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everett ^ �ONSTRUCTION - "' <br />259-8745 PERMIT PERMITNO. 17298 <br />❑ DEMOLITION ❑ COMBINATION C$ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SICN <br />OWNER MRILADUIiE55 CITY I.IP PMONE <br />S.^•.. Snider 3 W. Marilyn Ave Everett, 98204 <br />Af1C1ItECTOR�ESIGNEO MAILAODRESS GTY ZIP PMONE <br />GENERRICONTNACTON MAILA�URE55 CITY ZIV PNONE UCENSE� <br />Self <br />AIECHRNICALCONTBRCTOR MAILAD�RESS CITY 21P PNONE LICENSE� <br />PLl1MBING CONTflACTOR MAIL P9DPES5 CITY ZIP PIIONE UC[NSE � <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />S �v�. <br />OESCRIBE WORI( . <br />Reshingle garage 12 x 20 ft frame bldg. <br />MEATSOURCE <br />❑ EIECTRICITY C7 GAS ❑ WOODSTOYE ❑ OTHER <br />car storage <br />LEGAL DESCRIPTION <br />�or _ eioc� <br />Lot 12 less N 70 ft., Block 10, Intercity <br />oicxxiix Division 1 <br />3 W. Mari, <br />PLUMBINO <br />USE <br />Ave <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 OISP. <br />IAUNDRVTRAV <br />CLOTHF.S WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF DRAINS — PAINIEADE <br />SINK �SERVICE — BAR. ETC.� <br />S12E OF q'.�G <br />APPIICATION ACC �V <br />M.M. <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 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 PERFORMANCE OF CONSTRUC fION. � <br />SIGNATUPE pECO� q AUTH{K11ljpqti1. O!i `~R OAiE <br />X ` ,/ ^; C/: � J 1��1� �86 <br />MEC4ANIGAL <br />OR ITEM FEE NU. TVPE OF EOUIPMENT FEE <br />A�C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P, EA. <br />BOILERS — B T.U./M.P. <br />GAS FIRED AD. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. M EA. <br />WALLHEATERS—BT.U. M <br />UNIi HEATERS— BS.U. M <br />EVAPORATIVECOOlERS <br />CLO7HES DRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />5 WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PI('ING <br />E%HAUSTFAN <br />SUBTO7AL <br />VENMIT <br />TOTALFEE <br />NO OF STOPIES <br />VRCRNTSRE <br />❑YES ❑NO <br />NO OF OWELLING UNITS <br />MA% OCC LOAO <br />PU1N5 CH[CNED OY � RPPP (OP ISSUANCE OY <br />SUBTOTAL <br />PERMIT <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGA710N FEE � ���StlC.304�e) <br />V FEE <br />1 Q� <br />1'0 Fli OOO�H2380 �t <br />SZ .� <br />STATEBUILDINGSURCHARGE CHEC�� $1�.SO <br />STATEENERGVSURCHARGE <br />ORIVEWAY PERMIT <br />TOTAL <br />PEflM1T VALIUATION <br />WHEN PROPERL\' VALIDATED �M THIS SPACE) THIS IS VOUR ^ERMIT <br />50 <br />16 I 50 <br />