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rneE�grce„ <br />CITY OF <br />everett <br />259-8745 <br />.-� <br />C�INSTRUCTION <br />PERMIT <br />PERMIT NQ: -. 215 0 5 <br />❑ DEMG�ITION I� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MqILAD�RESS CITY ZIp PNONE <br />Adventure Construction Co. 2e+28 57th Ave. SE Woodinville 486-93y5 <br />�R�NITECTOFDESIGNER MRIIApONE55 GTY 21P PMONE <br />GENERAL^ONTflACTOR MAILAOORESS CIiY 21P PNONE LICENSE� <br />PWMBING CONTPACTOR MRI� ADDRESS dTV 21P p110NE 4f.EN5E r <br />Q NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCAT�ON <br />3 60,870.00 <br />O[SCRIBE WORK <br />Sinqle familv construction <br />NEATSOURCE <br />❑ ELECTRICITY ❑ GAS O WOODSTOVE ❑ OTHER <br />LOT 8 BLOCK � <br />PLUMBING <br />OR <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />TRAV <br />WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PqEVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETC.) <br />TYPE OF CONST <br />V-N <br />SiZE OF BLOG. <br />1320 + 450GAR <br />ar <br />S.H <br />FEE <br />SUBTOTAL f <br />PERMIT f <br />TOTAL FEE f 45 <br />REARSETORLK SipF�SETeqt'x_ Wet. <br />1lI 1ZVR1 <br />6 6� <br />LOTRREA <br />VACRNT SITE <br />{�YES ❑NO <br />OCCUPANCY GNOUP NO OF OWEL�ING UNITS <br />R-3 1 <br />NO OF STpRIES AIqK OCC LOAD <br />1 N/A <br />i ❑ VES $3cN0 <br />PUNSCHCCKlDOY APpRFORISSUANCEBY <br />B.E. B.E. <br />$52.65 credit on bldg. permit for <br />overpayment of plan ck fee. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE HND <br />CORRECT. ALL PROVISIONS OF LAWS AND QRDINANCE; <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 bR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE P RFORMANCE OF C�STR�TION. '{ -5 -� <br />SIGNAT CONTRAC�OR, AI�TH 12ED AG OR ONTlER �DATE <br />MECHANICAL <br />I A/C — A/HNDLG UNRS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRED A�C. UNI15 — B.T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALLHEATERS—B.T.LL M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVF.COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREP�ACE 8 CHIMNEY <br />FIREPL ACE INSERT <br />HEATPUMP �� ��cioa n <br />GAS PIPING � <br />E%HAUSTFAN ,,,,,,,,,,,�„� <br />SUB � <br />PEA ' <br />TOT <br />PLANCHECKNUMBER FFi <br />��� <br />89/21505 e <br />FEES <br />BUILDING _ <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />WRTER <br />25 g� �.4553 <br />It <br />STATE BUILDING SURCHARGE �" � " +" .uu <br />EiEC�� ;�.i'1 <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) 7HIS IS YOUfl PERMIT <br />20 <br />1� <br />O <br />L1'� <br />a�— <br />N <br />