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��'�° ��� t'�NSTRUCTION � - " <br /> Qverett PERMIT PERMITNQ:: 16911 <br /> 259 -8745 <br /> ❑ DEMOLITION � COM8INATION ❑ BUIlDIN6 ❑ MECHANICAL ❑ PLUMBINC ❑ SION <br /> OWNER M�II�pDHE55 CItY IIP WONE <br /> RAMONA BOYLAN 6917 Evergreen Way Everett WA 9a203 353-7770 <br /> �RCHIIECTOR0E51GNER M�IL��ONE55 �IiY ZIP PMONF <br /> GENERAL WNIN�CTOR IdMI ADORE55 �iiY piP w�ONE LICFNSE� <br /> MECH�NIC�LCONiIUCiOR MML�OpRE55 CITV �iP MONE LICENY' <br /> PLUMBiNGGON1R�Ct011 MAR�ODNE55 CITY 2iP PNONE IICENSE• <br /> CL�SSOi WORR <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ pEPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION <br /> VAIUATION Of WORN <br /> f �2���0�.�� <br /> pESCPIBE WORK <br /> New single family residence <br /> NE�TSOUNCE <br /> C7 ELECTRICITY ❑ OAS ❑ WOODSTOVE ❑ OTHER <br /> cnorosEu use ov euaoir�c <br /> Singl e family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> lEOALDESGRIPT10NOiPqOPERiY�SHOWBELOWOO�TTACNFOUHCOPIE51 CORRECT. ALL PROVISIONS OF LAWS ANC1 OADINANCES <br /> ior 28L2�oc�_ ov Rucker ddn GOVERNING THIS TYPE OF WQRK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> L 30-29-5 PERMIT D(lES NOT PRESUME TO GIVE AUTHORITV TO <br /> VIO.ATE OR CANCEI. THE PROVISIONS OF ANY OTHER <br /> RTATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PER MANCE OF CO STR TION. <br /> J04�DDRE55 Si NAiU ONTR�LTOR) pT p� .OHONMER/ O�TE <br /> 3416 Bell enue X n��,-�/,�i•� ��/ 'jJ-,�'77�jG <br /> PLUMBIN6 MECHANICAL � <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NU. TYPE OF!�OUIPMENT fEE <br /> WATER CLOSET�TOILETI ArC—ArMNDLG UN'S5-- H P <br /> BATNTUB _ Q� REFRIGERA71rN UNiTS—H P EA <br /> LAVATORY�WASH BASIN) BOILERc-.B T U/H P <br /> 3HOWER GAS�IREDAC UNITS—BTU <br /> KITCHEN SINK:UISP FGRCEO AIfl SYS7'EMS—B T U M EA <br /> DISHWASMEA W,\LL HEATERS- B T U M <br /> LAUNDRV T/;AV UNIT HEATERS—B T U <br /> CLOIHES WASHEF EVAf'ORATIVE COOLERS <br /> UPINAL � Cl0'�HESDFYENS 6 50 <br /> ORINKING FOUNTAIN � VEhTILATION FAN 4 5 <br /> rLOOPDRAIN �_ � PaNGEM000 5 <br /> PACKFLOW PPEVENTERS � WATERHEATER • <br /> ROOF DRAINS—llA1NLEAOERS W OOD STOVE <br /> SINK�SERVICE—BAR ETC� � METNL FIREPLACE 6 CNIMN <br /> FIREPLACEINSERT <br /> HEA1 PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> BUB TOTAL s 60 00 sua 54 00 <br /> PERMIT = PER <br /> i9TALFEE f O OO TOT 5 <br /> inONT5ET0eCM nunr,�roncK SinEs[1o�Crc PLANCNECKNUMBER F IPTNO <br /> 20' 20' 6' 36/16911 4UEGtl0 fzl •�1283 <br /> USE ZCNE lOi nREn y���Ni SiTE <br /> R—� 6000 SP Rlres ❑No FEES VALUATION FEE <br /> TYPFOFCONST OCCUPnNCYGROUP NOOlDWEILIHGUN115 6UILDING +'IGO�OOO.00 IUJ JO <br /> V-N R-3 � PLIIMBING 60 00 <br /> SiZE OF Bl0(i NO O�STOR�ES M�% O�C lO�p <br /> 2519 sf 3+ basement ME�HANicA� 54 00 <br /> INVESTIGATIONFEEAGd� p an�h�IN (� T8 <br /> FIRE SPIiINNLERS REOUIRED YES NO <br /> STATE BUILDING�URCHARGE � 5O <br /> STATEENERGVSURCHOPGE �S OO <br /> �PPIIf,�TiGNl1CCf1Y fY�NSG�CCNE[]!1V APPRipR65UANf'F11v <br /> ORIVER'AV PERMIT 20 (�Q <br /> s fef �C TOTAL g�Q XQaX <br /> PERMIT V�L1011TION <br /> W.MEN PROPERLY VALIpATED IIN THI$SPACE!TMIS 1S YOUR PERMIT <br /> r� <br /> r� <br /> Q� <br /> �0 <br /> r - <br /> � . 'rl1 <br />