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fhe Euergrcen <br />CITY OF <br />everett <br />259-8745 <br />CONSTRUCTION <br />PERMIT <br />PERMIT NQ: _ � � � J J <br />❑ DEMOLITION ❑ COMBINATION �1 BUILDING ❑ MECHANICAL 'L7 PLUMBING ❑ SIGN <br />OWNER MNILADpqE55 CITY ZIP PHONE , <br />Connie Fisher 226 S.W. Everett Mall Way Sp.9 EUerett, WA 9820�1 347-5386 <br />AflCHITECTOROESIGNER AIAILADpflE55 GITY ZIP PNONE <br />GENERALCONTflqCTON M1IAILA�DRESS LITY ZIP PMONE LICENSER <br />Owner <br />MECHANICILCONTRAGTOR MAILA�DRESS CITY ZIP PHONE LICENSE/ <br />PCUMBINGCONTHACTOR MAILAODRESS CITY ZIP PMONE LICENSEx <br />GlAS50F WOHK <br />❑ NEW C� ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLSTION ❑ BUILDING HELOCATION <br />VFLUATION OF WORR <br />S 795.00 <br />lixXg( Playroom addition to mobile home. � <br />HEATSOURGE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT 9 BLOCN _ <br />JO�AO�RESS <br />PLUMBING <br />residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />SHOW�ELOWORATfACNfOUFCOPIESI COARECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Olivia b]obile Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIF�''� HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES Nt,� PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REIiULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNANFE OF CONTpACTON. AUTHORIZED AGENT, OR OWkER DATE <br />rs� i l w�., s., a X(� � .,.. -`�' P Q n, I"�-� —��-� rl <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEA�E <br />SINK (SEPVICE — BAR. ETC.) <br />TYPEOFCONST. <br />V-N <br />512E Oi BLDG. <br />222 <br />S.H. <br />OR <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />R-3 <br />NO.OF STOflIES <br />1 <br />❑ YES � NO <br />PLANS CHECKED pY <br />B.E. <br />5 <br />S <br />S <br />CANT SITE <br />VES QJNO <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.UJH.P. <br />GAS FIRED A.C. UNI7S — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPOflATIVE COOLEf75 <br />CLO7HES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODS70VE <br />METAL FIREPLACE H CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />� <br />MA%. OCC. LOAD <br />N/A <br />APPR.FORISSUnNCE DY <br />L.C. <br />N CHECK NUMBER <br />87/19199 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />SUB TOTAL <br />PEPMIT <br />TOTAL FEE <br />FEE <br />13.65 <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />5 795.00 <br />Sec.304(c) <br />FEE <br />RECEIPT NO. <br />93789 <br />TOTAL I I <br />PEHMIT VALIDATION <br />WHEN PROPERLV VALIDATEO (IN THIS SPACE) THIS IS YOUR PERMIT <br />A[iDRESS FILE <br />50 <br />50 <br />