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��� <br />CITV UF <br />everett <br />259-3745 <br />- �"ONSTRI�CTION -� - � r, <br />PEF�MIIT PERMITNt2:� � ��J1 <br />L7 DEMOLITION G COMBINATIOF! 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEN M�II �OORE55 I!V IP %IONE <br />Jefi` Bryenton Pres. 4407 Thomson Everett 98�01 339-512�1 <br />�RCHITECTOPi�ESiGNEN MML�DDHF55 CrtV 2iP PMONE <br />Brad Lewis Sec. 6918 B Lower Ridge Rd. Everett 98203 353-9343 <br />GENEP�LCONTF�CiOR M.11L�DONE55 CITv iP YE IICENSE� <br />Cons'.ruction Tech. Inc. 69188 Lower Ridge Rd. Everett, 98203 � 353-93 <br />MECN�NIGLCOHTR�CiON MM��OORESS CITV ZIP oMOHE LICENSE� <br />PLUMBINOCONiR{CTOP MML�OOflE55 CITV 21P PHONE IICENSE� <br />CL�SS OF WORK <br />❑ NEW LA ADDITION ❑ ALTERATION ❑ NEPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />�.��.,��1, 5�4N — <br />s <br />OESCNIUE WORA <br />To add 17G sq ft addition and remodel batnroom <br />❑ ELECTRICITY ❑ 6A5 ❑ WOODSTOVE ❑ OTIiER <br />inal <br />�or 9 e�ocK 3 <br />PLUMBIN6 <br />residence <br />�OW �EIOW OR ATTACH FOUR GOPIFS� <br />Beverlv Hills Div. 1 <br />WATER CLOSET �iOILET� <br />BATNTUB <br />UVATORY �WASH BASIN� <br />SIIOWEH <br />NITCNEN SINN Q OISP. <br />DISHWASMER <br />�AUNCFYTO�Y <br />CLOTHES WASMER <br />URINRL <br />DRINNING FOLINTOIN <br />FLOOR Di.A1N <br />BACKROW PREVENTERS <br />ROOF �RAINS — RAINLEADERS <br />SINK �SERVICE — BAR, ETC � <br />20 <br />USE ZONE <br />R-1 <br />TYVE OF LONST <br />V-N <br />51zE oi BLDG <br />176 <br />FIFE SPP.INNLERS F <br />�PPUGfION�CC liY <br />M.M. <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />nean s.=.ra�cK <br />2Q <br />IOtARE� <br />7245 <br />OCCUP�NCV GROUP <br />R-3 <br />NO Of SIORiES <br />1 <br />i ❑ VES O NO <br />!'t�NS C1IECNEO pY <br />B.E. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA110N ANU KNOW THE SAME TO BE TRUE AND <br />CORREC' ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING ThIS TVPE OF WORK WILL BE COMPLIED WI1'H <br />WHETI1Efl SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DG�S NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CF.NCEL Th1E PFOVISIONS OF ANY OTHER <br />STA7E OR LCCAL LAW RFGULP.TING CONuTRUCTION OR <br />THE PERFO ANCE OF CONSTFUCTION. <br />SIG�vr tR'�Of TON AU IIOBIZEU �GENT, OR OWNER D�TE <br />X C / r�.� 'Z �`%(�� <br />FEE NO. TYPE OF EOUIPMENY <br />O I A/C — A/MNfiLG UNITS — H P. <br />S OO R[FRIGEHATIONUNITS—MPEA <br />5 BOILERS—BTU/HP. <br />GASFIPEDAC UNITS—BTU <br />FORCEDAIRSYSTEMS—BTU MEA <br />WALLHEPT59S—BTU M <br />UNIT HEATFf15 -� B T U M <br />EVAPORAiNE COOLEPS <br />CLOTNES ORYERS <br />1 VENTILATION FAN <br />RANGFHO00 <br />WATERHEATER • <br />WOODS70VE <br />METAL FIREPIACE 8 CHIMNEY <br />FIREPIACE INSERT <br />I1EAi PUMP <br />GAS VIPING <br />EXHAUSTFAN <br /><<�^�'�X I PLAN CHEGK NUMI <br />6 81/17891 <br />VAC�N1 ❑F <br />❑VES ]NO <br />Hc or owcuwc ur�i*s <br />1 <br />M4M pCC lOAD <br />•FVR !OR ISFU�Nf.E OV <br />L.C. <br />BUILDING <br />PLUMBING <br />SUB TOTAL <br />PERMIT <br />TOTALFFE <br />S <br />146.25 I 89700 <br />MECNANICAL I MECII �4.� <br />INVESTIGATIONFEE - f��Ir1,� � � <br />%' fi.Il� — <br />STATE BUILDING SURCHARGE <br />5'fATE ENEPGV SURCHAiiGE <br />DPIVEWAV PERMIT <br />TOTAI <br />PERMIT V1ILIDATION <br />WHEN PROPERLY VAIIDATE� �IN 1MI5 SPACE� THIS IS YOUR PEFMIT <br />l�i��i�'��`.�,`, f I,E <br />50 <br />246100 <br />