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`�� -� I`7NSTRUCTION �� � n <br />everett PERMIT PERMITNO. � 82JO <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION Gcl BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MnILAODHE55 CiTv 21P PMONE <br />City of Everett 3200 Cedar St. Everett 98201 259-8800 <br />ARCNITEGT OR OESIGNER MAIL AODf1E55 CiTV ZiP PMONE <br />Lee Johnson Oonsultants Seattle 362-6884 86H3E8�8H <br />GENERAL CONTMCtOR MAII �ODRE55 QTY ZIP VMONE IICENSE • <br />JI1 Oonstruction Ferndale 366-5050 <br />MECHANICRLCONiRRLTOR MRILRODRESS G.Y ZIP PMONE IIGENSC� <br />PLUMBING CONTRRCTOR MPIL R�DRESS CITY ZIP PHONE UCENSE � <br />CL�SS OF WORN <br />f}NEW ❑ ADDITION <br />VALUATION OF WORN <br />s 29���0�.�� <br />❑ pLTERATION ❑ REPAIR <br />Bridge replacement, tower renov., revetment wall <br />❑ ELECTRICITY ❑ GAS <br />�ipPO$ED I15F.OF BUILDING <br />Park <br />.EGRI UESCRIPtl011 OF PPOPERTY �SNOW DE101 <br />LOT � BLOLN __ OF <br />See Attached <br />LLZ% <br />PLUMBIN6 <br />NO. <br />USE <br />$IVa. <br />WATER CLOSET �TOILI <br />BATMiUB <br />LAVATORV�WASMBAE <br />SHOWEH <br />KITCHEN SINK 8 OISP. <br />TRAY <br />WASHER <br />ON�NKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEP.S <br />ROOF ORAINS — RAINLEADERS <br />SINK �SEPVICE — BAR. ETC.) <br />❑ WOODSTOVE <br />ITEM � FEE <br />SUBTOTAL <br />OFCONST. � OCCUPFNGV <br />/TtlflQNhR�]J <br />OF STORIES <br />f <br />f <br />S <br />StDE SETOnCK <br />VFCRNTSrtE <br />[�YES ❑NO <br />❑P NO OF DWFLIING 11NiT5 <br />MAX CCC LOAD <br />u <br />pY �Pf'R FOR ISSU/NCE BV <br />H.E. I L.C. <br />❑ DEMOLITION <br />:epair, new concrete <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />etc. <br />1 HEREt � CERTIFY THAT I 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 />PERMIT DOES NOT PRESUME TO GI`!E AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />MECHANICAL <br />A/C — A/HNDLG UNITS — H P <br />REFRIGERATION UNITS — H P. EA. <br />OOILtRS — B T.0 /HP. <br />GASFIRE�AA UNITS—B.T.U. <br />FOFCED AIR SVSTENS — B T.U. <br />WALL HEATERS — B T U. <br />UNIT MEATEFS —� B T.U. <br />EVAPORA�IVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXMAUSTFAN <br />SUB TOTl1l <br />PERMIT <br />TOTALFEE <br />PL/1N GHEGR NUmutn <br />87/:8290 <br />FEES <br />�UILDINIi <br />PLUMRING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCMARG <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />847. <br />M EA <br />M <br />M <br />Sec.30ale) <br />OWNER OATE <br />NO. <br />Tran <br />TOTAI � � 1" <br />PERMIT VRLIDATION <br />WHEN PROPERLV VALID�TED pN TNIS SPACE) TMIS IS �OUH PERMIT <br />� <br />Q7 <br />N <br />� <br />� <br />