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11e� �'ON5TRUCTION " p <br />everett PERMIT PERMITNO. � o��� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION �KBUILDING ❑ MECHA�VICAL CI PLUMBING ❑ SIGN <br />OWNER MRILA�ORE55 GiV ➢G PHONi <br />City of Everett 3200 Cedar St. Everett, SJA 98201 259-8600 <br />•RCHITELT OR �[SIGNER MNIL PD�RE55 CITY LP P110NE <br />GENEO�L CONTRACiOR M�IL AODRE55 CITY 21P PMDNE LILENSE � <br />Xan� Same <br />MWNNNICALLONiR4CTOR MRILPDOPE55 CITY IIP MONE LICENSE• <br />RUMOING CONTR�GiOP MAIL AOORE55 GTY :IP PNONE LICENS[ i <br />GLA55 Oi W011N <br />❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR <br />VAWPTIONOf WORK <br />S X898BY 2SOO. <br />DESCPIOE WORN <br />Breezeway Construction <br />MEAT SOURCE <br />❑ ELECTRICITY ❑ GAS <br />Laboratory <br />ior _ oiocrc _ <br />JU11 P1)UMCJJ <br />4027 - 4th St SE <br />PLUMBING <br />NO. TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �TOILET) <br />BATHTU3 <br />LAVATORVIWASH BASIN� <br />SHOWEfI <br />KITCHEN SINK 8 DISP. <br />DISNWASNER <br />LAUNDRVTRAY <br />CLOTHES\YASHEF <br />URINAL <br />DRINKWG FOUNTAIN <br />FLOOR DRAIN <br />DACKFLOW �0.EVENTERS <br />ROOF DRAMS - RAMLEA�ENS <br />SINK (SERVICE - �AR. ETC � <br />NA <br />usEzuHE <br />FFD <br />TVPE OF CONST <br />V-N <br />SiZE OF P�OG <br />88 sf <br />FIRE SPRINNIEPS RI <br />A{`PLiCAtiONACC �V <br />IDZ�Z S.H. <br />❑ WOOUSTOVE <br />SUBTOiAL f <br />PERMIT f <br />TOTALFEE f <br />REAR 5[T[3ACN 51 <br />NA <br />LOTFREA �� <br />IIA ❑ <br />OCCUPANCYGROUP N� <br />$-2 <br />NO OF STORiES M <br />1 <br />) ❑ YES SCl NO <br />VLnNSCMECNEOo� < <br />Be <br />1E SLTBPCN <br />NA <br />CRNi SITE <br />rEs P9�+o <br />) OFOWELLINGUNITS <br />� <br />1M OCC LOAD <br />NA <br />PPR fORISSUANC[BV <br />L.E. <br />O DEMOLITION <br />❑ OTHER <br />❑ BUILDING 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 UF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIEU WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO G�VE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHFF <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERfORMANCE OF CONSTRUCTION. <br />SI�jURE CF CONTRAQOR. AUT110RIZ[0 RGENi, OR OWNER ONTE ^ <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A'C -- A HNOIG L/NITS - H P <br />REFPoGERATION 11NIT5 - M P EA <br />OOILERS - 0 T U�li P. <br />GASFlREDAC UNITS-U.TU <br />FORCEOAIRSVSTEMS-BTU MEA <br />WAILMEATERS-OT.0 M <br />UNITHEALCPS-OTL �.� <br />EVAPORATNECOOLERS <br />CLOTHESDFYERS <br />VENiIL4TION R1N <br />nnNGEH00� <br />WATER HEATER <br />WOOD STOVE <br />METAL RREPLACE 8 CMIMNEY <br />FlREPLACEINSERT <br />MEAT PUMP <br />GAS PIPING <br />E%NAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTRLFEE <br />PLAN CNECK NUMOE(i FEE RECEIPT NO. <br />87/18272 35.10 To be <br />FEES VAIUATION FEE <br />BUILDING Q500. 59 OO <br />PLUMOING <br />MECHANICAL �Gi lS�l l;i `i� 1 zhCf I� 1���,�4�������- I L::. <br />ob�a�oowyoaMaa� Plan hecSes,3o4/0� 35 10 <br />STATEBUILOINGSURCHARGE ..�.,� <br />,._� .. � <br />STATEENERGVSURCHARGE - <br />DFIVEWA\' PERMIT <br />TOTAL <br />PEflM1T VRLIOATION <br />WHEN PROPERLV VALIOATED pN THIS SPACE� THIS IS YOUR PERMIT <br />10 <br />N <br />N <br />N <br />O� <br />� <br />