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the Eucrgrcen <br />CITY CF <br />everett <br />259-8745 <br />� C"1NSTRUCTI0�1 <br />PERMIT <br />PERMITNO. 2� 6� � <br />❑ DEMOLITION � COMBINATION �21 BU�LDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />CWNER I.IAILRDpHE55 CILV 21P PIIONE <br />John Beck 5105 Colhy Everett, WA 98203 252-6027 <br />RRCIIITECL OR �ESIGNER MAiL RD�PE55 CrtY I�P MONE <br />GENERRICONTP�GtOR MniLApDPE55 CrtY ZiV PMONE LICENSE• <br />Owner <br />MECMaNICRLCONifiACTOR MRIL!' .5 CITV ZIP PMONE IICENSE• <br />FLUMPINGLONTR�CiOR AIRiLA0pRE55 CiTY ZiP PHONE UCEN3E� <br />CUSS Of WORK <br />❑ NEW ❑ ADO�TIOtd � ALTERATION O RF.PAIR <br />VRIUAT10NOF WORN <br />$00.00 <br />DESCRIBE WORN <br />Finish bathroom: plumbing and finiah existinq wall <br />HEAi SOUFLE <br />❑ ELECiHICITV ❑ GAS ❑ WOODSTOVE <br />Single family residence <br />LEOAI. OESCRIPTI]N OF PROFEHTY �SHOW OEIO W OR nTTACM �OUR COViE51 <br />Lot 18 I.ess N 160 ft and less S GO ft, and <br />�ot _ oiocn __ ov <br />less WD 617/122 to City of Everett, Pecke Hay <br />JOBA�DRE55 <br />6327 Beverly Lane <br />PLUMBING <br />TVPE OF FIXTURE OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTUB <br />LAVATORY�WASH BASIN� <br />SMOWER <br />HITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTIIES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />iLOOR �RAIN <br />dACKFLOW PREVENTERS <br />pOOF OFAINS — RAINLEADERS <br />SINK (SERVICE — BAP. ETC.� <br />TYPE Of CONST <br />SIZE OL pLDG <br />ncc or <br />M.M. <br />SUU TOTAL <br />PEqM1T <br />TOTALFEE <br />REAR SEiOACN <br />LOi ARErI <br />OCCUPANCYGPOUP <br />NU Of STOfUES <br />) ❑ YES � ND <br />ruNs c��F[KEo m <br />O DEMOLITION <br />❑ OTHEH <br />❑ BUILOING RELOCATION <br />I HEFiEBY 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 ORDINANCCS <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GFANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVIS!ONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNAtURE OF GONTRACidR RUTHO'jBF�D AiENT, OR OWNER DRTE <br />FEE NO. TYPE OF EOUIPMENT <br />S OO A� C— A/HNDLG UNITS — N P. <br />S OO FEFRIGERATIONUNITS—HP EA <br />BOILERS—OTUMP. <br />GASFIPEDAC UNITS—OSU <br />FORCED hIR SYSTEMS — B TL. M EA <br />WALLHEATERS—BTU M <br />UNITHEATERS--OTU M <br />EVAPORATIVE COOLERS <br />C�OTNESDRVEPS <br />VENTILATI7N FAN <br />RANGE HO�JO <br />WATEFi NE4TER <br />WOODSTOVc <br />NETAL fIREPLACE 3 CHIMNEV <br />FIREPLACEINSEHT <br />MEAT PUMP <br />GAS PIPING <br />E%HAUST F.4N <br />S 10 00 <br />f <br />f 1G 00 <br />Si�E SET�ACK <br />VACANi SITF. <br />❑vE5 ❑NO <br />NO Of pNELLING UNITS <br />Mn% OCG l0/� <br />nrrn ron issunNce nr <br />SUBTOTRL 5 <br />PENMIT <br />TOTRLFEE 3 <br />PLAN CMECK NUMOER FEE RECEIPT NO. <br />^� <br />FEES VALU TION• FEE <br />BUILDING �(��.b� 2 �� <br />PLUMOING 1 OO <br />MECHANICAL e SF:CH .SO <br />INVESTIGA710N FEE <br />STATE OUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEIYAV PEPMIT <br />TOTAL <br />WNEN PROPERLY VALIOATEO (IN THIS SPACE) THIS IS YOUR PEFMIT <br />3 <br />50 <br />