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th� F.i���n <br />CIIY Of <br />everett <br />259-8745 <br />� f�'7NSTRUCTION - <br />PERMIT PERMIT NO. ��� I B <br />❑ UEMOLITION N7 COMBINATION ❑ BUILDING ❑ MECHANICAL U PLUMBING ❑ SIGN <br />��a�Nr�� Mnn �D�nF55 citv :�P rnONl <br />TOM BERG 3026 Glgson Road Everett WA 98204 355-2U25 <br />NaG��iFC.iOnOFSiQNEn rnnitnttn��65 Utv S��' nNONF <br />GkNCfiMCONIMCTOR M�ILPJOf115•� 1".ilv liP PNONE LILENSE• <br />Same <br />MECI�ANIGI CON�lUC1pR M411 �D00f55 Cliv lIP PHONF LICENSE • <br />PLUMpINGCONiR�CiOfi M�II�(IDRFSti f.ITY lIP PI�ON[ IICENfiE• <br />C1�55Of WOPN <br />[J� NEW O AUDITIOH ❑ ALTENATION ❑ REPAIR ❑ DEMOUTION ❑ BUILDIN(3 RELOCATION <br />v��ueno�+or wonn <br />S 9��00�.0� <br />New single family residence <br />��cei sounc[ <br />❑ ELECTNICITY X] OAS ❑ WOODSTOVE ❑ OTHER <br />rno�osrn us'e �r nunmr+o <br />Singl e family residence I HEf;FOV CEP.TIFV THAT I H�VE READ AND EXAMINED THIS <br />IOt _ PIOCK _ Ot <br />Beg SE cor Govt Lot 5, attached <br />- 119th PL SE <br />PLUMBING <br />TYFE OF FIl(TURE OR ITEM <br />WATER CLOSET Il OILF.TI <br />BATNTUB <br />LAVATORY � WASN AASIN� <br />SMOWER <br />KITCHEN SINN 8 OISP <br />OISMWASHER <br />LAUNURYTRAV <br />CLOTMES WASHER <br />UqINM <br />DRINKINC f OUNTAIN <br />FLOOR DRAIN <br />OACNFLOW PREVENIERS <br />ROOF DRAIN$ qAWLEA�EFS <br />SINN �SE(1VICE HAR. E7C � <br />� <br />R-1 <br />vi�F nr i �asr <br />V-N <br />Ji! Of PI Oil j' <br />�Il.i � � !�'( (IV <br />mm <br />BUtlTOTAL <br />PERMIT <br />TOTALFEE <br />1V1 A�I'.1 I(IAi n. <br />20' <br />i��t nnf• <br />11YJfdRXsf 5606 <br />��rr�mnr�crcnnur — <br />R3 <br />NP O�!itORl(5 <br />2 <br />I'l l�l�'.i [ II�f'MI I'. 11\ <br />sg <br />';Ift! `.f II�TI N <br />6' <br />vnrnNitirtF <br />y.�, i n��, <br />APPLICATION AfJD KNOW THE SAME TO BE TRUE AND <br />CURRECT. ALL PROVISIONS UF LAWS AND ORDINANCES <br />GOVEHNING THIS TYPE OF W09K WILL BE COMPLIEO WITH <br />WH[THER SPECIFIED HEREIN OR NOT. THE GRF NTING OF A <br />PERMIT DOE� NOT PfiESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUC�'ION OR <br />THE PERFJHMANCE OF CONSTRUCTION. <br />9f,�uniuurpl�lnpn�n�lUnn�iL�n�nlfOnGFNrO�lowq[p [ntE <br />MECHANICAL <br />FEE N0. TvpE OF EOUIPMEHT <br />n c n r�ani.c uNrts nv <br />REINGER�TION UNITS M P EA <br />pOILERS ❑ T 11 11 P <br />GASfIRFDAf. UNITS BTU <br />� f"OnCE[l nIR SVSTEMS (31 U M EA <br />WntL ��EnT[RS 0 T u M <br />UNIt.IEATERS �� P i U M <br />EVAi'ORATIVC COOLEfiS <br />CLOiHES Of1YER5 <br />VENTILATION f �N <br />A�NGE HO00 11 /1^/(1!. <br />WnifRHEATER � ' <br />WUODSTOVE IinM17� <br />RIE.iM �IfiCPlACEBCHIMN Y <br />flnEPlnCE INSERT <br />HF.ATPUMP - <br />� �_ <br />(i�$ PII'ING i �^ <br />E%11AU51 FRN � � , <br />Nn �ir UWE�IPlo Wnr�� <br />1 <br />M�v Of.f. 10�0 <br />�I'I`li ii i�. . r�ll� ( 111 <br />lc <br />I'I AN fJ�Ct'.N NU1 <br />86/17178 <br />SU1T - <br />PENM;I , <br />TOT� fi r�.� <br />'��',iT�!� !4 t�.���rNo <br />��,�y�4� 81900 <br />OUILDMG <br />PIUMPING <br />MECHANICAL <br />INVESiIGATION FEE <br />STATE F3UILDING SURCHARG <br />57ATE ENERGV SUIiCH�RGE <br />ORWEWAY PERMIT <br />..o�,�i :.���.�� <br />� �. � <br />l,�r•.-�:I, i44( h.f1Y <br />Sec.70Alc) <br />FEE <br />TOTAI I I <br />PfOMIT VRLIDATION <br />V•• �I II PH� �P� I11 1 VAI II �A il 1' i I'1 I I IPl •:I'AI'� i i111S 19 VI lUfl P( IIAAII <br />