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r� �,sp+eoi <br />crrv oF <br />everett <br />259-8745 <br />�^ �°'ONSTRUCTION " '� . nC <br />PERMIT PERMITNQ'-�� �� JJ <br />❑ DEMOLITION I� COMBINATION ❑ BUILDING ❑ MEGHANICAL ❑ PLUMBING ❑ SIpN <br />OMTIER MAIIADDRESS GiY ZIP PIqNE <br />Klaue ICrane 6006 Fleming E�rerett 98203 355-3442 <br />�RCHITECTOPDESIGNEF MAILAODRESS CITY IIP PIIONE <br />GENERAL LONTRACTO� MNIL ADDRESS CITY ZIP PHONEEv� LICENSE • <br />Eberett Builders 5606 Et�ergreen Way Everett 98203 353-�161�*311L3 <br />MECNANIC�LCONTN�CTOR MAIIp�DHE55 CITY 21P PHONE LICENSEI <br />PLUMBINGCANTAACTOR MRILADDPESS CITV ZIP PHONE LICENSEI <br />C1A550F WORK <br />❑ NEW C� ADDITInN L7 ALTENATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINfi RELOCATION <br />s 13,334.00 <br />OESGPIBE WORK <br />16' X 23' 2nd story addition <br />HEATSOURCE <br />O ELECTpIC17Y Cl GAS ❑ WOODSTOVE ❑ OTHEH <br />residence <br />ior 28 e�ocK � oFBeverly Hills Dl <br />JOB PDDRE55 ! <br />PLUMBING <br />1 WATER(:LOSET�TOILET) <br />1 BATHTUB�SYIOWQY' <br />1 LAVATORV�WASHBASIN) <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRA�N <br />P4CKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEA�ERS <br />SWK ISERVICE— 9AR ETC.1 <br />SUBTOTAL <br />PERMIT <br />TYPElOF. CONST. <br />V � Tl <br />Sc,, � S G <br />VACANT SITE <br />❑VES �NO <br />I HEREBY 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 ORDINANCES <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 AUTHORITY TO <br />VIOLATE OR CANCEL THE PROViSiONS OF ANY OTHER <br />STATE OR LOCAL LAW fiEGULATING CONSTRUCTION OR <br />THE PERFOFMANCE OF CONSTRUCTION. <br />SIGN {�OF CONTRA Ty R. AUTMOAIZEO AGENT. OR OWNER OATE <br />X�K.°.'u � t.c?�3�te_ f lc�— 13— s�c, <br />MECHANICAL <br />FEE NO, TYPE OF EOUIPMENT <br />S OO A�C—A/HNDLGUNITS—H.P. <br />S OO REFRIGERATIONUNITS—H.P.EA, <br />S OO BOILERS — B.T.U./H P. <br />GAS FIRED A�C. UNITS — 6.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WA! L HEATERS — B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPOHATIVE f,00LERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />NO OF DWELLING UNITS <br />86/17195 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SU <br />FEE <br />SUBTOTAL <br />PERMIT <br />70TALFEE S <br />FEE RECEIPTNO. <br />99.45 81915 <br />VALUATION FEE <br />§ 13,334.00 153 00 <br />1$ 00 <br />1����9(W?' <br />STATEENERGYSURCHARGF ELDG <br />)R ISSUANCE BY <br />L/ C , DRIVEWAV PERMIT <br />TOTAL CHECI <br />11.1.. . .i� . �I <br />�� <br />IJ - <br />5166.50 <br />PENMI7 VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />aonrt::s ri�E <br />50 <br />