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`��` ' ('7NSTRUCTION i � <br />e�erett PERMIT PERMITNQ:_ � S4O� <br />259-8745 <br />❑ DEMOLITION ffJ COMBINNTION � BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OVMER NAIL��URE55 CITY ZIP PNC4E <br />B.G.L. Conatr. Inc. P.OL Box 7t37 Mukilteo, WA 98275 348-4646 <br />ARCHITECTON�ESIONEF M�IL�ODRE55 CITY 21P oNONE <br />GENEB�LCONTRACTOR MRII�DORE55 CITV .'iP R10NE LICENSE� <br />Owner <br />MECN�NIC�L CONTRAGTOP M�R ��OHE55 LrtY 21P PNONE LICENSE � <br />pLUM91N000NTRACTOR IAMI�OORESS CITV ZI' MONE LICENSE� <br />CUSS OF WORN <br />❑ NEW ❑ ADDITION <br />VALUATION OF WORN <br />S �5�0�� <br />DESCRIBE WOHN <br />Dtove atructure <br />❑ ELECTHICITY ❑ GAS <br />Residence <br />Lpi ? BLOCK � <br />��e.��,�� <br />7425 Beverly Blvd. <br />PLUMBING <br />NO. TYPE OF FIXTURE <br />Z WATERCLOSET(TOILET� <br />1 BATMTUB <br />Z UVRTORVIWASHBASIN� <br />} SHOWER � <br />1 NITCHEN SINK 6 DISP. __ <br />UFINAL <br />FLOOR <br />PREVENTERS <br />JS — RAINLEADERS <br />CE — BAR. ETC.1 <br />❑ ALTERATION ❑ NEPAIR <br />❑ WOODSTOVE <br />SUBTOTAL S <br />PEflMIT i <br />TOTAL FEE f <br />��g pEAp SF.TOACN SiDE SEtE <br />' 20' 6' <br />LOT�4EA AC�NT` <br />8�Z7S YES I <br />VST OGCUF�Nf.Y GPOIIP NO OF 0� <br />R-3 1 <br />+ 294 �n�arf1290 I 1 <br />FIRESPR�NI(LEHSREOUIRED ❑VES I <br />�PPIIC�TIONALf,.BV PLANSGNEC <br />SH Be <br />FEE <br />❑ DEMOLITION <br />❑ OTHER <br />� BUILDINO HELOCATION <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 GRA!JTING OF A <br />PERMIT DOES NOT PR[SUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIG TV1160FC0`{TFACT R.RUTYpRIZEORGENT.OROWNER ORTE �. <br />X �- --%� `%•� - �/ . �, . 7 � � 7 '� <br />e <br />A/C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H F. i <br />BCILERS — BS.0 /HP. <br />GAS FIRED A G UNITS — B.T.0 <br />FORCED AIH SYSTEMS — B'f.U. <br />WALI HEATERS — B T.U. <br />UNIT HEATERS — BS.U. <br />EVAPORATIVE COOLEPS <br />CLOTNES DPYEfiS ' <br />VENTILATION FAN <br />RANGEHJOD <br />WATERHEATER • <br />wOODSTOVE <br />METAL FIREPLACE 6 CMIMNEY <br />FIREPLACEINSERT <br />HEAT Pl1MP <br />GAS PIPINC <br />EXHAUSTFAN <br />87/18409 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANIC/L _ <br />t�'�IOARION�! <br />STATE BUILDINC : <br />M EA. <br />M <br />M <br />SUBTOTAL <br />VE ! - � f U Hf{P <br />TOTAL FEE � <br />pgJ 4 Y PECEIPTNO. <br />G�`�,84.92Q38 A090917 <br />uc• z- r <br />V �UATIONc � FEE <br />�W� W0� ifi �.�l� <br />� STATE ENERIiV SURCMARGE <br />V OPIVEWAY PERMIT <br />L'�FV;Jy �7).d0 <br />c.i' l�f <br />EFi6 II 57� �.00 <br />J J <br />�, i o�i <br />:u�rE� s��u�.ao <br />L.C. ITOTAL I _ � � <br />�Efl�AIT VALI011TION <br />WHEN PHOPERLY VALIDATED �IN THIS SPACE� THIS IS YOUR PERMI' <br />ADDRESS FILE <br />382 <br />35 <br />17 <br />63. <br />3 <br />15 <br />io <br />536 <br />