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uka�,r,+� <br />ciTv oF <br />everett <br />259-8745 <br />-� rUNSTRUCTION - <br />PERMIT <br />PERMIT NO. � T 3� B <br />❑ DEMOLITION ❑ COMBINATION N� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OMTJER MAIL �O�RESS CITY IIP MONE <br />RICHARD & KATHY NIELSEN 431 MORGAN ROAD EVERETT WA 98203 355-1489 <br />AqWITEGTOB0E51GNER MGIL�ODRE55 CITY ZiP VNONE <br />�ENERALCIXJTIUCTON M�ILADDPE55 CITV IIP PHONE LiGENSE� <br />SAME <br />MECHUIICALCUNTqACTOR MAILADDRE55 CITY Z�� PMONE LICENSE� <br />PLUMBINGCONr�':TOR MqLqDDRE55 CITY ZIP VMONE UGf.NSE• <br />CLASS OF WURK <br />❑ NEW � ADDITION Gd ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINO RELOCATION <br />V�LWiION OF WORN � <br />s3000.00 <br />DESGRIBE WORK , <br />Convert e:cisting garage into rec room <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br />e family residence <br />l0T � BLOCK _ <br />431 �hbrgan Road <br />PIUMBING <br />2Q� <br />USEZONE <br />R-1 <br />sg <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV �N'FSH BASIN) <br />SHOWEti <br />NITCHEN SINK 8 OISP. <br />LAUNORVTRAV <br />CLOTHES WASMER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN - <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RA�NLEADERS <br />SINK �SERVICE — BAR, ETC.) <br />SUB70TAL <br />PERMIT <br />STOPIES <br />sg <br />1 HEREBY 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 />GOVEqNING 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 OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEaFORMANCE OF CONSjRUCTION. <br />OR OwNEH DATE <br />� <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — HP. <br />REPRIGERATION UNITS — H.P. EA. <br />BOIIERS — B.T.UIH.P. <br />GAS FIREO A.C. UNITS — B.T.U. <br />FORCEDAIRSVSTEMS—B.T.U. MEP. <br />WALL HEATEFlS — O.T.U. M <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN ) <br />FANGEHO00 <br />WATEF HEATER <br />\YOOD STOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />� <br />s <br />f <br />S�DE SETBRCN <br />�� <br />VACANTSITE <br />❑VES G1N0 <br />)C <br />NO OF OWELLING UNITS <br />APPR FOF ISSUr1NCE DY <br />lc <br />PLAN CHECK NUMBER <br />86/17338 <br />FEES <br />p� uL..��.0 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />SUBTOTAI L <br />PEHMIT y <br />TOTALFEE 1 <br />FEE RECEIPT NO. <br />35,10 83303 <br />VALUATION FEE <br />S 3000.00 54 00 <br />30 00 <br />Sec.304(e) <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAV PEFiM1T <br />T07AL <br />WHEN PROPERLV VALIDATEO (IN THIS SPACE) THIS IS YOUR PERMIT <br />�t)i��1LSJ FIL:: <br />1 I 50 <br />