B T U M <br />EVAPONqTIVECOOLERS <br />CLOTMES �RYERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATEA HEATER <br />WOODSTOVE <br />METAL FIREPLACE 6 CMIMNEV <br />FIREPIACE INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAt15T FAN <br />V�C�HT SI1E PEE8 <br />❑�ES ❑NO <br />NO OF UWELLING UNiiS <br />512E OF Bt!%i � NO Of StOR1E5 � MRk OCC 10�� <br />S.H. <br />SUBTOTAL <br />PEPMIt <br />TOTALFEE <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSUACHARGE <br />DtiWEWAV PERMIT <br />s 3287.00 <br />m �� <br />tk�db�. ��I <br />L S6CI! Vf .`p 1 50 <br />CHtCI. ?b .:,0 <br />TOTAL I I <br />PERMIi VALIDIITION <br />WNEN PRO{'ERLV VRLIDATEO IIN THIS SPACE) TH151$ YOUR PEHMIT <br />l�i;t'hL5"i 1! i <br />50 <br />