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rn� �,s,�„ <br />CIlY OF <br />everett <br />259-8745 <br />C^�NSTRUCTION <br />PERMIT <br />PERMIT NQ. � O � � � <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />OYMER MliLRDDRE55 CiTY ZIP PHONE <br />Knights of �lun .s 2913 W. Marine VZew Dr. Everett, WA 98201 259-1218 <br />�RCMITELTORD451GNEli MAILADORE55 QTV ZIP PNONE <br />GENERr1L CONTRACTOR MFII ADDRE55 CITY ZIP PNONE UCENSE • <br />Owner <br />MECHANICRLCONTRAGTOR M/IIRODRESS CITV ZIP P�IONC UCENSE• <br />PWMBINGCONTRr1CTOR MRIIA�ORE55 CITY ZiP PHONE IICENSE� <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION C�'i ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALURTION OF WOfVK <br />S 1rJ����.0� _ <br />Make bathrooms bigger and put in small kitchen. <br />MEATSOURCE <br />❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Club <br />LEGAI. DESCRIPTION OF PROPERiY �SHO W BELO W OB > <br />LOT _ BLOCK _ OF <br />J00 ADDRE55 <br />2913 W. Marine View Dr. <br />PLUMBING <br />NO. TVPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />IAVATOflV�WASHBASIN� <br />SHOWER <br />KITCHEN SINN & OI�� <br />DISHWASHER <br />LAUNORVTPAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLCOR �RAIN <br />ROOF ORAINS — RAINLEAO <br />SINK �SERVICE — BAR. ETC <br />USEZONE <br />C-1 <br />TYVE OF CONST � <br />__ J `� <br />.V <br />SIZE OF pLOG <br />PIPE SPRINKLERS REOUII <br />pPpLlf.qT10N ACC OY <br />S.H. <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />s-z <br />NO Of STOPiES <br />PLANS CNECKEO OY <br />B.E. <br />I HEREBY CERTIfY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION NUD KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS 0� LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING pF A <br />PERMIT DOtS NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL lAW REGULATING CONSTFlUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />9GNATURE Of C�INj1�4CTOR. 4uTN(UiI;ED �GENT, Ofi OWNER D/TE <br />X <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPMENT <br />AiC — AiMNDLG UNITS — HP. <br />REFPIGERATION UNITS — HP. EA <br />BOILERS — � T.U.rH P. <br />GAS FlREO A C. UNITS — BSL. <br />FORCED AIR SVSTEMS — � TU. M EA. <br />WALL HEATERS — 0 T.U. M <br />UNIT HEATERS — � 1.0 M <br />EVAPORAiIVECOOLERS <br />CLOTHESDRYEfl$ <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTF�N <br />VACI.NT SITE <br />❑ YES O�O <br />NO OF DWEI� iNG UNItS <br />0 <br />ISSUANCE �Y <br />B.E. <br />VERMIT S <br />TOT '� <br />PLAN CHECK NUM�ER F��` sl ���PT NO <br />88/20113 6 �FI30 � ,$(�7694 <br />FEES AT10 FE <br />BUILOING S1S OOO.00 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec.304�e) <br />FEE <br />STATE BUILDING SURCHAHGt <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PNUPERLV VALIOATC:D pN THIS SPACE) iH1515 VOUR PERMIT <br />�.;u�.�.�.f.`s I <br />r7 <br />T� <br />T� <br />� <br />N <br />