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"�EV�Y� � C�'IVST�UCTION �� � <br />everett PERMIT PERMIT NQ:- �� � � � <br />259-8745 <br />L�'DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ IWECHANICAL ❑ PLl!MBING ❑ SIGN <br />OWNER MAIIADDFE55 CITY TIP PMONE <br />Weaver Development 11525 19th ave. SE Everett 98205 337-1066 <br />PRCMITECTOROESIGNEfl MAILAOORE55 CITY ZIP PMONi <br />GENERPL CONTPAGTOR MnIL AODRE55 QiY ZIP PMONE LICENSE • <br />Owner <br />MECMnNIG/LCONTRAGTOR M/ILApORE55 CiTY ZIP PNONE UCENSE� <br />PIUMBINGCONTqFCiOR I.IAILA�pRESS GITY 21P PHONE IICENSE� <br />C1A550f WORN <br />❑ NEW ❑ ADDITION <br />VAWATION OF WORN <br />$ <br />UESCRIBE WORK <br />�emolish House <br />❑ ALTERATION ❑ HEPAIR <br />❑ ELECTRICfTY ❑ GAS O WOODSTOVE <br />'ROPOSED USE OF BUILOING <br />SFR <br />EGAL OESCRIPTION OF PROPf RTv ISHOV <br />LOi 13—'DLOCK 11 O(� <br />MIX�I�d <br />conooaess <br />4025 Hoyt Ave. <br />PLUMBING <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATOPV�V•.- 'ASIN) <br />SHOWER <br />KITCHEN SINK & UISP. <br />DISIIWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS -- RAINLEa <br />SINK �SERVICE — BAR, ET <br />TYPE OF CONST <br />5¢[ OF OLDG <br />4BPLICATIONACC �Y <br />S.H. <br />ELOW OR PTTACY FOUR CO <br />Sontlt Park Add <br />OR <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLANS 0�6K[O !1V <br />C� DEMOLITIOY <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTiFY THAT I HAVE READ AND EXAMIN�D THIS <br />APPLICATICN AND KYOW THE :,A!NE TO BE TFUE AND <br />CORRECT. ALL PROVI510NS OF LAWS AND ORDINANCES <br />GOVERNING THIS i'rr'E OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN O(i NOT. THE GR.4NTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STP,TE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THEPERFORMANCE OFCONSTRUCTION. <br />�5� � CONTRACT�OR. fIITMOq12C0 AGENT, OP OWNER LATE/ (� <br />/`. ,�s�I/1/ I�CdT �ll ���—'{i!� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A. J— A�HNDLG UNITS — H P. <br />REFFIGEflATION UNITS — HP. EA. <br />BOILERS — BS.0 /H.P. <br />GAS FIRED A C. UNITS — BSL. <br />FORCED AIR S13TEM5 — B T.0 M EA. <br />WALLHEATEPS—BS.U. M <br />11NITHEP7EF5—B.TJJ. M <br />EVAPORATIVE COOLERS <br />CLOTHES DHYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER IiEATEF � <br />WOODSTOV` <br />METAL FIREPLACE 8 CNIM4EV <br />FIRE�LACE INSERT <br />HEAT PUMV <br />GAS PIPING <br />EXHAUSTFAN ��p�G/pp <br />� <br />5 <br />5 <br />SIOE SETBACN <br />VACRNT SITE <br />❑YES LNO <br />NO OF OWEILiNG UNITS <br />MAX OCC LOAO <br />APPB FOR ISSUANCE Ov <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />FEE <br />sue rp,iAh��� � � <br />PERM � <br />TOTA � � S <br />i'EE��E� 1�E661PTN0. <br />SG � .711 <br />CNECt: 6.00 <br />VALUATION FE'�. <br />S <br />INVESTIGA710N FEE <br />STATE BUILDING SURCHARG <br />STATE ENERGY SURClIARGE <br />DR�VEWAY PERMIT <br />Sec.304�e) <br />TOTAL I � 3 <br />PEPMIT VALIDATION <br />WHEN PpOPERLV VAIIDATE� (M TMIS SNACE) THIS IS YOUR PCRMIT <br />� <br />