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u� r,ti,p,g„�,� <br />CITY OF <br />everett <br />259-8745 <br />,�. <br />':ONSTRUCTIOI�t- <br />PERMIT <br />PERMIT NQ: : � � I � `� <br />O DEMOLITION ❑ COMBINATION �} BUILDING ❑ MECHANICAL ❑ PLUMBING O 816N <br />ONNER �A��l�OM1E5^v Lilv IIP PMONE <br />A1 Johnston 6023 Beech Street Everett 90203 353-7943 <br />•PCNITELT OR OES�GNER MM� �UORE55 GTY E�P PHONE <br />]ENER�LGONTRALTOR M�LL�DORESS C�iv [IP PHONE LiCENSE� <br />IA'CNANIC�L CONTRACiOfi MML �DDRE55 CITY ZiP PMONE IIf.ENSE � <br />IiUM91NOCONTN�CTOR MML�C�RESS Ciiv ZiP PHONE L�CENSE♦ <br />C'.LASS OF WORX <br />❑ NEW ❑ ADDITION �j ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIHQ RELOCATION <br />W LU�TION OF VI0f1N <br />f 5��. �� <br />OESCRiBE WORM <br />Put sider� & doors on carport add 3'x 10' laundry <br />WiQ SOURCE <br />❑ ELECTRICITY O 6A8 ❑ WOODBTOVE ❑ OTHER <br />ior 6 ei.acK 1 <br />anu <br />PLUMBINO <br />NO. TYPE UF FtXTUHE C <br />WATER CLOSET �iOILET� <br />OAi11TU0 <br />LAVATORY (N ASH BASIN) <br />SMOWFR <br />KITCMEN SINK 6 DISP. <br />OISMWASMER <br />LAUNDRY TRAY <br />LLOTHES WASHER <br />URINAL <br />DRINKING FOl1NTA1N <br />FLOOR DRAIN <br />BACKFLOW PREVENTEFS <br />ROOF �PAINS — RAINLEADERS <br />SINK �SERVICE — P'.R, ETC I <br />20' <br />6EZONE <br />R-2 <br />VPE Of CONST <br />V-N <br />i2E Of BIDG <br />Add-30 S.F. <br />1RE SPPINKLERS R <br />iPPIIG�TION �CC BY <br />S.G. <br />�cN roua coi <br />Terrace <br />BUBTOTAL S <br />PEPMIT i <br />TOTALFEE i <br />20' <br />tOIPRE� <br />7700 S.F. <br />OCCUP�NCYGROUP <br />R-3 <br />NO 04 StORIES <br />1 <br />I ❑ YES ❑ NO <br />PL�NS CMECMf Il f1Y <br />FEE <br />5' <br />VALr1Ni SRC <br />❑res k1No <br />NO Of DWELLMG UNrt.� <br />1 <br />M�x occ iwn <br />ipfl ItiSOANCE NV <br />L. C <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORHECT. 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 AUTHOFITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />ST:.7£ OR LOCAL LAW GUL ING CONSTRUCTION OR <br />THE PEAF///OR NCE C ST CT N. /// <br />SIGN� �O'C�ACT .• i110 12EA' T. OWNER � p��� <br />X � / <br />A�C — A�HNDLG UNITS — H P <br />REFPIGERATION UNITS — M P EA <br />BOILERS — B T U/H P <br />GASFIREDAC UNiTS—BTU <br />FORCED AIF SVSTEMS -- FI i U <br />WALL MEATERS — B T U <br />UNIT IIEATERS — B T U <br />EVAPORATIVE COOLERS <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEH HEATEfl � <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIflEPLACEINSERT <br />HEAT Pl1MP <br />GAS PIPING <br />ExHAUSTFAN <br />M EA <br />M <br />M1: <br />BUB 10T�L <br />PENMIT <br />TOiALFEE <br />PLANCNECN NUMBER FEE <br />86/17185 9.75 <br />FEES VALUAT <br />OWLDING asoo.o <br />PLUMBING <br />MECHANICAI fl9/i/✓AE <br />INVESiIGATIONFEE <br />STATE BUILDING SURCHARG <br />STATEENEHGVSURCNARGE <br />DRIVEWAY PERMIT <br />� <br />NO <br />111' i � <br />TOTAL � � <br />PERMIT VALID�TION <br />WHEN PROPE�LY VALIDATCD IIN THIS SPACE) TNIS IS YOUq i'ERMIT <br />