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`�� Q'�NSTRUCTION � <br />everett PERMIT PERMIT NO. 19554 <br />259-8745 <br />C7 DEMOLITION ❑ COMBINATION �1 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEP MMLqDDRE55 CIiY Zlv �•110NE <br />R.R. Pierre 8018 B?verly Blvd. Everett, WA 98203 353-2980 <br />ARCHITECT OR DESIGNEN M�IL RDD�E55 CItY 21P {110NE <br />GENERAICONTRACTOR MML�D�RE55 CiIY ZIP P40NE IICENSE� <br />Owner <br />MECM�NIC�ICOHiN�CTOR M�IL�pONE55 GITY 21P PIIONE 4CENSE• <br />MUMBINOCO4TRACTOR M�ILwDORE55 CiTV ZiP PNONE UCENSE� <br />❑ NEW ❑ ADDITION ❑ ALTERAT�ON ❑ HEPAIfl ❑ DEMOLITION ❑ BUILDING RELOCATION <br />f 1500.00 <br />OESCRIBE WORI{ - <br />Addina a i[ECN0t1CiIXAI caraort on the s�uth side of familv home. <br />He�rsounee <br />❑ ELECTHICITY O GAS ❑ WOODSTOVE ❑ OTHEH <br />LOT � BLOCIc �L <br />PLUMBING <br />WATER CLOSET <br />BATHTUB <br />OP.INKING FOUATAIN <br />FLOOR ORAIN <br />BACKFLOW PflEVENTERS <br />ROOF ORAINS - FAINLEADERS <br />SINK (SERVICE - BAR. ETC.) <br />2� <br />ONE � <br />R-1 <br />TYiE OF GONSt. <br />V-N <br />S12E OF BL00. <br />267 <br />FIPE SWIINNLERS R <br />APPLIGTIJ4ACC BY <br />S.Ii. <br />SUB T0TI1L f <br />PEIIMIT f <br />TOTALFEE f <br />4R SETOaCN SiDE SETBP <br />20 6 <br />OCCUPANCYGROUP <br />M-1 <br />NO OF STORIES <br />1 <br />PLANS <br />B.E. <br />V�C�NT 511E <br />❑YES fSNO <br />NO OL DWELIING UNiTS <br />0 <br />M�M OCC LO�D <br />N/A <br />APFR �ORISSU�NLEOY <br />B.E. <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 ORUINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE CaRANTING OF A <br />PERMIT DOES NOT PRESUME TO G!VE AUTHORITY TO <br />VIOLATE OR CANCEL THE PflOVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF C STRUCTION. <br />SiGNRTURE OF CO T�0 l/T NIZ 0 AGENT, OP OWNEH O�TE <br />X , �� ,�Q a/�e/Bg <br />MECHANICAL <br />TYPE OF ECUIPMENT FEE <br />AiC - A/HNDLG UNITS - H P. <br />REFRIGERATION UNITS - H P. EA. <br />BOILERS - BS.0 /H P. <br />GAS FIHED A�C. UNITS - ES U. <br />FORCED AIR SVSTEMS - BS.U. M EA. <br />WALL HEATERS - B.TL. M <br />UNITMEATERS-B.T.U. M <br />EVAPORATIVE COOIERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHDOD <br />WATF.R HEATER <br />WOOOSTOVE <br />METAL FIPEPLACE 8 CMIMNEY <br />FIREPLACEINSEPT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />VCHECNNUMBLR FEE <br />88/19554 22.75 <br />BUILDINCa S <br />PLUMBING <br />MECHANICAL � <br />INVESTIGATION FEE � Sec. �04(e) <br />STATE EIUILDING SURCHARGE <br />S7ATCENERGVSURCHARGE <br />ORIVEWAV PERMIT <br />RFCEIPT NO. <br />95321 <br />FCE <br />70TAL I I 38 <br />PERMIT VALIDIITION <br />WHEN PPOPERLV VALIDATED pH THIS SPAf,E� THIS IS VOUR PERMIT <br />nocnEss FaE <br />