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the EuoSreen <br />CITY OF <br />ever�tt <br />259-8745 <br />`�' CT'NSTRUCTION <br />PERMIT <br />� <br />PERMIT NO. �� 4 5� <br />❑ DEMOLITION � COMBINATION Gcl BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MRILAOORESS CITY ZIP PMONE <br />Mr. & Mrs. Dewespeleare 5824 Lowell Rd. Everett- WA 98203 355-2594 <br />ARCHITECIOR�ESIGNER MAILPDDRESS CITV 21P PHONE <br />GENERALWNTRACTOR MAILADOPESS CITY IiP PMONE 4CENSEM <br />Johnco Inc. 1102 Ave. B Snohomish, WA 98270 568-3972 JOHNCI*131L9 <br />MECNANIClLCONTP/CTOR MAILADORE55 CITY ZIP PMONE LICENSEM <br />PWIABINGCONTRAGTOR MAILADDPE55 CITY ZIP PHONE UCENSE� <br />:LASS OF WORK <br />❑ NEW �1 ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />5 13,100.00 <br />DESCRIBE WORK <br />Add 8'x18' addition and replace fixtures in bathroom. <br />HEATSOURCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Residential <br />EGAL DESCRiPTION OF PROPERTV �SMOW BELOW OR ATTACH FOUR COPIE <br />�or 6 eioci< 4 oF iauxel Heights Add. <br />oenooaEss <br />5824 Inwell Rd. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILI <br />BATHTUB <br />LAVATORV(WASHBA'. <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�RYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />9ACKFLOW PRE�'ENTI <br />ROOF �RAINS — RAIN <br />SINK ISERVICL — BAR <br />I HEREBY CERTIFY THAT I HAVE RFAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 'i0 BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETF-iER SPECIFIED HEREIN OR NOT. THE GRANTIPJG OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTIiORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY CITHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANC OF CONS UC ION. <br />SICNA�A� OF COF/fRPCT . AI�TH aZEO ,cNt R OWNER q DATE(� <br />X \I\ NL °l� I' 6 � <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.U./H P. <br />GAS FIRED A�Q UNITS — B.T.0 <br />FORCED AIR SVSTFMS — B.T.U. M EA. <br />V/ALL HEATERS — B T.U. M <br />�iuITHEATERS—B.T.U. M <br />EVAPOFlATIVECOOLERS <br />CLOTHESDFYERS <br />VEIJTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE G CHIMNEY <br />FIREPIACE INSEP,T <br />HEAT PUMP <br />GAS PIPING <br />I E%HAUSTFAN <br />SUBTOTAL S <br />PEPMIT S <br />TOTALFEE S <br />�ETBFCK REFRSET�ACK SI�ESETDACK <br />p� 20' 6' <br />IE ��TAREA VACANTSITE <br />❑ YES �O <br />CONST. OCCUPANGVGPOUP NO.OFDWELLING <br />R-3 1 <br />OLDG. NO OF StORIES MR%.00C. LOAD <br />4' 1 N A <br />>RINKI.ERS REOUIRED ❑ VES �[NO <br />iTICNACG.OY VLANSCMECKEOOY APPR_FOR�SSUA <br />S.H. B.E. B.E. <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />N CNECK NUMBER FEE AECEIPT NO. <br />88/19454 99.45 95230 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />Soc. 304(C) <br />TOTAL � I <br />PEPMIT VALI�ATION <br />WHEN PROPEflLY VALIDATED (IN THIS SPACE) THIS IS VOUR PERMIT <br />nn��Eso��i« <br />156150 <br />