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thc El �rrQrrcn <br />���,, �� <br />everett <br />259-8745 <br />-� f'-7NSTRUCTION <br />PERMIT <br />PERMIT NO. � 7 � 3 U <br />❑ DEMOLITION ❑ COMBINATION [Xl BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />owrven un�i nnoi�rs: aiv nr rr�om� <br />Lisa Stevens 2220 - 120th P1 SS Everett 98204 337-5631 <br />nec�m[cr nn n[sier�o� i,un noonrss c�rv nr r�no��e <br />c[HERu coHtnnclnn rnu� nonnEsS crtr <br />self <br />�A[b�4N�cnL coNinnCinn Mnrt nnOnE55 �� 4ir Lr rHONf ucENsc � <br />PWMO�NOCONTII�CTOf1 AIRiI, �0[f0E55 ]IIY Zlf` MIONf .lCCNSE • <br />Cl �S$ O! WO�N <br />❑ NEW ❑ ADDITION (7 ALTERATION O REPAIR ❑ DEMOLITION ❑ AUILUING HEI.00ATIOH <br />V/LUPiIONOf WOfIN <br />S %IrJ��. <br />OCSC�if1C WOfiN <br />I'oundation under house <br />r�rn, sounce <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE I 1 OTNER <br />single family reaidence <br />iicet oLscruvnnr� or rnorErrt r�:;r�uw �� <br />ior Q_ niocK __ nr lianse <br />�or.nnnn�ss <br />2220 - 120th P1 SE <br />PLUMBING <br />TYPE OF FIXTURE OR ITEM <br />WAT[P CLOS[T ITOILEtI <br />AATHTU� <br />LAVATORVIW�SH MSINI <br />sNowen <br />I(ITCHEN SINK 6 DISP <br />DISMWASHER <br />LAUND(iV TRAY <br />CIOTMES WASHER <br />URINAI <br />DRINNING fOUNiAIN <br />FI.00R OFlAIN <br />OACNFLOW PREVENiERS <br />NOUF O�AINS � RAWLE�DFfiS <br />SINK (SERVICE �� I3�� ETC 1 <br />II;C ZON[ <br />fdlE OF p� D�. <br />ri.w. <br />SUB TOT�L <br />PERMIT <br />TOTAIFEE <br />I11 �1� ..(111�1 M <br />l (11 All' � <br />orcunnncrcnnun <br />Nt� pf S10RIE5 <br />I HEREBV CERTIfV THAT I HAVE READ AND F:XAMINEO THIS <br />APPLICATION AND KNOW THE SAME TO 3E TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS 7VPE OF WORK WIIL BE COMPLIED WITH <br />WHETHEF� SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THf: PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULA?ING CONSTRUCTION OR <br />THE PERFORM�NCE OF CONSTRUC1lON <br />nSNnhy� ro��ONinncinny U��om�;[Onf,CM O��cr,1Rn pn1F <br />X J�(� nt . ✓.��1°'�"—> 9/8/86 <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A C A HNDLG UNITS H P <br />REf1iIfEf1ATIONUNITS HPEA <br />ooaens etu ��r <br />GASfIREUACUNIiS� fliV <br />lORCEUAINSVSiEM; [iTU M[A <br />WPLI HEATEf15 �� E1 T U A1 <br />U11IiHEAt[RS- �TU M <br />EVPnOqAiIVE COOLE115 <br />CLOTHES ORVENS <br />VENTILATION FPN <br />RANGEHOOD <br />WATERHEATER <br />WOOD STOVE <br />METAI. FIRE�IACE 8 CHIMNEY <br />FIR[PLACEINSERT <br />M6�T Pl1MP <br />GAS PIPING <br />EkMAUSiFAN <br />'.Illf '�L111/�I'F <br />VM;RNI tiill' �— <br />fjY6 IINO <br />NO Of f)WELIING UN�1; <br />MF} pff.lORp <br />�PI'll f 1 111 19 511AN(T H� <br />I,.C. <br />P1.A61 CHECN NUAI[3ER <br />[iWLDING <br />PLUMDING <br />M[CHANICAL <br />INVESTIGATION fEE <br />srnre r3uuoiNc su <br />6UBTOTAL <br />PENMIT <br />TOTALFEE <br />fEE <br />STATCENFRGVSURCHARGE <br />rnavewnv r[nnnir <br />5 7 , 500 <br />U7/OB/86 1D: <br />ELDG <br />FEE <br />RECEIPT NO <br />FEE <br />99 00 <br />F1M OOOAN1843 YYI.R <br />•� 1 50 <br />ITOTAL I I 100I50 <br />--�--- renMirvnuo�tioN <br />vn n N ria,ri �u v�-ni ini, � rn dr� n u��, ��,rnrr i nu : is vi�ui� r� nn�n <br />O� <br />C"� <br />� <br />L` <br />� <br />