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"��"'�"" C`�NSTRUCTION <br />CITV OF <br />everett PERMIT PERMITNO. � J432 <br />259-8745 <br />❑ OEMOLITION CI COMBINATIOII (c�cBUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />a��E� �rnni.anoiiess r.nv ziv �rorve <br />J3n John Fussel A204 B�:erly B—vd. Everett, WA 98203 355-4011 <br />PRCIIITECTOB�CSIGNE❑ MnItRpDnftiS biY 21P �'��ONE <br />GENER�I WMPRCTOII MAII nf>OfiESti C�lr !IP ���ON[ IICENSE • <br />Owner <br />MECIIANICAL CONLRACTOR AIAII R[IDR(SS ❑tY IiP i'HOHE LICENS[ • <br />VWtil01NGCONTR4ClOf1 MNL�DORL55 fli� 16' P110NE UC[NSE• <br />CL�55OF WONN <br />❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ UEMOLITION ❑ BUILDING RELOCATION <br />VPWRl10N OF WORK <br />s S %�Q.Q� <br />�ESCRIBE WURN <br />Build extension on existing porch. <br />❑ ELECTRICITY ❑ GAS ❑ WOOOSTOVE ❑ OTHER <br />iaundry room and storage. <br />LFGRL �ESCPIPiION Of PROFERTY �SHOW OELOW Cfi ATiACH FOUR f,OVIL51 <br />ior �l owcK 5 �r Beverly Park _ <br />JOB ROD'IE55 <br />8204 Heverly IIlvd. <br />PLUMBtNG <br />TYPE OF FIXTURE <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORV �WASH DASIN� <br />SHOWER <br />KITCH@N SINN 8 DIF' <br />DISHWASHER <br />1 AIINDRY iRAY <br />UFINAL <br />DHINKING iOUNTAIN <br />SINK <br />20' <br />USE'tONE <br />R-1 <br />TYPE O! GONSi <br />V—N <br />Si2E OF OLOG <br />96 <br />FIRE SPRINKLERS R <br />qPPLILRiIONIf,C OY <br />M. A1. <br />PREVENTER� <br />IS - RAINLEnDEPS <br />CE - DAR. ETC � <br />SUBTOTAL <br />PEflMIT <br />TOTRL FEE <br />Rk/R 5[iO4CN <br />20' <br />lOt AREA <br />13,500 <br />OLCUPANCVGROUP <br />R-3 <br />NO Of S10RI[5 <br />1 <br />i ❑ YES Q NO <br />f'LhNS b�ECNEO f1Y <br />B.E. <br />FEE <br />6' <br />f 9tE <br />[�Fr+n <br />[IWELUNG UNILS <br />1 <br />CC ioao <br />N/A <br />fOqI55UINCCbv <br />B.E. <br />I HEREBV CERTIFY THAT I HAVE READ ANC EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND Ofl�INANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES fJOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAVJ REGUL7ITING CONSTRL'7TIOM OR <br />THE PERF RMANC F CO T UCTION. <br />XGNAtIUi[ �N��AC � Uf110Ri GENT.01jAWNER �AT{*�� <br />✓�«� / <br />NO. TYPE OF EOUIPMENT <br />NC - A-HNDLG UNIT$ - H P <br />REFRIGERATION UNITS - H P EA <br />BOIL[RS-BTU�HP _ <br />GASFIREDAC UNITS-OTU <br />FORCEDAIRSYSTEMS-�TU MEA <br />WALLHEATERS-BTU M <br />UNIT MEATERS - B T U M <br />EVAPORATIVE COOLEf 5 <br />CLOiHESORVLRS <br />V�NTILAiION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOO�STOVE <br />METAL fI�EPLACE 6 CHIMNEY <br />FIREPLACEINSERi <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUfl TOT11L <br />PERMIT <br />PLAHCHECKNUM�EH Ftt noi.urin� <br />88/19432 Z2.35 95210 <br />�UILDING S <br />PLUTAOING <br />MECtiANICAI <br />I�lVES71GnT!ON FEE <br />STATE FIUILDING SURCHARGE <br />STAiEENEFGVSURCHARGE <br />DRIVEWAY PEfiM1T <br />TOTAL <br />Sec JOd�el <br />FEE <br />WHEN 1'ROP[RLY VALIDATEU IIN Tlil$ SPACE) TMIS IS VOUR PERMIT <br />� � �1�::� . � <br />19 <br />� <br />� <br />