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`�� C'7NSTRUCTION 1 C <br /> everett PERMIT PERMITNQ;_ I ���`� <br /> 259 -8745 <br /> ❑ OEMOLITION ❑ COMBINATION C7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ 316N <br /> OWNEP M�II�OORESv CITY IIP V�/OHE <br /> George Magrudar 5110 Beaumont Everett WA 4 252-2347 <br /> ♦RLHITECT OR DESIGNEP MqL�OONE55 CrtY ZIP PNONE <br /> 6ENEH�L CONTP�LTOR MM��DDNE55 Crtv ZiP PHONE LiCENSE r <br /> MECM�IIIGLLONiR�G10P MAII�ODRESS CITY ZIP FMONE LICENSE• <br /> RUMBIHGCONTIUGTOB M�II�O�RESS CItY ZIP PHONi LICENSE� <br /> Woodburns Construction 2515 Cedar St. Everett WA 98201 258-2164 �NB WOnOBC133NC _ <br /> a�ss ov wonK <br /> ❑ NEW C�ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATON <br /> v�w�noH or wonK <br /> = 475.00 <br /> OESCRIBE WORK <br /> Rough-in for baeement bathroom <br /> HEATSOURCE <br /> ❑ ELECTR�CITY ❑ OAS ❑WOODSTOVE ❑ OTNER <br /> VROV09E0 U9E OF BUILDiNO <br /> Residential only/einqle f.amily I HEREBY CER7IFY THAT I HAVE READ AND E%AMINED "fHIS <br /> APPLICATION AND KNOW THE SAME TO BE TRIIE AND <br /> LE��LDFSCNIVTIONOiPf10PERiY�SMOWBELOWOA�TI�CMfOUNCOP1E51 CORRECT. ALL PROVISIONS OF LAWS AN� ORDINANCES <br /> GOVEfiNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> wr,e�onK _ ov WHETHER SPECIFIFf1 HEREIN OR NOT. THE rRANTINf; OF A <br /> Pf_RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATINC CONSTRUCTION OR <br /> THE PERFORMANCE OF CON TION. <br /> JOB�ODRESS 5�4N�iUREOfCONT TOR HO O�G .OqOWN�R O�TE <br /> 5110 Beaumont X 6/23/87 <br /> PLUMBINO MECHANICA <br /> NO. TYPE OF FIIITURE OH ITEM FEE ND. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET�TOILET� S OO A�C—A/HNDLG UNIiS—H P <br /> BATMTUB FEFRIGERATIONUNITS-HP EA <br /> 1 LAVRiOFV�WASH BASIN� S OO BOILERS-B T U/M P <br /> 1 SHOWER S OO GAS FIRED A�C.UNITS-B T U <br /> KITCHFN SINN 8 DISP. FORCEO AIR SYSTEMS-B T U M EA <br /> DISHWASMER WALL MEATERS-9 T U M <br /> UUNORY THAY UNIT HEATERS-B T U M <br /> CLOTNES WASHER EVAPORATIVE LOOLERS <br /> URINRI CLOTMES DRYERS _ <br /> ORINNING FOUNTAIN VENTI�ATION FAN <br /> FLOnR DRAIN RANGE HOOD <br /> BACKFLOWPREVENTERS WATERHEMER • <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK�SERVICE-BAR,ETC� METAL FIREPLRCE 6 CMIMNEY <br /> FIREPLACEINSERT <br /> I1EAT PUMP <br /> GAS PIPING <br /> El(HAUSi FAN <br /> BUB TOTAL i ZS OO BUB T07AL <br /> PENMR i �� QO PfHM1T <br /> TOTAL FEE t Z .OO e TOTAL FEE <br /> iRONT SETB�GK REen SEio�cn SiDE SEiBAc� P�AN CHECK NUMBER FEE NECEIPT NO. <br /> 0�/�.?i�7 1U:- 1{�iH �ut��{�J�^�1 �.{�.� <br /> USE LONE �aT�AE� y���NT SITE <br /> ❑res ❑No fEEB VALU ION FEE <br /> iYPEOiCONST OCCUP�NCYORWP NOOfCWELLINOUNITS 6WLDIN6 , - <br /> PWMBING CHECI� S� .00 25 00 <br /> &2E Oi BLpti NO O!StORiES M�x OCC 10�0 <br /> MECHANICAL <br /> INVESTI6ATi0N FEE �-�le) <br /> FIRE SPRINNLERS HCOUIRED ❑YES ❑NO <br /> — STA7E BUILDING SURCHAROE <br /> STATEENEFGVSURCHAHGE <br /> �VPLICATION ef.0 BV R�NS CNECNEU BY �?PP fOR ISSU�NCE 6Y <br /> ORIVEWAV PERMIT <br /> M.M. TOTAL 25 00 <br /> _ OERMIT VI1lIDATON <br /> WMEN PROPERLY VALIOATED�W Tr;,g SPACEI THIS IS YOUR PERMiT <br /> �� <br /> �` <br /> �� <br /> � <br /> t'�� <br /> AODRESS FIIE <br />