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"1e� C�NSTRUCTIOIN ' � p <br />everett PERMIT PERMITNQ; � �O'+S3 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />��Eq M/.IL �DDRE55 CITv ZiP PHONE <br />Doug Mahood 7128 Beverly Blvd Everett, WA 355-5521 <br />�RCHITECT OR DESIGNER MRR ADDRE55 CiTv ZIP PMONE <br />Riverside Design <br />GENERALGONTR�GTON MAILApOPESS CITY 21P PNONE LICENSE� <br />Tangent Const. Co. 1102 h'W 57th St Seattle, WA 98107 784-0596 T1INGECC150JW <br />MECM�NIC�L CONTRACTOR MML �DOFESS CITY 21P PHONE IIGENSE • <br />PLUMBINOCONTR�CTON MAI��OORE55 CItV ZiP PHONE LICENSE• <br />G NEW �I ADDITION ❑ ALTENATION ❑ REPAIH <br />1ALWTIONOF WOPN <br />s 25��00. <br />)ESCRIBE N'OPN <br />Add an 8 x 12 dining room and 6 x B porch <br />�EATfiOURLE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />�voseo use or ouaomu <br />Single fumily residence <br />9 9 <br />LOT _ BLOCK _ <br />Heverly Hills <br />IAD�REGS <br />7128 Beverly Blvd. <br />PLUMBINO <br />OR ITEM <br />WATER CLOSET �TOILET) <br />BATMTUB <br />UVATORY �K'ASH BASIN) <br />SHOWER <br />KITCMEN SINN S DIS7. <br />DISHWASHER <br />LAUNDRVTRAV <br />CIOTMES WASMER <br />URINAL <br />ORINKING FOUNTAIN <br />fLOOH ORAIN <br />BACNFLOW PflEVENTERS <br />ROOF DRAINS - RAINLEADE <br />SINK �SEFVICE -- BAP, ETC.� <br />SUBTOTAL <br />VEflMIT <br />TOTALFEE <br />RY* 20' � i4fi1c 20' <br />R-1 <br />'E Of CONST <br />V-N <br />E OF BLDG <br />102 af add. <br />IE SPRINNIERS RE( <br />PIICATION ACG. OY <br />SH <br />13650 sf <br />OGf.UPRNCY GNOUf <br />R- 3 <br />NO OF STORIES <br />2 <br />1 ❑ VES � NO <br />PLANS CHELREO BY <br />Be <br />O DEMOLITION <br />❑ OTHER <br />❑ BUILDIN6 RF.LOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AIvD <br />CORRECT. AI.L PROVISIONS OF LAWS AND ORDINANCES <br />GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN GR NOT. THE GRANTING OF A <br />PERMIT DOFS NOT PRCSUME TO GIVE AUTHORITY TO <br />VIOLAT OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE O LOCAL LAW REGULAT G CONSTRUCTION OR <br />THE P FO� NC��TR ION. <br />SIGHPTUR - C T \ O ED AG . OR OWNEP DATE <br />X i fs'"'y$c� <br />A/C - A/NNDLG UNITS - M P. <br />REFf11GERA7'ION UNITS - HP. I <br />POILERS - B.T.0 /H P. <br />GAS FIRED A�C. UNITS - B T.U. <br />FORCED AIR SYSTEMS - B.T U <br />WALL HEATERS - B TL. <br />UNITHEATERS -BS.0 <br />cVAPORATIVE COCLERS <br />CIOTHESDHYERS <br />VENTILATION FAN <br />qANGEMOOD <br />N. '°R HEATER • <br />WOOL.'OVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACEINSEHT <br />HEAT PUMP <br />GAS PIPING <br />EXHAl15T FAN <br />SUBTOTAL <br />PERMIT <br />M EA <br />M <br />M <br />FEE <br />ETOncn p�ANCHECKNUAIBER FEE i7ECEIPTNO <br />iSdc 6' 88/20483 163.80 10775 <br />5 ILI NO <br />iF DWELLING UNITS <br />1 <br />OCC �OAD <br />NA <br />RPifl FOflI55UANCE OY <br />Be <br />BUIL�ING <br />PLUMBI�IG <br />MECHANICAL <br />INVESTIGAT�ON FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSUPCHARGE <br />ORiVEWAV PERMI7 <br />TO?AL <br />525,000. <br />Itl+l : <br />Y � <br />WMEN FROPERLV VALIOATED �IN THIS SPACE� THI515 YOUR PERMIT <br />AOURESS FILE <br />252100 <br />3150 <br />255150 <br />M <br />� <br />d- <br />O <br />N <br />