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�`� ^ ('�R!STRUc:TION � � . p <br />everett PERMIT IPERMITNQ:-�v��� <br />❑ DEMOLITION ❑ COMBINATION L� BUILDING ❑ MECHANICAL ❑ PIUMBINO O 816N <br />OMMER MAILADDRE55 CITY 21P pHpryE <br />William E. Clink 2602 Hillside Lane Everett 98203 355-7443 <br />ARCMITECT ON DESiGNER MAIL AODNESS CITV 21P PHONE <br />OENER�LCONTR�CTOR MAIUDDRE55 CITV 21P pHONE LICENSE• <br />Owner <br />MECMANICALCONTHACTOR MAILROORE55 CITY ZIP pHONE UCENSE� <br />PLUMBINGCONTRACiOF MAILqDORE55 CITV 21P PMONE 4CENSE� <br />CLASS OF WOIiK <br />❑ NEW O ADDITION <br />V�LUATION OF WOHK <br />s zoon.00 <br />❑ ALTERATION � REPAIR <br />Consttuct dor+er 8 roof over front entry <br />NE�TSOURGE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />LOT <br />SingleVfamily residence <br />e�ocK � <br />PLUMBING <br />:�]:IYIA.': <br />WATER CLOSET (TOIIET� <br />BATHTUB <br />LAVATORV�WASH BASIN� <br />SNUWER <br />KITCHEN SINK !t DISP <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />FLOOP �RAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS �- RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />25 <br />USE20NE <br />R-S <br />TYFE OF CONST. <br />V-N <br />512E OF BLDG <br />11� <br />FIRE SPRINKLEFS R <br />PPPUCATION NGC OY <br />S.H. <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />REARSETBACft <br />25 <br />LOT FREI <br />22500 <br />OCCUPANCYGROUP <br />R-3 porch <br />NO OF STORIES <br />1 <br />i ❑ YES �1 NO <br />PLANS CMECNEO DY <br />B.E. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TI1E SAME TO BE TRIIE AND <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 T�iE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNApTU�RERF�ONiR/.CTOR.AUTI�Of1i�ZE��/G7ENT.O ONTlEB p IDATE <br />X 1�'��•-i-,-.-. C� KYC-, ��Ar��i �%. <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT <br />A/C — A/MNDLG UNITS — H P. <br />REFRIGERATION UNITS —H P. EA. <br />BOILEFS — B.T.0 /H.P. <br />GAS FIRED AD. UNIiS — O.TL. <br />FORCEDAIRSYSTEMS—B.T.U. M <br />WALLHEATEFS—BT.U. M <br />UNITHEATERS—BT.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESORYERS <br />VENTILATION �AN <br />RANGEHOOD <br />WATEFi HE�TER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />MEAT PU41P <br />GAS PIPING <br />EXHAUSTFAN <br />7.5 <br />VALANT SITE <br />❑ves klr+o <br />NO Of OY:ELL�NG UNITS <br />1 <br />MAX OCC IOAD <br />N/A <br />m��n=a:u.xynaR.�a,c� <br />L.C. <br />PLAN CHECK NUMBER <br />87/18693 <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />29.25 <br />VALUATION <br />FEE <br />PECEIPT NO. <br />BHHRH 90674 <br />FEE <br />BUILDING s 2000.00 4S 00 <br />PLUMBWG _:;l.l;•'„ _ _�•i,� I:��i�i'h7�i� �. � <br />MECHANICAL � ., ��,��..��; <br />INVESTIGATIONFEE '�'Set.304�e) ���F?.�)J <br />STA7EBUILDINGSURCHARGE - � _,.�� 5 <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PEHMIT VALIDIITION <br />WHEN PROPERLV VALIDATED �1N THIS SPACE) THIS IS VOUR PERMIT <br />ADORESS f It E <br />M <br />� <br />CO <br />� <br />� <br />