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u�� <br />CITY OF <br />everett <br />259-8745 <br />'� r''JNSTRUCTION - <br />PERMIT <br />� <br />PERMIT NO. � S Z 4 4 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRE55 CITY ZIP PHONE <br />First Interstate Bank 999 3 d Ave aa rti aRind �g�sa4 <br />�NCHITEGTORDESIGNER MAllR00RE55 CITV ZIP PHONE <br />SYiml Same <br />GENERALCONTRACTOR MAILAD�PE55 CITY 21P PHONE LICENSE� <br />Tracv Const. 400 lOBth NE #3o RPIIP� aRnna nSz nnas mu��yC1�OLia <br />MECMRNICAICONTRRCTOfi MAILqODRE55 ��TY 21P PHONE UCENSE� <br />PLUMBWGCONTRRCTOR MAILADDPE55 CITY ZIP PHONE IICENSE� <br />❑ NEW ❑ ADDITION jc� ALTERATION ❑ pEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S 5460.00 <br />OESCRIBE WORK <br />New walls, painting, doors, and relites <br />USE OF BUIl01NG� g�� 1 F�state <br />H 1{ii3l]tiffi1Gititg firm �Century 21) <br />:RIPTION OF PROPERTY �SHOW BELOW OR ATTACH FOUR COPIES� <br />LOT _ BLOCK <br />1216 SOth St. SE <br />PLUMBING <br />P7:lYl�.'.I <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASHER <br />LAUNDRVTflAV <br />CLOTHES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETCJ <br />B�2 <br />TYPE OF CONST. <br />V-N <br />M.M. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE 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 ANY OTHER <br />STATE OR LOCAL LAW RF.GULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUftE OF CONTRACTOR. AUTMORIZED AGENT. OR OYrtJEF DATE <br />�, rt <br />X (�c 61il,ati� . � ..� �R r <br />FEE NO. TVPE OF EOUIPMENT <br />A/C — A/HNOLG UNITS -- HP. <br />REFRIGEFATION UNITS — H.P. EA. <br />601LERS — B.T.LL/H.P. <br />GAS FIRED A�C. UNITS — BS.U. <br />FORCED AIR SVSTEMS -� BS.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—R�.U. M <br />EVAPORATIVE COOLEflS <br />CLOTHESDRVERS <br />V�NTILATION FAN <br />RANGEHO00 <br />WATEF HEATER <br />- WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE ItiSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />PERMIT f <br />TO7ALFEE S <br />1P SETBACK SIOE SET9ACK <br />N/A N/A <br />fAREF <br />VACANi SITE <br />❑VES QNO <br />CUPANCY GROUP NO OF DWE:UNC UNITS <br />B-2 0 <br />OF STORIES M4% UCC. LO/+0 <br />1+ 30 <br />PLRNS CMECNED BY <br />B.E <br />APPR FOR ISSUI NCE BT <br />L.C. <br />Y CHECK NUMBER <br />87l18244 <br />BUILOING <br />PLUMBING <br />MECHhNICAL <br />INVESTIGA710N FEE <br />STATE BUILDING <br />FEE <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE RECEIPTNO. <br />52.65 86746 <br />VALUATION FEE <br />`' S460.00 . <br />li0 / 1 J� <br />, <br />kcU018�44 <br />���i304(e) � <br />-� S' •GQ <br />iE L7L�`: :f;:,�� <br />STATEENERGVSUfiCHARGE <br />DRIVEWAY PERMIT <br />TOTAL I I <br />PERMIT VALIDA'TION <br />WIiEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS `�OUR PERMIT <br />a„i !_:; <br />