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everett CONSTRUC��ION <br /> 259 - 8745 PERMIT PERMITNO. ZO934 <br /> O DEMOLITION O COMBINATION O BUILDING ❑ MECHANICAL �7 pLUMBING O SIGN <br /> wwE u.ii �iinucy�. 'SL �:iiv na v��oHr <br /> Raymond Busch 1427 100th St. SW Sp.� Everett 98204 <br /> (. RD(SCNER MMI �OO�E55 OiY SiP PHONE <br /> GENEReI LONTRe�}pq E41L�OORE55 (rtY jlp �Q� <br /> IiCENSE♦ <br /> MECH�MC�L COHIR��fOR M�IL ADDRE55 CItY ZIP PHONE IICENSE� <br /> RUMHIHQ CONTR1CiOR M�II�ODOESS CITY ZiC PNONE I IC[NSE• <br /> CU55 O�WDI�K <br /> ❑ NEW � AGDITION ❑ AITERAT10N ❑ REPAIR ❑ DEMOLITION ❑ BUILDIN6 NELOCATION <br /> v�w�noN or wonK <br /> f <br /> OESCRiflE NqnK <br /> Plwnbing for mobile home <br /> HE�i50UHCE <br /> ❑ ELECTqICITY ❑ �A6 ❑ WOODBTOVE ❑ OTNER <br /> CROvpSED UFE Of BUil�iNb <br /> SFR I HEREBV CERTIfV THAT I HAVE READ AND EJ(AMINED THIS <br /> ieoaoescA�vnoqorvnov[nrrisHown[iowonnnAr.�ruuncurifs APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> � COFFECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior 1=8 eiocK _or Fnirwa Eatates GOVERNING THIS TVPE OF WORK W�LI BE COMPUED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIOLA7E OR CANCEL THE PHOVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PEFFORMANCE OF CONSTRUCTION. <br /> JOB�ODRE55 9,q<�i01F � C��N�ORCIqi p1/iHORQ •fFNi �IiOWNfR p�tE <br /> 1927 100th St, SW S .128 X � ��{,�/�� <br /> PLUMBINQ MECHA CAL <br /> NO. TYPE OF FIXTURE ON ITEM FEE NO. TYPF OF EOUIPMENT FEE <br /> WATER CLOSET�lO1LET� A C A NNOLG UNITS H P <br /> BATM1Ud qEFRIOFRA71pN UNIT$ M P EA <br /> LAyATpRV�WpSH BASIN) (701l.ERS A T U�H P <br /> _ SNOWEN GAS�IRFD A C UNITS - A T U <br /> NITCMEN SINN a pISP FORCED/I'i SVSTEMS - B T U M EA <br /> DISHWASMER WAI.I.HEAiERS BTU M <br /> IAUNDRY TqpY UNI!HEATCPS 9 i U M <br /> CLOiMFS WASHlP EVAGOFAiWE COUlERS <br /> UHINAL CLOTNES DA�ERS <br /> DFINKWG FOUNTAIN VENTILATION fAN <br /> Fl OOR DNRIN FANGE NOOD <br /> DACKF�OWFqEVENTERS WATERIIEATEN <br /> ROOF DRAINS -FAINLEAOE95 WOOD STOVE <br /> SINN�SENVICE BM.FTC� METAI FIREPLACE 6 CHIMNEV <br /> FIREPLACE INSEPT <br /> OT PUMP <br /> GAS PIPINC <br /> E%MAUSTFAN <br /> !UB TOTAL { BUB T0T11L <br /> _ PERMIT f PERMIi <br /> TO�AL FEE ! T0T11L FEE <br /> iPONi SFtB�Cx afni�tiF t(uCn S�OF SFipnfn FUN CHF.CN HUMF3E� �EE NECEIPT NO <br /> USESONE tnl�nEe <br /> veceNr sirt FEES VALUATION FEE <br /> [�YES ONO .__ <br /> T�PE Of CONST OCf.UP�qCY(3ROUP NO OF pyYF.LUryG UNI15 BUII.nIP1G n� <br /> 9 #1'A1 <br /> PLUMBING � 1 OO <br /> SitFO�BLDG NOOi 510NE5 MA� OLL LD�O <br /> _ MECHANICAL T.s�.O• S1 .� <br /> INVESTIGATiON FEE M� <br /> FIqF.SPRINN�ERS REOUIREO YES NO <br /> STATEBWLDINGSURCHARiE ���3 <br /> S�ATEENERCYSUPCHAROE �TER f6 .W <br /> �P'lICA1iON�f.f, BY �L�NF O�ECHEO flv AVVN fOP ISSII�Nf,E 0� <br /> DRIVFWAV PENMIf <br /> S.N. TOTAL MOOOt"O�.K <br /> - PERMIT VALIDATION <br /> WHEN PRpPFBLV VALInATED pN T�CEI T��SY�R PERMIT <br /> �� <br /> M <br /> 07 <br /> O <br /> N <br />