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r��,�s.� <br />GTY OF <br />everett <br />259-8745 <br />�` C(�'''VSTRUCTION <br />�EaMIT <br />r� �- <br />PERMI7NQ:_•� �oO� <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHAfVICAL ❑ PLUMBING ❑ SIGN <br />OWNEfi MAILADDflESS CITY ZIP PMONE <br />George E. Winkels 225 Madison Everett, WA 98203 353-1302 <br />ARCHITEGtORDE5IGNER MAIL/DORE55 CITY ZIP PMONE <br />GENERALGONTRACTOR MAILADDRE55 CITY ZIP PMONE LICENSE� <br />to be selected <br />MECHRNICALCONTRALTOR MAILAOpPE55 CITV ZIP PHONE LICENSE� <br />PLUMBING f.ONTRPCTOR MRIL / DDRESS CITY 21P PHONE USENSE / <br />L] NEW v^ ❑ ADOITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALURTION OF WORN <br />S 6,000 <br />D[SCRIBE WORK <br />construct garage � <br />❑ ELECTRICITY ❑ GAS ❑ WOO�STOVE ❑ OTHER <br />and <br />lpT 3 BLOCK _ <br />225 Madison <br />PLUMBIMG <br />NO.�— TYPE OF FIXTURE OR <br />WATER CLOSET (YOILET� <br />BATHTUB <br />LAVATORV�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAI. <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEA�ERS <br />SINK (SERVICE —BAR, ETQ) <br />20' <br />USEZONE <br />R-2 <br />TYPE OF GONST. <br />V—N <br />SIZE OF BLOG. <br />gar 795 <br />FIRE SPRINKLERS RE <br />APPLICATION 4CC. DY <br />M.M. <br />SUBTOTAL <br />PERMIT <br />5' <br />LOT AREA <br />7150 <br />OCCUPFNCYGROI <br />hi-1 <br />NO. OF SIORIES <br />1 <br />Be <br />FEE <br />5� <br />ACANTSRE <br />]ves ClWo <br />10. OF OWEILING l <br />0 <br />nnx.occ.�ono <br />APPR. FOR ISSU�N <br />L.C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. AL� PROVISIONS OF LAWS AND URDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEa SPECIFIEU HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTF'ORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF !,NY OTHE.R <br />STATE OR LOCAL LAW REGULATING CONSTRUGTION OR <br />THE PERFORMANCE QF CONSTRUCTION. <br />$IGNATUREOFCONTRACiOR.AUT-10flIZED/GEI�T�ORUWN[R DATE <br />z sNQ,..�,- r�.`� 7� 1.��� a-� h-� <br />TYPE OF <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H,P. GP.. <br />BOILERS — B i.U./H.P. <br />GAS FIRED A.G UNITS — B.T.U. <br />FOFCED Alil SYSTEMS — �.T.U. <br />WALL MEATERS — B.T.U. <br />UNIT HEATERS — B.T.U. <br />EVHPORATIVE WOLERS <br />(;LOTMES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEP HEA7ER - <br />WOODSTOVE <br />MEiAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP '� � <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN ChEGK NUME <br />87/17803 <br />FEES <br />BUILDING <br />PLU'dBING <br />MECHANICAL <br />M EA. <br />M11 <br />IA <br />SU84'O'PIIY" <br />PEN��— <br />TOTACTEE` <br />FEE <br />52.65 <br />VALUATIO <br />S G,000. <br />INVES7IGATION FEE <br />STATE BUILDWIi SURCHARG'� <br />STA7EENERGYSURCHARGE <br />�RIVEWAY PERMIT <br />ree <br />83599 <br />FEE � � <br />81 00 � <br />��� � �� <br />1 <br />1 SO <br />2� �� <br />TOTAL �INi°s �n-� - ^�m ..'Y�y'L-1`NtS1` <br />PEflM1T VALiDATION <br />WHEN PROPERLV VAUDATEO pN THIS P�CE THIS IS VOUR PERMIT <br />�?... �7 <br />�-- � <br />�.,'.f.'��I'f� <br />C� <br />�� <br />; ODFlESS F!LE i� <br />