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�Eu� �'7NSTRUCTIOIN - <br />CITY OF <br />everett pERMIT PERMITNQ:- 17��� <br />259-8745 • <br />� DEMOLITION ❑ COMEINATION '�] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNEP MAIIApDRE55 CITY 21P PHONE <br />BRUNO PADTII_A 3528 Inmhard Fvarat+ �❑ qR901 57 [I4qd <br />ARCHITECiOH�ES�GNER M�ILAO�RESS CITV ZIP PMONE <br />GENERFLCONTRACTOR MAILADORESS �ITY ZIP PHONE LICENSE• <br />SamP <br />MECMANICAL COn �� ATOR M�IL AODFE55 pTY ZIP PHONE LICENSE r <br />PLUMBING LONTqACTON MAIL AD�RE55 CItY ZIP PMONE LICENSE � <br />GL15S OF WORK - <br />D�NEW ❑ ADDITION ❑ pLTEHATION ❑ pEPA1R <br />VFLUATION OF WORN <br />s 2500.G0 <br />OESCRIBE WORK <br />Construct new garage/demolish existing <br />H[ATSOURCE <br />❑ ELECTRICITV � GAS ❑ WOODSTOVE <br />PPOPOSEO USE OF B111L01NE <br />Garage <br />IEGAI UESCRiPTION OF PqOPERTY �SMOW BELOW OF <br />19,20 35 Lombard <br />LOT _ BLOCK _ OF <br />JOD ADDRE:iS <br />'3528 Lombard <br />PLUMBING <br />0 <br />R-3 <br />V-N <br />TYPE OF FI%TVRE C <br />WATER CLOSET (TOILEf) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />HITCMEN SINK 8 DISP. <br />UISHWASHER <br />LAUNDRV'fRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />flOOF �RAINS — qAIIJLEADERd <br />SINK (SERVICE — BAR, ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />PJ <br />SIZE OF BLOG NO OF 5 <br />357 sf 1 <br />FIRE SPRINKLERS REOUIRED ❑ VE <br />APPLICATIONACC pY V�ANSC <br />mm sg <br />� DEMOLITION <br />❑ CTHER <br />❑ BUIL[i111G REIOCATION <br />I HEREBY CERTtFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORNECT. ALL PROVISIONS OF LAWS AND URDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br />WHETHER SPEC�FIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE GR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />TIiE PERFORMANCE OF CUNSTRUCTIO�J. <br />'IGNATURE OF CONTRqCTOR. �yU,T�IIORIZnEO AGENT. OR OWNER /� pATEp.��.,/.y�- <br />X�� 0 .PO /Yl�..f�. �' %LO/M,T, "*"'�e' <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT FEE <br />A/C — A/HNDLG UNIT$ — HP. <br />REFFIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GAS FIRED A�C. UNITS — B.T.U. <br />FORCED AIR SYSTEhIS — B r,U. M EA. <br />WALL HEATERS — 9.T.U. M <br />UNIT HEATERS — BS.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL PIflEPLAGE 8 CHIMNEV <br />FIREPLAf.EINSERT <br />HEATPUMP <br />GAS PI�ING <br />EXH4USTFAN <br />sioe scroncn <br />VACANT SITE <br />❑YES �NO <br />)lIP kO.OFOWELUNGUhITS <br />0 <br />MA% OCC LOAO <br />O <br />�Y APP{i FOP ISSUANCE OY <br />lc <br />SUBTOTAL <br />PERMIT <br />TCTALFEE <br />PLAN CHECK NUM9ER <br />86/17021 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />I N VES �IGATION FEE <br />STA7E BUILDING SURCHARG <br />STA7EENERGVSUFCHARGE <br />DRIVEWAY � ERMIT <br />TOTAL <br />'EE RECEIPTNO. <br />35.10 80234 <br />VALUATION FEE <br />� 5�0.00 54 00 <br />09/�e/���� 3: <br />�� <br />�—_'.. <br />OOORH180-z :tYik <br />1 50 <br />WHEN ; NOPERLV VALIDATED ;IN THIS SPACE) THIS IS VOUR PERMIT <br />/lC`�ri1F;S ��I � <br />5� i o0 <br />