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u,e Fuergreen <br />CITV OF <br />everett <br />259-8745 <br />c� C�4NSTRUCTION � �° . <br />PERMIT PERMITNQ::_16839 <br />❑ DEMOLITION ❑ COMBIMATION [� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIIADDPE55 CI1Y 21P PNONE <br />Myron Bakko 5829 Beverly Lane Everett 98203 353-3430 <br />ANCNITECT OR DESIGNER MA'L AD�BE55 CITV ZIP MIONE <br />Owner <br />MECHANiCM CONTRRLTOR <br />CONTRACTOR <br />MAiL ADURE55 <br />i.rm��a»xxy <br />MAIL ROORESS <br />CiiY Z" PHONE UGENSE� <br />cn�� <br />CITY <br />ZiP PHCNE LIGENSE � <br />21P PMONE UCEHSE � <br />� NEW O ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION � BUILDING RELOCATION <br />VFWAtIONOF WOf1N <br />s 6000.00 <br />DESCRiBE WORK <br />Build shop <br />MEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />PROPOSED USE OF BUILDING <br />SIIOP I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO THIS <br />IOT._ BLOCN _ OF_ <br />attached <br />J09RUDFE55 <br />5829 Beverly Lane <br />PLUMB�NG <br />WATER CLCSET (TOILET) <br />BATHTUB <br />LAVAMRY (WASM BASIN) <br />SHOWER <br />KITCHEN SINK 8 OISF. <br />OISHWASHER <br />LAUNDHYTRAY <br />CLOTHESWASHER <br />URINAL <br />DRINNING FOUNTAIIJ <br />FLOOR �RAIN <br />BACKFLOW PREVENTERS <br />ROOF �RAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.� <br />R-2 <br />TVPE OF CONST <br />V-N <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />OCCbPBN1. Y GPOUP <br />M <br />SiZE OFfi24 I ao ovl ronies <br />M.M. <br />APPLICATION AND KNOW THE oAME TO BE TRUE AND <br />CORHECT. ALL PROVISIONS OF LAWS AND ORDIN4NCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTiNG OF A <br />PERMIT DOES NOT PRESUME TO GiVE AUTHORi"iY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAN REGULATINCa CQNSTRUCTION Ofi <br />THE PEFFORMANCE OF CONSTRUCTION. <br />SIGNnTUREOFCONTRALtOR.AUTI�GENI.OROWNEP DRTE <br />X ij <br />FEE <br />A/C — A/HNOLG UNITS — HP. <br />REFHIGERATION UNITS —MP. EA. <br />BOILER9 — 8 T.0 MP. <br />GAS FIRED A�C. UNITS — BSL. <br />FORCED AIP SYSTEMS — BS.0 M EA. <br />WALL HEATERS — B.TL. M <br />UNITHEATERS—BT.U. fA <br />EVAPORATIVE COOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />PANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHiMNEY <br />FIREPLACEINSERT <br />HEAiPUMP <br />GAS PIPING <br />EXFIAUST FAN <br />� <br />S <br />f <br />SioE sEionCK Pi aN CHECK N <br />V�LANi SITE FE <br />❑YES UNO <br />N� OF DWELLING 11NITS BUILDING <br />� P�unneir�c <br />unx occ �ono <br />MECHANICAL <br />vo�a issunr�ce or <br />B.E. I L.C. <br />6UBTOTAL <br />PENMIT <br />TOTALFEE <br />/^c7/87 4:1SIPM O:�AH3B27 <br />E <br />INVES7IGATIOI.FEE I �c.;104�e) <br />S7A7E BL9LDING SURCHAPG <br />STATEENCRGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEfIMIT VALIDATION <br />WHEN PROPERLI' VAl10ATED �IN THIS SPACE� TMIS IS YOUR PERMIT <br />i�.1".( L., . il r <br />P3l�l <br />