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r,��,e.g„�„ <br />CITY OF <br />everett <br />259-8745 <br />�'7NSTRUCTION <br />PERMIT <br />PERMIT NO. 18952 <br />❑ DEMOLI710N ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />��+T���R MMLAODHE55 CIiY zIP PHONE <br />tlX Sandra Fryer 1532 Grand Ave. Everett- WA 98201 252-0591 <br />AR�M GTOBOESIGNER MMIADDRE55 CRY pIP PMONE <br />OENEFAICONTPACTOq IAALLRDDPE55 Cliv ZIP PHONE IIGENSE• <br />Oaner <br />MECN/NiG�LCONTRRCiON MAiL�D�ItE55 CiiV ZiP VHONE LICENSE� <br />MUMtlNGWNTMCTOR MAILADDRESS CITY ZIP %IONE LICENSE/ <br />:LI155 OL WORK <br />❑ NEW O ADDITION <br />W1T ON OF WORN <br />f 10U0.00 <br />CRiEE woHrc <br />Reroof <br />❑ ALTERATION <br />❑ ELf:CTRICITY ❑ GAS ❑ WOODSTOVE <br />Single fmaily residence <br />LOT __ OtOCM _ <br />8125 Beverly Blvd. <br />PLUMBING <br />TYPE OF FI%Tl <br />WATER CLOSET �TOIIET� <br />BAfHTUU <br />LAVATORVIWASN�ASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASNER <br />LAUNDRY TfiAV <br />CLOTMESWASHER <br />URINAL <br />DRINrWC POUNTAIN <br />FLOOR DRAIN <br />BACNFLOW PREVENTERS <br />ROOF DRAINS — RAINLEAI <br />SINK �SERVICE — BAR, GT( <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />I9� ztl <br />AC: BY <br />S.H. <br />COPIESJ <br />FD NEPAIR <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br />.4PPLICATION AND KNOW THE SAME TO 8E TRUE AND <br />C6RRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TVPE OF WORK WILL BE COMPLiED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME 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 />�6M�S13EOFL'ONTAACTO�AUTHOPIIED/GENT.OROWNEB DRTE <br />I7EM FEE NO. TYPE OF EOUIPMI <br />A/C — A/HNDLG UNITS — H P <br />_ REFRIGEFATION UNITS — H P. EA <br />BOILEflS — B.T U /H P <br />GASFIREDAC UNITS--BTU <br />FORCEO <Iq SYSIEMS — B � U <br />WALL HEATERS — B T.0 <br />UNIT HEhTERS — � T.0 <br />EVAPORATIVE COOLERS <br />CLOTHES ORVERS <br />VENTILATION FAN <br />flANG[HOOD <br />WATER HEATER <br />WOO� STOVE <br />ME?AL FIREPLACE 8 CMIMNEY <br />FIREPLACE INSERT <br />HE.OT PUMP <br />fiq5 PIPING <br />EXHAUSTFAN <br />�Y <br />NO <br />♦Ni S�tE <br />Es ❑ No <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />mT <br />iY <br />� <br />SUB TOTAL y <br />PERMIT y <br />TOTAL FEE S <br />FEE RECEIPT NO. <br />VALUATION FEE <br />S 1000.00 25 <br />INVESTIGATION FEE Sec. 304�c) <br />STATE BUILDING SURCHARGE <br />STA7EENERGVSURCHARGE <br />�Y <br />DRIVEWAY PERMIT <br />TOTAL I I 28 <br />PEflMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN THIS SPACE� THIS IS YOUR PERMIT <br />A;!i'iu'�., . <br />N <br />Lf� <br />� <br />� <br />a�— <br />