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ehe El,v,grepn <br />C�TI' Of <br />everett <br />259-8745 <br />C'1NSTRUCTION - <br />PERMIT PERMITNQ:- �� ��� <br />❑ DEMOLITION ❑ COMBINATION I� BU�LDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OWNER IAall /•OORE55 CITY ZIG P110NE <br />Gerald Frederickson 236 East View � Ridqe Everett 98203 259-2774 <br />PRCIIITEGi Oq DESIGNER MRIL nDD�E55 Ciiv 2�P GHON[ <br />GENERRICONTRAGTOR MAILROOlIE55 CITY ZIP PMONE LICENSE• <br />Owner <br />MECNANIC/LCONTRRCTOR MRILADDRE55 CI1Y 2iP PMONE LICENSE� <br />f'LUMfiiNG <br />C1.A55 OF WOPN <br />❑ NEW ❑ ADDITION <br />MPIL RDDRESS <br />❑ ALTERATION �XREPAIR <br />cirv zir <br />❑ DEMOLITION <br />VAlURT10N Of WORN <br />5 %��. �/0 <br />DESCRIBE WORK <br />44' of cement foundation <br />HEITSOUPC[ <br />❑ ELECYRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />COPIES� <br />ior 22-Z�ocH 733 <br />PLUMBING <br />TYPE OF FIXTURE O' <br />WATEfi CLOSET �TOILET) <br />BATMTUB <br />LAVATORY�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNORYTRAY <br />CLOTNES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />DACKFLOW PREVENTERS <br />ROOF URAINS — RAINLEAD[RS <br />SINK �SERVICE — BAR. ETC � <br />UCENSE • <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND E.XAMINED THIS <br />APPLICATION AND KNOW THE SAME TO DE TRUE AND <br />CORRECT. AI_L 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 THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIC:NA!URE OI CONiPACi R. AUTIIU %IZ P/G�E OR OWNER DATE /]� <br />X �%_�5�7�//i�^ ��'�`-/i/. <br />MECHANICAL <br />FEE NO. TYPE OF E�UIPMENT <br />A�C — �+�MN�LG UNITS — H P. <br />REFRIGERATION UNIiS — HP. EA. <br />�OILERS — � TL /H P <br />GASFIAEDAC UNITS-6.TL <br />FORCED Alfi SYSTPdS — B TL. M EA. <br />WALL NEATERS — BS.U. M <br />UNIT HEATERS — B T U M <br />EVAPORATI\'E COOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHO00 <br />WATEF HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSEflT <br />I1EA1 PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTAL S <br />PEflMIT S <br />TOTRLFEE f <br />�ET�ACN �ERRS[TONCK 510[SETOACN <br />37 48 10 & 35 <br />TVPE O�' CONST <br />V—N <br />SIZE Of BLDG <br />N/A <br />APPLICATIONACC BY <br />M.hf. <br />LOTAPEF <br />10,275 <br />OCLUPANCYGROUP <br />R-7 <br />NO Of9TORtES <br />2 <br />) ❑ YES [� NO <br />PLANS C��CCK[0 [3V <br />B.E. <br />VAC4NT $ITE <br />[�YES [j�NO <br />NO Of OWELUNG l <br />3 3 <br />A�A% OGC IOAD <br />N/A <br />Sl1B TOTAL <br />PERMIT <br />TOTALFEE <br />CHECK NUAIDER fEE <br />88/21227 12.35 <br />PEES VALUATI <br />OUILDING <br />PLUMOING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILOING SURCHARG <br />STATEENERGVSURCHARGE <br />D�7IVEWAV PERMI7 <br />B.E. ITOTAL <br />.S %�O.QD <br />11/ib/88 1: <br />B�[�F'i 3oa�e� <br />RECEIPT NO. <br />19369 <br />FEE <br />19 00 <br />2FM OODAH3437 K:Aki <br />9.00 <br />n� 3 50 <br />"" <br />22 S� <br />WHEN PRO�'ERLY VALIDATED IIN THI$ JPACEI THIS IS YOUR PERM1IIT <br />�`� <br />N <br />N <br />�c— <br />N <br />