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�� <br />CITY OF <br />everett <br />259-8745 <br />� �NSTRUCTION � <br />P�RMIT <br />.� <br />PERMITNO. � 0236 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br />OWNER MRILADDHE55 CITY 21P PHONE <br />Century 21 1216 - SOth Everett <br />ARCHITEGT Oi! DESIGNEN MAIL AOOR. �S �ITV ZIP <br />PHONE <br />GENER�LCOPITRACTOR MAILADDRESS CITY 21P PHONE �ICENSE� <br />Herry Dfeon Inc P.O. Hox 5269 Lpnnwood P1A 980�:6 776-8835 BERRYN247Lp <br />MECHANICRL CONTRACTOR MAII ADDFE55 <br />CITY ZIP PHONE UCENSE� <br />PLUMBINGCONTRACTOR MAILAODR°55 CITY 21P <br />PMONE �ICENSE x <br />CLASS OF WORK <br />C� NEW ❑ ADDIT�ON ❑ ALTERATION ❑ REPAIq <br />VALUATION OF WORK <br />S 8280.00 <br />❑ DEMOLITION ❑ BUILDING RELOCATION <br />Erect & maintain (2) 4' x 20' &(1) 4' x 8' S/F illuminated wall signs <br />❑ ELECTRICITY ❑ GAS O WOODSTOVE ❑ OTHER <br />LOT _ BLOCN _ <br />OB ADDflESS <br />1216 - SOth St <br />PLUMBING <br />TYPE OF FIXTI <br />WATEH CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />LAUNDRVTRAV <br />CLOTHES WASHEH <br />URINAL <br />DRINKING FOUNTAIN <br />fLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS – FAINLEADE <br />SINK �SER� :E – BAP., ETC.) <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />TYPE JF CONST <br />SH <br />ev <br />FOUR <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 PFlOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERF RMAfJCE OF CONSTRUCTION. <br />SIGNATUP CONTFqCT�O�Hy. +� 12E0AGENT.OROWNER DATE <br />X/l` /_ � t /_ �.-r. <br />MF.CHANICAL <br />FEE NO. TVPE OF EOUIPMENT <br />A/C –A/MNDLG UNITS – H.P. <br />REFRIGERATION UNITS – H.P. EA. <br />BOILERS – B.T.U./H.P. <br />GAS FIRED A C. UNITS – B.T.U. <br />FORCED AIR SYSTEMS – B T.11. M EA. <br />WALLHEATERS–B.T.U. M <br />UNITHEATERS–B.T.U. M <br />EVAPpqqTIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />META� FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />f <br />��. <br />.:.�� <br />SIDE SETB�CK <br />VACRNT SITE <br />❑ves ❑No <br />NO OF OWEIUNi <br />MA% Of,C. LOAD <br />APPq FOR I$$UANCE BV <br />Elec NV <br />LN Callahan <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />PEES <br />BUILDING <br />PLUMBING <br />MECHANIChL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STA7EENERQVSURCHAaGE <br />DRIVEWAY PERMIT <br />TOTAI <br />7 <br />38280.00 30.00 <br />1��'.'^l �.� +o.-�'�-,.r n, ia <br />fi � �/ p� — <br />., p� � le1 eo .C,l: <br />Ii��QD066] c <br />tLCL .S �,(f <br />.,f..IFC;, ::t :�n <br />30.00 <br />FEE <br />WHEN PPOPERLV VALIOATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />t-,f�.i;i'c6� �iLr <br />