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,��� <br />CITY OF <br />everett <br />259-8745 <br />�'` CC"`"NSTRUCTION '"'� '"` <br />PERMIT PERMITNO. 20788 <br />❑ DEMOLITION �cl COMBINATION ❑ BUILDING O MECHANICAL � PLUMBING �� SIGN <br />O�YNFR M/ILPODRESS CITY 21P PNONE <br />Ray and Bettv �:i�olo 1827 Dull P1. Everett 98203 355-0730 <br />ARCHITECTORDESIGNEIt MRILA�ORESS CITY ZIP PHONE <br />Design Cc.nsultants 745-6569 <br />GENEHALCONTRACTO� MAILADDRESS CITV 21P PMONE LICEHSE� <br />Owner <br />GECH�NIC/LCONTRRLTOR AIAILAODRE55 CITV 21P FdONE LICENSE� <br />PLUMBING GONTRALTOP MAIL A��RE55 CITV 21P PHONE 4CENSE � <br />CLA55OF WONK <br />� NEW U ADDITION ❑ ALTERATION ❑ NEPAIR <br />S 72,844.00 <br />iESCRIBc WOPN <br />New construction. <br />�EAT SOURGE <br />❑ ELECTNICITY ❑ GAS <br />tliOPO5E0 USE OF BWIUING <br />Single family residence <br />.EGAL �ESCiiIPT10N OF PNOPERTY �SNO\Y OELOW OR 0 <br />LOT _ BLOCK _ OF <br />See Attachea <br />JOB AOORESS <br />1820 W. Mukilteo Blvd. <br />PLUMBING <br />TVPE OF FII(TURE <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP. <br />O�SMY/ASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAI <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTF.RS <br />FOOF DRAINS - RAIN�EADE <br />SINN (SEPVICE - �AR. ETC.) <br />20 <br />USE20NE <br />R-1 <br />TYPE OF C <br />V-N <br />SIZE OF �LOG <br />16U4+462GAR <br />ACC OY <br />M.M. <br />ITEM <br />❑ WOODSTOVE <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION . � <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />qPPLICATION 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 fJOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OFi LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEJp'�\ ORMANCE OF CONSTRUCTION. <br />XGN�TUREOF��CTOR. UTMOR ,OAG NT.O!1OWNER OP.TE <br />+l. <br />FEE NO. TYPE OF EOUIPMENT <br />A'C — A�HNDLG UNITS — HP. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.U.MP. <br />GAS FIRED A�C. UNITS — O.T.U. <br />1 FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—BS.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVECOOLERS <br />1 CLOTHESDRYERS <br />2 VENTILATION FAN <br />RANGEHOOD <br />1 WpTEF FIEATER <br />WOODS70VE <br />AIETAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE t SO <br />REARSETOALK SIUESETOFCK <br />20 6 <br />LOTAREA yp�ANTSITE <br />ES ❑NO <br />OCCUPANCYGROUP NOOFpWELLWGUNI <br />R-3 1 <br />N0. OF STORIFS MA% OCC LOAD <br />], N/A <br />) ❑ YES � NO <br />PLANSCMECNEO DY APPH.FORISSUANLE <br />B.E. <br />88/20788 <br />FEES <br />BUILDING <br />PLUM1181NG <br />rcc <br />SUBTOTAL <br />PERMIT <br />TOTALrEE <br />FEE FECEIPT NO. <br />322.07 13260 <br />Dt,�j � .� <br />MECHANICAL <br />�� Pt'qN ( <br />STATE BUILDING SURCHAFGi <br />STATEENERGYSURCHARCoE <br />DRIVEWAY PERMIT y „� <br />TOTAL <br />B E SEUER—� �— <br />rPERM�T Vl1LID11TION <br />WHEN PROPEf1LY VALIDATED (IN TB�PP.�E) TI{I�YOOF7 PERMIT <br />1171-5 5650.00 <br />CHECI; S27'a8.b3 <br />i:l:DHlf"; I;L'r. <br />•� <br />.• <br />