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"`�����TYOF C IN�TRUCTION <br />e�v�.rett PERMIT PERMITNO. � ��66 <br />25�-8745 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />oYMEn Ma�nuonf�: � cilr ztr rHOHE <br />Harold Mderson 7511 Deverly Dlvd. Evarett, WA 98203 355-444J <br />eecwimr on n[sicHen ranii nnnnas crtr n�� �+or+e <br />RIaIL 41J0(�CtiS <br />lIP PMONE <br />Owner <br />MELMhNIUI CONifiACiOR F1sll AlJ(>IIltiS CI1V 11P PIIONE <br />PLl1MGiNG <br />cuss ar wonK <br />❑ NEW <br />WWr1TIONOf WOde <br />s5000.00 <br />oescnmrwonK <br />Repair p: <br />r�Enr souncE <br />❑ ELECTRICITY <br />Single <br />LOi � OLOCN <br />♦O[lfifti5 <br />C. ADDITION ❑ ALTEHATION (� REPAIR ❑ �EMOLITION <br />�nbing, sheetrock walls, repair windows and roof. <br />❑ GAS ❑ WOOOSTOVE ❑ OTHER <br />residence <br />JOORO�RE55 <br />7525 Beverly SY8 Blvd. <br />PLUMBING <br />TYPE OF FI%TURE 0 <br />WATER CLOSET �TOILET� <br />BATMTUO <br />IAVATORV (WASH �ASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />OISHWASHER <br />LAUNOflYTPAY <br />CLOiHES WASMER <br />UPINA: <br />DFINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />FOOF �RAINS - RAINLEADERS <br />SINK �SERVICE - BAR. ETC � <br />SUB TOTAL <br />7ERMIT <br />TOTALFEE <br />OFCONST OCCUvnNLYGROUP <br />OF OLDG NO OF SiORiES <br />Soq�NKIERS REOWFED ❑ VES G NO <br />ICITIONFCC OV PUNSCHECNEOI3V <br />S.H. <br />FEE <br />5 <br />f 1S � <br />f <br />f 1S ( <br />smc seiu.+cK <br />VnCANi SITE <br />L]rEs f7r+o <br />NO Of �WELLMG UNm; <br />uA% OCC IOAp <br />nrrn rcn issunuc[ ov <br />bP PIIONE <br />IiCENSC � <br />ucensE. <br />tiCF.NSE � <br />❑ BUILDING RELOCATION <br />I HEREOV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO �E TRUE AND <br />CORHECT. ALL PROVISIONS OF LAWS AND OflDIN���NCES <br />GOVERNING THIS TVPE OF WORK WILL BF COMPLIED WITH <br />WHEI�HER SPECIFIED HEREIN OR NOT. THE i�AANTING O� A <br />fERM1.".IT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIULATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STAiE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION <br />SIGVAI;*1ED�CONTRAf,iORAULIIOI111[OAfENi,OBOWNCB OATE <br />// !/ <br />X .. �."� /.': .i i.._. /' Y'�� <br />MECHANICAL <br />TYPE OF EUUIPMENT <br />A�C - AMNDLG �NIiS - N P <br />REFRIGERATION UNITS - N P FA <br />�OILERS - 0 T V�N P <br />GASFIR[DAC UNITS�-(3TU <br />FOPCEDAIRSYSTEM$-OTU MEA <br />WAI.LHEATERS-�TU M <br />UNITHEAiF.RS-OTU ti� <br />[VAPORATIVE COOlERS <br />CIOTHESOR�ERS <br />!'NTILATION FAN <br />7A�!.EMOOD <br />WATER MEnTER <br />wOOD SiOVE <br />METAL FlPEVLACE A CMIMNE� <br />FIREPLACE WSEFT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSifAN <br />SUBTOTAL <br />iENMIT <br />TOTALFEE <br />CMECK NUM�ER FEE RECEIPT �O <br />FEE <br />FEES � VALUATION FEE <br />Bl�ll-DING SSOO�.00 %Z OO <br />PLUMBING 15 00 <br />h1ECHANICAL <br />INVESTIGATION FEE Sec. 304�e) <br />STATEOUILDINGSUP��HARGE j SO <br />STATE ENERGV SU'VCHAP;'�E <br />�RIVEWAV P@RMIT <br />TOTAL 87 35 <br />PEflM17 VALIDA710N <br />WMCN PfiOPERLY VALIDFiE[) IIN TH65PACE� iM1515 YOUR PERMIi <br />�� <br />LO <br />� <br />�� <br />r <br />