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`�� � �NSTRUCTION � � � cp] <br />everett PERMIT PERMIT NQ. _ � Uo`� � <br />259-8745 <br />❑ DEMOLITION O COMBINATION I� BUILDINO ❑ MECHANICAL ❑ PLUMBIN6 ❑ SION <br />OVMER M�R �ODqESS CITY ZIP AIONE <br />Fred N. Gulbrandeon 2409 75th St Everett, WA 98203 353-3648 <br />�RCNrtECTp11OESiONER MML�D�PESS Crtv IIP WIONE <br />OENER�LCONTR�CtOR <br />Self <br />uECN�r+icu coNrn�cion <br />cor+tnectOa <br />CU55 O� M'OHR <br />O NEW ❑ ADDITION <br />V�W�i1JNOf WOPN <br />f900.00 <br />DESCOiPE WORN <br />Reshingle front <br />NE�i50URCE <br />❑ ELECTRICITV ❑ OAS <br />Single Vfamily <br />M�II ��ORE55 <br />u�n �ooncss <br />M�II �OORE55 <br />❑ ALTERATION � REPAIH <br />❑ WOODSTOVE <br />�oT 16 ���� 3 �� Buena Vieta Home Tracta <br />.�oo �orness <br />2409 75th St <br />PLUMBING <br />nT— <br />WATER CLOSET �iOILEiI <br />BAiHTUB <br />UVATORY (WASH BASIN� <br />SMOWER <br />KITCMEN SIN1c 8 DISP <br />DISHWISHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINNING FOl1NTAIN <br />fLOOROPAIN <br />BACNFLOW P{7EVENTERS <br />ROOF DRAINS - RAINLEAOERS <br />SINK �SERVICE - BAR. ETC � <br />6119 TOTAL 3 <br />PERMIT f <br />lOTALFEE 3 <br />IP1f.N RERf19CI0ACN 9pf SL1flACN <br />LDt 4f1E• V�CRNi SiiE <br />❑rEs ❑Ho <br />occur�Hcrcnau� r+oovowrui <br />NO Of STOnIES M�M OCC LOI <br />♦nnuunoN�cc nr � �uNsr.nErnFnn� <br />M.M. <br />nrrn �n�� <br />CRv <br />r,rtr <br />CIfV <br />❑ DEMOLITION <br />❑ OTHER <br />ZU' M�ONE LICENSE • <br />O BUILDIN6 PELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AMD <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVCRNING THIS TYPE OF WORK WILL 8� COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LQCAL lAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF GONSTRUCTION. <br />sm��.iun[�yoJ ,��.tnnc*onann�on�zconc�Htnnowr+cn oAre <br />X /' , % �/ � <br />i._,� ' . L ��t:''G��.���— 7 16/86 <br />MECHANICAL <br />NO. TVPE OF EOUIPMENT FEE <br />A C- A MPIDLG UNITS -- H P <br />HEFIdGERATION UNITS -- H P EA <br />�OILERS-BTU�MP <br />GAS lIRED A C UNITS - A T U <br />fORCEDA1R5V5TEMS-UTU MEA <br />WALL h1EAiEAS - � T U M <br />UNIT HEATERS - � T U M <br />EVnPORATIVE COOLEli: <br />CIOTMESDRVERS <br />VENTILA710N FAN <br />RANGE1/000 <br />WATERHEATEfl • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />fIREPLnCEINSERT <br />HEa7PUMP <br />GAS PIPING <br />E%NAUSTFAN <br />BUBTOTAL <br />PERMIT <br />TOTAL FEE <br />PLANCMECKNUMBFR FEE RECEIPTNO <br />FEES VALUATION FEE <br />oUILDING S 900.00 23 00 <br />PLUMDING <br />MECHANICAL <br />INVESTIGATION�EF. �%l�%�Icii�4 i� �Ml� �3 <br />STATE OUILDING SURCNPRGE 1 SO <br />STATE ENERGY Sl1RCNARG[ DLDC i . W <br />U�1N[WAV PERId1T <br />TOTAL 24 50 <br />VERMIT V�LIOIITION <br />WNf.N PflOi'ERLV VALIOA7Ef� �IN THIS 5'ACB T11I5I`.i YOI/R 1'[RMIT <br />i�l ,1' ; • '�., i� <br />