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`�� C''�N�TRUCTION � � <br /> everett p��M1T PERMITNO. � S��B <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION C�BUILDINr, ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER NRiLR�ORESS QTY LiP MONE <br /> Georga DI. Bursell 8022 Upper Ridge Rd. Everett, WA 98203 348-SQ16 <br /> RRLMITCCTOFDESIGNER M�ILAUDRESS CiT1' ZIP %IONE <br /> GENER�LCONTR�CTOR MAILP�DRE55 CITV ZIP %10NE UCENSE• <br /> owner <br /> MECHANIf.A�CONTRACTOR MAIL�ODRESS GITY ZIP PNONE LICENSE• <br /> i'LUMOINGCONTRACTOP MA4FO�RESS CITV ZIV %10NE LICENSE� <br /> CLA55 O%WORK <br /> �EW ❑ ADDITION ❑ AITERnTION ❑ REPAIR ❑ OEMOLITIUN ❑ BUILDING RELOCATION <br /> VRIU/TION OF WOPK <br /> S 4000. 00 <br /> DESGNIBE WORN <br /> Construct storage shed <br /> HERTSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOO[75T0'JE ❑ OTHER <br /> VPOPOSEDUSEOFBUILDiNG I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Storage ppPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> l[GRLOESCRIPTtONOFFROFERTVISHOWBELOWORATTACMFOl1PCf.�iES� CORRECT. ALL PFOVISIONS OF LAWS AND ORDINANCES <br /> �or 19_oiocK 1 or Beverly Horiesites Div 1GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPEC�FIED HEREIN OR NOT. THE GHANTING OF A <br /> PcRMIT COES NUT PRESUME TO GIVE AUTHORITY TO <br /> 1 VIOLATE OR CANCEL THE PROV1.^�IONS OF ANY OTHER <br /> STATE OR LOCAL LnW REGULATING CONSTRUCTION OR <br /> THE P OAMANCE OF CONSTRUC N. <br /> JOBRDORE55 SIGNn U O�CONTRAC UIHOPIZLOa9[ . GN'NEP UA <br /> 8022 Upper Ridge Rd. X � /O <br /> FLUMBING MECHANIC <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) AiC—AMNDLG UNRS—HP. <br /> BATliTUB _ FEFRIGERATIONUNITS—H.P.EA <br /> LAVAT0�1'(WASH OASIN� BOILERS—BS U MP. <br /> SNOC�ER GAS FlRED AC.UNITS—BS.U. <br /> KItCNEN SINK 8 DISP. FORCE�nIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—BSL. M <br /> LAUNDRVTRAY UNITM[AT[RS—BS.U. M <br /> CLOTHES WASHER EVAPORATIVE COOl.EFS <br /> URIN�L CLOiHESORYEPS <br /> DPINKING FOUNTAIN VENTILATION FAN <br /> F�OOR DRAIN RnNGE HOOD <br /> BACKFLOW�'REVEMERS WATER HEATER <br /> FOOF DRAINS—RAINIEACERS WO00 STO:'E <br /> SINK�SERVICE—BAR.ETC.) METAL FIREPLACE S CHINVEV _ <br /> FlREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAlST FAN <br /> SUBTOTAL f SUBTOTAL <br /> PERMIT S� PERMIT <br /> TOTALFEE f TOTALFEE <br /> FRONi SET04Cn REAP SETOACK SiCE SETOnCK PLAN CMECK Nl1M0ER FEE RECEIPT NO. <br /> 200' Z acres 74 ' & 82 ' 87/18938 40. 95 93972 <br /> USEZONE LOTFREA yACANTSrtE <br /> ❑res ❑r�o __ FEES VALUATION .FEE... . <br /> R-1 BUILOING c 900-0 .00 � � � � � 63 00 <br /> TVPE OF CONST. OCCl1PqNCY GPOU� NO OF DWELLING UNiTS __ <br /> V—N M-1 O PLUMBING � � � <br /> SIZE Of BLDG NOAF STOPIES MA%OCC LORD . <br /> ZS � XJO� 1 N A MECHANICAL � <br /> INVESTIGATION �x,x�}.B �' Sca304�e) � <br /> FIRE SPRINKLERS REOUIRED ❑�E5 �NO STATE DUILOING��.�RCHAFGE <br /> 3 50 <br /> STATE ENERGY SUI..,HARGE <br /> APPIILRTIONACC.BY PLRNSCM[C1(EO�Y AP�R FORISSUANCEOY �� <br /> ORIVEWAY PERMIT <br /> S .H. B.E. L.C. TOTAL 66 50 <br /> PEHMIT VALiDAT10N <br /> WHEN PROPERLV VAIIDATED�IN THIS SPACE�THIS IS VOUP PERMIT � <br /> �� <br /> Q� <br /> � <br /> �� <br /> .�.i..I1C�'.b ' „ .. <br />