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�a� <br />CITY OF <br />everett <br />259-8745 <br />�'"` C'�''�NSTRUCTION � r'` <br />PERMIT PERMITNO. 2� � �O <br />❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MRILADDRE55 GITY ZIP PHONE <br />James & Luchnilla Radochia 19207 Slst P.ve. NE Seattle 98155 365-6758 <br />ARCMITEGT OR DESIGNER MRIL ADDRESS CITY ZIP PHONE <br />Flynn & Assoc. 1190 140th Ave. NE Bellewe 98005 G43-5100 <br />GENERPL CONiR/.GTOR MAII FDDRESS pTY 21P PMONE LIGENSE � <br />Silver Lake Investurs 9225 35th Ave. SE Everett 96208 338-1983 SILVEL1296JH <br />MECNANIGFL CONTRACTOR MRIL AODRESS QTY ZIP FMONE UCENSE � <br />VIAMBING CONiN�CTOR MA�L �DDRE55 JITY 21P <br />C�NEW ❑ ADD!TION <br />lALUATION OF WORK <br />{ fi�0�00�.�0 <br />❑ AITERATION ❑ RER��IR ❑ DEMOLITION <br />Construct: Single Family Residence. <br />HEATSOURCE <br />O ELECTRIqTY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />SFR <br />�or 11 s�ocK _ oF Harbor <br />PLUMBING <br />4 WATERGLOSETITOILET� <br />2 BATHTUB <br />O IAVATORV�WASHBASIN) <br />j SHOWLR <br />1 KITCHEN SINK 8 DISP. <br />1 OISMWASHER <br />2 IAUNDRYTRAV <br />j CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />], FLOOR DRAIN <br />BACHFLOW PPEVENTERS <br />ROOF DRAINS — RAINLEAOE <br />1 SINK (SEPVICE — �AR, ETC � <br />V-N <br />SIZE OF pLDG <br />S,H. <br />OR ITEM <br />SUBTOTAL <br />PERMIT <br />TOTIIL FEE <br />e� <br />NU <br />LICENSE • <br />❑ BUILDIN6 RELOCATION <br />I F!EREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE 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 />FERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVI�IONS OF ANY OTHER <br />STATE OR LOCAI LAW REGULATING CONSTRUCTION OR <br />THE PERFOFMANCE OF CONSTRUCTION. <br />SIGNATl1R[ OM1CONTRr1CTOR. AUTMOR12E0 AGENT. ON OWNEfl ) DATF� <br />X <br />iE NO. TYPE OF E�UIPME <br />iO OO A�C-A/11NOLGUNITS-H.P. <br />LO OO REFRIGERATION UNITS - H P. EA. <br />3O OO BOILERS - B T.U.MP. <br />LS OO GAS FIRED A C. UNITS - B.LU. <br />S OO 2 FORCED AIR SYSTEMS - B.T.U. <br />S OO WALL HEATERS - 9.T.U. <br />�.O OO UNIT HEATERS - B.T.U. <br />S OO EVAPORATIVE COOLERS <br />1 CLOTHESDRVERS <br />rj VENTILATION FAN <br />S OO j RANGE HOOD <br />2 WATER HEATER <br />WOODSTOVE <br />S OO METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />NEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />OCCUPANC�GROUP NO VF�WELUni <br />R-3 1 <br />NO OF STORIES MA%. OCC LOAO <br />VLANS d1ELKL0 (3V <br />B.E. <br />B.E. <br />N CHECK NUMBER <br />88/21190 <br />FEE <br />M EA. <br />M <br />M <br />SUB TE7wL^ <br />PER <br />TOT � <br />Fp��� R IPT NO. <br />;,�y8.17f 1. . �14444 <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHAqGE <br />DRIVEWAV PERMIT <br />Sec.304�e) <br />1'1 <br />TOTAL I I � <br />PENMIT VALIDATION <br />WHEN PROPEFLY VALIDATED (W THIS SPACEI THIS IS VOUR PERMIT <br />..,....�.. . PI1.1" <br />