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u�� <br />arv oF <br />ev�rett <br />259-8745 <br />� �'7NSTRUCTION � - - C <br />PERMIT PERMITNQ:: � "�OT. <br />❑ DEMOLITIJN �I COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MRILpDDRE55 CITY ZIP PHONE <br />MR A;JD MRS DUANE BLY 5019 - 27th Ave W Everett WA 98203 353-1977 <br />ARCHRECTORLESIGHER MAILADDNE55 CITY 21P PHONE <br />GENERALWNiRRC1UR M41LAD�RESS CITY ZIP PHONE LICENSE� <br />GOLDEN T CONSTRUCTION PO BOX 1425 LYNNWOOD WA 98036 778-1102 �OLDETC176DK <br />MECHANICRLCONTI1RGtOR MAILADDRESS dTY ZIP PIiONE LICENSE� <br />PLUMBINGCONTRACTOR MAILAODIiE55 CITY ZIP PHONE LIGENSE• <br />W NEW ❑ ADD�TION ❑ ALTEFlATION ❑ pEPA�R ❑ 6EMOLITION ❑ BUILDING RELOCATION <br />VALWTION Oi WOPN <br />s 96,500. <br />New single family residence <br />HEATSOURCE <br />❑ EIECTRICITY � GAS ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />LEGRL DESCRIPTION OF PNOPERTY �SMOW BELOW OR ATTACM FOUR COPIF.S� <br />LOT 1.L BLOCI( <br />5110 Dover <br />PLUMBING <br />NO. TYPE OF F�%TURE Oi11TEK <br />WATER CLOSET (TOILET) <br />BATH7U8 <br />LAVATORV(WASHBASIN) <br />2 �!IOWER <br />� NITCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETI:.) <br />TYPE OF CONST <br />B/ <br />mm <br />SUBTOTAL <br />PEHMIT <br />TO7ALFEE <br />OCCUPANCVGROUP <br />sg/jef <br />FEE <br />S <br />S 60.00 <br />iI�E SETBr1CN <br />�yi <br />IaLnN � SITE <br />�7YE5 ❑NO <br />r� <br />JO OF DWEIIING I1NIf5 <br />1 <br />anz occ. iono <br />_____j� <br />� �I <br />[JI <br />APPR ia[i ISSUAN Y <br />1��� � <br />I HEREBY CERTIFY THAT I HAVE aEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO B� TRUE P.ND <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 />STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNFI4]RE OF CONTRAGTOBIMBT�ORI: E� AGENT, OR OWNER DAiE <br />MECHANICAL <br />NO. TVPE OF EQUIPMENT <br />A/C - A/HN�LG UNITS - H.P. <br />REFRIGERATION UNITS - M.P. EA. <br />BOILERS - 8 T.0 /H.P <br />GAS FIRED A�C. UNITS - 9.T.U. <br />� FORCED AIR SYSTEMS - B.T.U. M EA. <br />WALL HEATERS - B T.U. M <br />UNITHEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />� CLOTHES DfiVERS <br />� VENTILATION FAN <br />RANGEHOOD <br />� WATER HEATER • <br />WO00 STOVE <br />MEl'AL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />�' HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />PLAN CHECK NUMBER Fi' <br />86/16707 '�06.90 <br />RECEIPT NO. <br />80488 <br />FEES VALUATION FEE <br />BUILDING 5 5 <br />PLUMBING 60.00 )�X <br />MECHANICAL � <br />�S� T s Set.3041e) <br />l� CH�'iE � <br />ST E�NERGYSUR6HAHBE �5 <br />i]RIVFIVAY_PEAI�T � ZO <br />PEIIMTVALIUPTION <br />WFIEN PROPERLV VALIDAT� (IN THIS SPACE) THI515 VOUR PERMIT <br />� <br />�O <br />� <br />..�.i�'f:�ti �!I C <br />