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�� <br />��T� �F <br />everett <br />259-8745 <br />- C�INSTRUCTION <br />PERMIT <br />PERMIT NO: - � J � � � <br />❑ DEMOLITION O COMBINATION [� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OMMEf1 MAiI �DDRf.55 CRY IIP �NONE <br />Reshida Harris 502 74th SW �erett, WA 98203 353-4874 <br />��CNrtFGiORpESiGNER M�I1�00�E55 CIfV Zi� 1'HONE <br />Haggenstoa Homes 13419 Hwv 9 Snohomish, wa 98230 ��a_�is� ggrGx'Ta137jTa <br />OCNFRIL CONTRILTOR Y�II Ap0lIE55 GTY ZIP {MONE LICENSE � <br />Same as above <br />MECN�NIGI CONTMCTOn MaR �DORE55 CITV Zln PHONC LICENSE � <br />PLUMBINO CONTR�CTO� MML �ODPE55 <br />❑ NEW � AODITION 6�I ALTERATION ❑ REPAIR ❑ DEMOLITION <br />� f� V 1000.00 <br />OESCRiBE WORn <br />Enclose deck <br />rc�r wunce <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />ior 91 oux:n _ or <br />OR �iiRCll <br />PLUM8INO <br />NO. TYPE OF FII(Tl <br />C�ATER CLOti[T �TOILET� <br />BATMTUB <br />L4VAiORV�WASM DASIN� <br />SHOWEfI <br />NITCHEN SINN 6 OISP <br />DISHWASHER <br />UUNDBY THAY <br />CLOiHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />iI.00R DRAIN <br />ROOF DRAINS - RAINLEFOE <br />SINN �SERVICE -- OAR ETC � <br />2� <br />u5( IONE <br />R-3 <br />ivt+E Of CONST <br />V-N <br />SiZE Of PiDO .-...... <br />340 <br />FIPE SPRINKlERS F <br />ni+ri�cannHncr nr <br />s.ri. <br />SUBTOTAL <br />PERMIT <br />TOT�LFEE <br />2� 5 <br />VAGNi RIIE <br />f�]rF, KINo <br />MCUP�NCY pp <br />R-3 <br />NO Of tifON[5 <br />1 <br />I.UY <br />M�ONE IICENSE� <br />❑ BUILDINO RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT�. ALL PROVISIONS OF I.AWS AND ORDINANCES <br />GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />STATE OR �AL LAW REGULATING CONSTRUCTION OR <br />THE FERFO ANCE OF N qUCTION. <br />s�cr�nrunc M cc rnnr.�on � oni er, on owr.�cn on�c <br />X � /.�� / _C"� !/ �' �� <br />MECHANICAL <br />TYPE OF EOUIPMENT FEE <br />A C A MN�LG UNITS �� H P <br />REFAIGFRqTION UNITS M P EA <br />OOILERS -� B T U�H P <br />GASFlqEDAC UNITS- �TU <br />PORCED AIR $YSTEMS -� 0 T U M EA <br />WALI HEATERS - 5 T U M <br />UNIT H[ATERS - fl T U M <br />EVAPORATIVE CUOLER$ <br />C�OTIIES �Rv[n5 <br />VENTIIATION fnN <br />A�NGEHOOD <br />WnTE1i HEATER � <br />WOODSTOVE <br />ME7�L FIiiEPIACE 8 CNIMNEY <br />fIf1EPLACE INSERT <br />HEAT Pt1MP <br />GAS PIPI.'�G <br />E%NAUSTFAN <br />PLAN <br />6UBTOTAL <br />PERMIT <br />TOT�LFEE <br />FEE <br />EiuHr.uNi�s BUILDING <br />� vwMain�r, <br />arrn rnn issunqrr nv <br />MECHANICAL <br />a <br />INVESTIGl+TION FEE � Sec 301�e) <br />STATE DUILDWO SURCHARGE <br />STATE ENERGY SURCIIARGE <br />ORIVEWAY PERMIT <br />TOTAL <br />PEPMIT VALIO�TION <br />W11EN PROPERLV VA1 IOAIED i IN Tlll i SPACf 1 T11Iti IS vOUR PERMIT <br />l.il;r I .�., � � f <br />25 <br />