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r� A,..,p+ee� <br />Gn oF <br />ever�ett <br />259-8745 <br />� C")NSTRUCTION -� '�' . n <br />PERMIT PERMIT NQc _ � �� J� <br />❑ OEMOL�IION ❑ COMBINATION [.� BUILDING O MECHANICAL ❑ PLUMBING ❑&ON <br />���R M�IL 11UDPE55 �ITY ZIP pHp� <br />MABLE GOSHONG 2515 Grand Everett WA 98201 <br />�RCA�ITECi OR DESIGNER MRIL ADDRE55 CITY ZIP q�pryE <br />GENEML CONTMCTOR M�IL ADORESS CITY 21P %IONE LICENSE / <br />Star Home Improvement 5314 - 2nd Ave S Everett WA 98203 353-9278 <br />MECNGNiCAL CONTN�CtOR MAIL �O�RE55 ptY 21P PHONE LICENSE � <br />STARHIC147N1 <br />RUMBiNG CONTPACTOR MML ADDRESS CITY 21P PNONE UGlNSE • <br />CUSS OF WORN <br />❑ NEW ❑ ADDITION � ALTERATION ❑ pEPAIR- ❑ DEMOUTION ❑ BUILOING RELOCATION <br />V�WATIONOf WORI( — <br />s 5�0�.�0 <br />Install new block foundation and repair rot <br />NE�TSOURCE �— <br />❑ EIiCTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />SSnole family residence <br />io� 168 eiocK 559 ov_ <br />4391-559-007-0001 <br />OB ADDRE55 <br />2515 Grand <br />v�uMsiNo <br />NO. TYPE OF FIX' <br />WATER CLOSET (TOILFT� <br />BATMTUB <br />LAVATOqY�WA5M8ASIN� <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASMER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />Plat of Everett <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC � <br />SUBTOTAI <br />VENMIT <br />TVPE OF CONST � OCLUPANCY GROUP <br />SIZE UF BLDG I N0. Of ST( <br />FIRE SPqINNLERS RECUIflED ❑ VES <br />RGPLiCAT�ONACC BY PLANSCHI <br />sg sg <br />VPC/NT SiIE <br />❑lE5 ❑NJ <br />I HEREBY CERTIfY THAT I i1AVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS C�F LAWS AND ORDINANCES <br />GOVERNING Th:IS TYPE OF WORK WIIL BE COMPLIEp WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFOF MANCE OF CONSTRUCTION. <br />SIGNA'Uy� G CONTJf ACTOR AUTHORiZEO AGENT, OR OWNER DRfE <br />X /; �/ /_ 1G� Or ,� 7-�; <br />MECMANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />A� C— A�HNDLG UNITS — H P. <br />REFRIGERATION UNITS — M P. EA. <br />BOILERS — � T U�H P. <br />GAS FIRED A�C. UNIiS — BS.U. <br />FORCED AIR SVSTEMS — � T.U. M EA. <br />WALL HEATERS — BS U. M <br />UNITHEATERS—B.TL. M <br />EVAPpRATIVE COOLERS <br />CLOTHES DRYERS � <br />VENTILATION FAN <br />RANGENOOD <br />WATERHEATEN • <br />WOODSIOVE <br />METAI FIREPLACE 8 CHIM <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />MA% OCC LCAD <br />APPR FOR ISSUANCE �V <br />�C <br />SUBTOTAL <br />CEpMIT <br />PLANCHECKNUMBEF <br />86/17199 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />70TAL <br />'EE RECEIPT NO. <br />46,80 81920 <br />VALUATIO►! FEE <br />55000.00 72 00 <br />Sec.30a(e) <br />1 50 <br />73 50 <br />WHEN PROF�H:V VNIJ:'ATED IIN TMIS SPAGEI ?HIS IS YOUR PERMIT <br />� � ,. ;r„� <br />Qi <br />rn <br />.— <br />ti <br />� <br />