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���' ��� ^ C 7NSTRUCTION � � 1pq <br />everett PERMIT PERMITNQ:, I U`��� <br />259-8745 " <br />❑ DEMOLITION �I COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br />ow*1en 1un nnnnrss cnr zm n�orve <br />Stan 6 Cheryl Fouts ?122 Walnut Everett, WA 98201 252-4050 <br />AOp11iCQJ�O(GIGNLN MAIIADbqC55 CIiY ZIP MIONE <br />f.i'�ER�LCON1P�CiOR MI.ILADpNCSS CITV 71P ('MON[ LICENSE� <br />owner <br />MECM�HIGLCONTRACLO� MAILFOpqC55 QLY ZiP PIIONC. LICENSE• <br />RUM[iINGCONTR�CIOR MAILADO�C55 CI1Y ZIP PHONE LICENSE� <br />Ll NEW ❑ ADDITION <br />��LU�TiONOf WpRN <br />S 5�0��. <br />)ESCRiBE NY1PN <br />Remodel kitchen <br />�]ALTERATION ❑ REPAIR <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />family residence <br />❑ON O� 1`410CE�TY �SIIUW 11RC <br />LO1 _ OLOCN _ O! <br />The SW k of the NE � of Sec 20, township 29N, <br />Ranqe 5 East, W•M. <br />PLUMlING <br />TYPE OF FI%TURE OR ITEM <br />WRTEP ClOSET ITOIIET� <br />B�THTUB <br />UVATORV (WASH BASIN) <br />$HOWEH <br />KITCMEN SINN 8 OISP <br />DISHWASME(i <br />LAUNORVTRAY <br />CIOTHES WASHER i <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOR DFAIN <br />BAC1cFLOW PREVENTERS <br />ROOF DHAINS — RAINLEA�ER$ <br />SINN (SERVICE — BAR. ETC � <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />fRONTSETB�CN �EAq SETBACR <br />20' 20' <br />USE20NE LOTAPER <br />R-2 fi 5670 s1 <br />TVPEOfCONST OCLUPPNCYGRi <br />V-N R-3 <br />54E OP BIDG NO O� STORIES <br />72 sf addn. 2 <br />FlRESPRINKLERSREOUIRED ❑YES [7jf <br />APPUCRTIONnCCOY OLPNSCIICCN[[ <br />SH Be <br />❑ DEMOLITION <br />❑ OTHER <br />O BUILDIN6 RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />COP.RECT. ALL PROVISIONS OF IAWS AND ORDINANCES <br />GOVERNING TF11S TVFE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPEI:IFIED 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 FEGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGN41Uli[ Ui CONTRnGT01y NO�IIED PG T. OR OYMER DRTE <br />X �7 <br />��� �+—� 7 - ? a ' r$� � <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A�C — A;HNDLG UNITS — H P. <br />HEFRIGERnTION UNITS — H P. EA. <br />�OILERS — B TL /H P. <br />GAS FIRED A C UNITS — 8 T U. <br />S OO FORCEO �IR SVSTEMS — B T U. M EA <br />S OO WALL MEATERS — B.T U M <br />UNITHEATERS—BTU M <br />LVAPORATIVE COOLERS <br />CLOTHESORYERS <br />VENiIL�TION FAN <br />RANGEMOOD <br />1 WATERHEATER • <br />WOODSTOVE <br />METAL FIflEPLACE 8 CHIMNEV <br />FIREPLACEINSEHT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />lE 5[TOAcrc P�AN CHECK NUI <br />5' 87/18439 <br />cnr�r sirE FEE <br />vE5 (�NO <br />1 <br />LOnU <br />nrrq fon is <br />L.C. <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />46.80 I 90452 <br />FEE <br />OUILDING S 5�000. <br />PLUMBING <br />MECHANICAL " � ' �� . . _J. "y. <br />INVESTIGA710N FEE � -�� 3�(e) <br />STATE GJILDING SURCHAfiGE . � �, � fj;? <br />STATEENERGVSURCHARGE ' '��� <br />DPIVEWAV PERMIT � <br />TOTAL � . . . �`�,1 <br />PERMIT V1ILIDATION <br />WHBN PROPERLV VALIDATED pN 1H15 SPACE) TMIS IS YOUR PEFIMIT <br />72 00 <br />10 00, , � <br />u6 so <br />3 50 <br />92 00 <br />Qi <br />M <br />tt' <br />� <br />•-- <br />