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��� � C�NSTRUCTION - � � pnn <br />c�n oF <br />everett PERMIT PERMITNQ:_.�o`�J�, <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION C]� BUILDING ❑ MECHANICAL ❑ PLLIMBING ❑ SI6N <br />OWNEH MRILRODRE55 CITY 21P PNONE <br />Dc,nald E. Chase 292 1927 Mukilteo, ➢t Blvd. Everett 98203 355-7353 <br />ARCHITECTOROESIGNER MAILAOD9E55 CITY ZIP PMONE <br />Todd Chase Same <br />OENEML CONTRACTOR MAIL ADORESS CITY ZIP PHONE �ICENSE � <br />Self <br />MECH�NIC/1 CONTRPGTOR MMLAO�RESS CITY ZIP PHONE LICENSE� <br />RUMBING GONTRACTOR <br />� NEW O ADDITION <br />/ALU�TION OF WOHK <br />= 80��.00 <br />Oonstruct Garage <br />iE�T SOUPCE <br />❑ ELECTBICITY ❑ GAS <br />MRIL <br />❑ ALTERATION ❑ REPAIR <br />Auto and Boat SYOt Storage <br />LOT � BLOCK <br />02Sd Lot <br />1927 Mukilteo Blvd, <br />PLUMBING <br />TYPE OF FIXTURE <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />KITCMEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />�RINNING FOUNTAIN <br />FLOOR �RAIN <br />nv�r vnnina — nhirv�tnut <br />SINK (SERVICE — BAR. ETC.) <br />R-S <br />TYPE OF CONST. <br />V-N <br />SREOFBLDG <br />1156 <br />FIRE SPRINNLERS P <br />APPLICRTION ACC. OV <br />S.H. <br />❑ WOOUSTOVE <br />SUBTOTAL { <br />PEFlMIT { <br />TOTALFEE S <br />\RSETBRCK $IDES[TBACN <br />25' 7,5' <br />fRREA <br />31960 �ACANTSITE <br />❑VES FSNO <br />CUGANCY GROUP NO Of 014EL�IN <br />OF STORIES MR% OCG LOAO <br />B.E. <br />CITY <br />O OEMOLITION <br />❑ OTHER <br />IICENSE � <br />f7 BUILDINfi RELOCATION <br />I 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 />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES hOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE�MANCE OF CONSTRUCTION. <br />SIGNRT CO�(1#1CTOR. TUTMORIZED RGENT.OR OWNEfl OATE <br />X � <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS — H P. EA. <br />BOILERS — �.T.0 iH.P. <br />GAS FIREO A�C. UNITS — B.T.U. <br />FORCEDAIRSYSiEMS—BT,LL RiEA. <br />WALLHEATERS—BS.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORAT�VE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER � <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLqCEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />CHECKNUMBER FEE <br />87/18491 ,,64 <br />FEES GALU <br />uNirs 7 BUILDING <br />FORISSU/NLEDY <br />L. C. <br />PLUMBING <br />MECHANICAL <br />INVESTIGA710N FEE <br />a:soon:�ao <br />l— <br />STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />DRIVEWAV PEqMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN TIilS SPACE) THIS IS VOUR PERMIT <br />ADDRf.SS FILE <br />