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everett � C�NSTRUCTION � ^ G <br /> 259 -8745 <br /> PERMIT PERMITNQ:: �O�J � <br /> ❑ DEMOLITION C� COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER �,IAILADDRESS CITY IIP PHONE <br /> Leota Bernethy 1327 Maple Everett 98201 258-1762 <br /> ARCHITECTORDESIGNER MAILAODRE55 CITY 21P PHONE <br /> Owner <br /> GENERRLCONTRFCTOR MAIIqDDRE55 CITY ZIP PHONE {,ICENSE� <br /> Same <br /> MECHANICAL CONTRAGTOR MAI�AODRE55 GITV ZIP PHONE UGENSE r <br /> Same <br /> PLUMBING GONTRACTOR MAIL ADORESS CITY ZIP PMONE LICENSE• <br /> Same <br /> ClA55OF WORK <br /> ❑ NEW C�ADDITION ❑ ALTEPATION ❑ REPAIR O DEMOLITION O BUILDING HELOCATION <br /> VAIURTION OF WCRK <br /> S LO��.Z7.�� <br /> OESCNIBE WORN <br /> Add on to kitchen , bath, and bedroom. <br /> HEATSOURCE <br /> � ❑ EIECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO USE OF BUILDING <br /> Single £amily residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCRIPTIONOFPROPERTY�SHOWBELOWORATTACNFOURCOPIES� CORRECT. ALL PROVISIONS OP I.AW& AND ORDINANCES <br /> �or 13-1��ocK 259 oF Plat of Everett Div T GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WIl'H <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLAT[ OR CANCEL THE PROVISIONS OF ANY OTHEfi <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTICN OR <br /> THE P RFORMANCE OF CONSTRU TION. <br /> JOB ADDHE55 SIGN� E OF CONTRACTOJ�AUTMORIZED AGEN OR OWNER 0 TE <br /> 1327 Ma le X �v <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIl(TUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—AiHNDLG UNITS—H P. <br /> 1 BATHTUB S OO REFRIGERATION UNITS—H.P.EA. <br /> 1 LAVATORV�WASHBASIN� S OO BOILERS—�.T.U.MP. <br /> SHOWER GAS FIRED AL.UNITS—O.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIH SYSTEMS—D.T.U. M EA. <br /> DISHWASHER WALLHEATEFS—B.T.U. M <br /> LAUNDRV TRAV UNIT HEATERS—B T.U. M <br /> 1 CLOTHESWASHER S OO EVAPORATNECOOLERS <br /> U(iINAL ], CLOTHES�RYERS Ej 5� <br /> DRINHING FOUNTAIN yENTILATION FAN <br /> F�OOR DRAIN RANGE NOOD <br /> BACKFLOW PREVENTERS 1 WATER HEATER � ( SO <br /> . HOOFDRAINS—RAINLEADERS WOODSTOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE 8 CHIMNEY <br />�� i FIREPLACE INSERT <br /> � MEAT PUA1P <br /> _ GAS PIPING <br /> , E%HAUSTFAN <br /> sue roT�� s 15 00 sue rorn� 13 00 <br /> PERMIT f PERMIT <br /> TOTALFEE S 15 00 TOTALFEE 13 00 <br /> FaoNT SETBnCN PEFR SET9FCN SioE SEToncK PLAN CHECK NUMBER FEE RECEIPT NO. <br /> 20 20 5 88/20753 58.50 13222 <br /> USEZONE LOTARE/ <br /> VACANTSITE FEES VALUATION FEE <br /> R-2 6200 ❑rEs CXreo <br /> TYPEOFGONST OCCUPANCYGROUP NO.OFDWELIINGIINITS DUILDING S lO 127.00 ZZE OO <br /> V-N R-3 1 <br /> PLUMBING Q � <br /> SIZEOFOLDG NO.OFSTORi[S MAX.00C.LOAO %� <br /> 240 Add 1 N/A MECHANICAL / 13 00 <br /> INVESTIGATION FEE plan 23 90 <br /> FIRE SPRINKLERS REOUIRED ❑VES NO <br /> S7ATEDUILDINGSURCHARGE PL�j S .QQ 3 SO <br /> STATEENERGVSURCHARGE � H •� <br /> r1PPLICAT10N ACG.DY PLANS CN[LKED BY APPR FOR ISSU4NLE OY <br /> DRIVEWAY PERMIT B �H ' � <br /> M.M. B.E. B.E. TOTAL 180 90 <br /> PERMIT VALIDATION <br /> WHEN Pf70PERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> �� <br /> �� <br /> O <br /> N <br /> Al�pi;'tS� f�ll E <br /> I <br />