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I/� E�reen <br />CITY OF <br />everett <br />259-8?45 <br />CINSTRUCTION <br />PERMIT <br />PERMIT NO. 21 � 3 4 <br />❑ DEMOLITION C3�COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMB�NG ❑ SIGN <br />OWNER MNIqODfl[55 C�1Y ZIP f'110NB <br />Beari Construction 3514 Broadwav Everett 9R201 �SB-A 4z�i <br />ANCNIT[CfORDE51G1.Efi 61F�LAODR[SS CITY ZIP PHONE <br />Same <br />GENERRLCONTIIACTOR A�PIL�ODR[55 CITY Ila PMONE LiCENSE• <br />Same HFAM%4700 <br />MECNAN'CALCONTRAClOf1 MAILAOORE55 CIiY ZIP P��ONE LIfGNSE• <br />RUMOINGCONTflACTOR h1AIL���lV[55 CITY ZIP PHpNE UCENSE• <br />C1A550F WOPK <br />� NEW ❑ ADDITION ❑ ALTERATION <br />5 45 <br />oeseame wonK <br />❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCA?ION <br />Construct new residence <br />HEATSpUBCE <br />O ELECTRICIT`.' ❑ GAS O WOODSTOVE ❑ OTHER <br />9-10 <br />�or X o�ocK � <br />PLUMBING <br />' FI%TURE OR ITEM <br />WATER CLOSET �TOILET� <br />BATNTUO <br />LAVATORV�WASH �AS�.V� <br />SHOWER <br />KITrNEN SINN 8 OISP. <br />DISHWASIIER <br />LA INDRY TRAV <br />CLOTHE$ WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />flOOF DRAINS — RAINLEADE <br />SINK �SERVICE — 8AR ETC ) <br />�p <br />VSE Z�NE <br />R-1 <br />IYPE OF CONST <br />V-N <br />5�2[ Oi Ol DG <br />1031+318GAR <br />FIRE SF RINY,LERS REi <br />APPLiCAtIONACC PY <br />r�.ri. <br />SUBTOTAL <br />PERIAIT <br />TOIALFEE <br />i[ARSETpFCN <br />2� <br />OT RRE> <br />JCLUPANCV Gf1011P <br />R-3 <br />VO Of STORiES <br />} 2 <br />❑ YES GFNO <br />PLAN$ CIIECNED OY <br />B.E. <br />6 <br />JACANT SITE <br />�YEd ❑NO <br />NO O! GV�ELLiNG UNITS <br />1 <br />Mn% OCC IOIU <br />N/A <br />APPB ffRiSSU� .;Eli\ <br />B.E. <br />I HEREBY CERTiFY THAT I HAVE RCAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TnUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF VJORK WILL BE COMPLIED WITH <br />WHETHER aPECIFIED HEREIN OH 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 />TNE PERFORMANCE F CONSTRUCTION. <br />9GNnTUR! O� W �IAC . AUTHO�IZEO PGENT.OR U\tiNER OATE <br />X /'��% <br />MECHANICAL <br />A: C— A�MNDLG UNITS — H P <br />REFRIGEflATION UNITS — H P. EA. <br />�OILERS—DTU-HP. <br />GAS FIRED A C UNITS — ���U��z <br />PORCED AIR SYSTEMS — � T U � <br />VlALL NEATERS — B T.U. ���� <br />UNIT HEATERS — B T U. �y M, <br />EVAPORATIVE COOLERS �� <br />CLOTHES�RVERS <br />VENTILATION FAN <br />RANGE HO(10 <br />WATER HEATER <br />WOODSTOVE �.µ <br />METAI FlREPLACE 8 CHIMN V"' <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLANCHECKNUMBEfl <br />88/21239 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FE�ldll <br />STATE BUILDING SURCHi <br />suerorM� �--- - <br />PERMIT f <br />TOTALFEE S <br />FEE RECEIPT NO. <br />aizo�.s�sii:i aramoo�t'9se *r.k� <br />VALU TION FEE <br />�13��.0 , 388 50 <br />CHECI: £3 .00 30 00 <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />Sec.30��e1 <br />TOTAL I I <br />PEfilnlT VALIOATION <br />VlMLN PROPERLV VALIDATED (IN THIS S�ACE� TNIS IS VOUR PERh9T <br />�� <br />�� <br />M <br />N <br />r <br />N <br />