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ene �Lagr�eer� <br />CITY OF <br />everett <br />259-8745 <br />�-3►-b i <br />C�NSTRUCTION -` � . <br />PERMIT PERMITNQ:�� �JUJ <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAOOfiESS CITV IIP PHONE <br />Bob De�ver Oonstruction 3302 lOBth P1. SE Everett 98208 337-6394 <br />ARCMITECT OR DESIGNER MAIL ApDRESS �ITY ZIP PHONE <br />Same <br />GENER�L CONTRr1CTOR MAIL ADORESS CITY 21P PMONE �ICENSE • <br />Same HOBDECC192RU <br />MECH�NICALGONTRACTOR MAILADDRESS CITY ZIP PMONE LICENSE• <br />PLUMBING CONTH�CTOR MAIL ADORESS CITY ZIP PMONE LICENSE M <br />S OF WORK <br />NEW ❑ ADDITION ❑ ALTERATION ❑ pEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S 54,000.00 <br />DESLHIBE WOPN <br />Construct new residence <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br />pll1V(1CFIl I ICC (1[ Ci ��� l�iYl: <br />iot 2 e�ocK <br />PLUMBING <br />NO. <br />WATER C�OSET �TOILET� <br />BATHTUB <br />�AVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DHINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — PAINLEA <br />SINK (SERVICE — BAR, ETi <br />TVPE OF CONST <br />V-N <br />1144 + Gar418 <br />S.H. <br />SUBTOTAL <br />PERMI7 <br />OCCUPANCYGROUP <br />R-3 <br />r+o or sTonies <br />1 <br />� ❑VES [$NO <br />PIRNS GHECRED OV <br />B.E. <br />� <br />VACANT SITE <br />KJYES ❑NO <br />NO. OF DWELLII <br />1 <br />APCR <br />FEE <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED 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 />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CA EL THE PROVISIONS OF ANY OTHER <br />T OR LO L W REGULATING CONSTRUCTION OR <br />T FORMA CONSTRUCTION. <br />SIG TU CO R2EDAGENT.OROWNER OATE <br />z,� � <br />MECHANICAL <br />A/C — A/HNDLG UNITS — HP, <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — flT.0 /H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />fORCED AIR SYSiEMS — BS,LL M <br />WALLHEATEFS—B.T.U. M <br />UNIi HEATERS — B.1.U. M <br />EVAPORA7IVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEfi • <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUS1'FAN <br />SUB <br />PER <br />TOT <br />PLAN CHECK NUMBER F <br />87/18565 <br />FEES <br />BUILDING <br />PLUMBING <br />it-' <br />`''260. 97' <br />VALUATION <br />3 �. ___ . <br />FEE <br />:CEIP7 NO. <br />'�90568 <br />PEE <br />432 <br />45 <br />N�A MECHANICAL y„ :;;,- �-, . � _ , <br />INVESTIGATION FEE . See..804�e) <br />STATE BUILDING SURCHARGE - '� ! <br />STATEENERGVSURCHARGE "- - <br />�RIVEWAV PERMIT � , <br />L.C. �T07AL <br />WHEN PROPENLV VALIDATED (IN THIS SPACE� THIS ISYOUR PERMIT <br />;�,�.; ;t:.: i �� t <br />3 L50 <br />15 <br />�n <br />co <br />� <br />� <br />�— <br />