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`�� ' C�' NSTRUCTION <br />everett PERMIT PERMITNO. 20564 <br />259-8745 <br />❑ DEMOLITION COMBINATION ❑ BUILDING ❑ iAECHANICAL ❑ PLUMBING O SIGN <br />OWNFN MNL�p�RE55 GILY LIP PMONE <br />Thomae E Troy 8214 Beverly Blvd Everett, WA 98203 353-1306 <br />AFCNITEGT OR DESIGNEO MML �0�I1E55 CIT� ZiP PMONE <br />GENER�LCONTRACTOR M�IL�DORESS GiTv 21P PNONE LiCENSE� <br />Owner <br />MELH�NICAICONiRALTOR MAI�DORE55 CITY IIP PNONE LICENSE• <br />PLUMBIN6CUNTR�CTOR MMI��DRE55 CITV 21P PMONE LICENSE� <br />❑ NEW ❑ A�DITION <br />ULWTION OL WONN <br />{ <br />)ESCHIBE WOPN <br />Tear down ahed <br />IEATSOURCE <br />❑ ELECTRICITY ❑ GAS <br />'Ii0PO5ED USE OF Bllil0lNG <br />'jb01 6hP,�. <br />.E��L OESCPIPTION OF PPOPEPTV �SMOW BEIOW <br />LOT __ BLOCN _ OF <br />100 ADDf1E55 <br />8214 Baverly Blvd. <br />PLUMBING <br />Np, TYPE OF FIXTURE OR I <br />WATER CLOSET (iOILET) <br />9ATHTUB <br />LAVATOIIY IWASH BASIN� <br />SHOWER <br />KITCHEN SINK 6 OISP. <br />OISHWASHER <br />LAUN�RVTRAY <br />C�OTMES WASHER <br />UflINAL <br />DPINNINO FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />NOOF DRAINS — t7A�NLEADENS <br />SINN (SERVICE — BAR. El C � <br />SUBTOTAL <br />USE ZONE <br />TYPE OF CONST. <br />SREOFBLDG <br />fIRE SPRINNLE <br />APPIIWT10N AC <br />M.M. <br />AFEA <br />ov'v:ORIES <br />❑ ALTERAT�ON <br />❑ FEPAIR fc7 DEMOLITION <br />❑ WOODSTOVE <br />VACANT SITE <br />❑ YES ❑ NO <br />occ iono <br />PL�NSLHECItEOBY � �PPR fOR155UANLE <br />❑ OTMER <br />❑ BIIILDINO HELOCATION <br />I HEREBY CERTIFY THAT I HAV� 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 SPECIFIEO HEREIN OR NOT THE GRANTING OF A <br />PERMIT DOES NO! PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEfl <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />5icuntuRE Of CONTRRCTOR. RUTHON2ED RGENT. OR OWNER OATE <br />X '/� i <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/MNOLG UNITS — H P. <br />REPRIGERATION UNITS — H P. EA. <br />601LERS — 8 TLIH P. <br />GA$ FIflED A�C. UNITS— B.T.U. <br />FORCED AIP SYSTEMS — BS.U. M EA. <br />WALL HEAiERS — B.T.U. M <br />UNIT MEATERS — BSL. M <br />EVAPORATIVE COOLERS <br />CLOTMESORYERS <br />VENTILATION FAN _�_ <br />P,ANGE MGOD <br />WATER HEATER <br />W O00 STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEATPUMP <br />E%MAUSTFAN <br />SUBTOTAL <br />PEqMIT <br />TOTALFEE <br />PLANCHECKNUMBEH FEE <br />FEES �A�� <br />BUILDING S —0— <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURGHARG <br />STATE ENERGV SUFiCHARGE <br />ORIVEWAY PERMIT <br />Sec. "�14(e) <br />II111 . <br />TOTAL I �y�q( sj.SQ _ <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIOATED (IN THIS SPALE) THI515 VOUR PERMIT <br />AUD�i�6S fl!.f <br />3150 <br />