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�� <br />CITY OF <br />everett <br />259-8745 <br />�"~ C�NSTRUCTION <br />PERMIT <br />���-8� <br />r'^ r-e`. <br />PERMITNO. f ���0 I! <br />❑ DEMOUTION O COMBINATION CS BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN �', <br />OWNER MAII R�DRE55 CITY ZIP 1'MONE <br />R.L. Eberlein 2503 lst W Seattle, WA 98119 289-8727 <br />qpCHRECT OR DESIGNER MAII ADDPE55 CITY ZIP PHONE <br />owne.r <br />GENERAL CONTRACTOB MAIL RD�RE55 QTV 21P PnONE LICENSE � <br />owner <br />MECH4NICAL CONTR4CTOR MAtL A�ORE55 CITY 21P PMONE IICENSE • <br />PLUMBING CONTRRCT01i MAII ApDRE55 CITV ZIP PMONE LICENSE • <br />:L�55 OF wunn <br />❑ NEW L$ ADDITION ❑ ALTEPATION ❑ REPAIR ❑ DEMOL�TION ❑ BUiLDING REL CATI <br />5 4, <br />AddV30' x 18' gen use room to existing residence <br />O ELECTRICITY ❑ GAS <br />Mi0PO5ED USE OF BUILDiNG <br />Single family residence <br />❑ WOOUSTOVE ❑ OTHER <br />LOT _ OLOCN _ �i' <br />Lot 14 W 11.53' of Lot 2 Olympic View Add., <br />ex. W 70K' <br />500 Wood P1 <br />PLUMBING <br />TYPE OF FII <br />WATER CLOSET �TOILI <br />BA7HTUt3 <br />LAVATORY IWASH BA: <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />LAUNDRYTRAY <br />CLOTHES WASHEfl <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACHFLOW PREVENTERS <br />HOOF DRAINS — RAINLEADERS <br />SINN �SERVICE — BAR. ETC.1 <br />0 <br />R-1 <br />TYPE OF CON51 <br />V-N <br />512[ OF OLDG. <br />500 sf <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNGW 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 CONSTHUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIf.N/iUfiE O� CONT��CTO�. /Ui110liIZEO �GCNT.OR OWNER DATE <br />X� <br />MECHANICAL <br />ITEM FEE NO. TVPE OF EOUIPMENT <br />A/C — A.'HNDLG UNITS — H P. <br />REFRIGERATION UNITS —H P. EA <br />OOILERS — B T U/H P. <br />GAS FIRED A C. UNITS — B T.0 <br />FORCED AIR SYSTEMS — B TL. M EA. <br />WALLHEATERS—�T.U. M <br />UNITHEAiERS—O.T.U. M <br />[VAPORAiIVE COOLERS <br />CLOTHES�RVERS <br />VENTILATION FAN <br />RANGEHO00 <br />WATER HEATER <br />WOODSTOVE <br />METAI FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXIIAUST FAN <br />SUB TOTAL <br />PEflMIT <br />TOTRLFEE <br />12,615 sf <br />;UPANCVGROU� <br />R-3 <br />1 <br />Be <br />ov <br />� <br />:DESET9PCK <br />6' <br />VACRNTSrtE <br />]YES R1N0 <br />NO OFDWELUNC <br />1 <br />MR% OCC LOR� <br />NA <br />L.C. <br />SUBTOTRL <br />VENMIT <br />TOT�LFEE <br />PLAN CHECNNUMOER FEE <br />87/18420 90.95 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E BUILDING SURCHARG <br />STATE ENERGV SURCFI�RGE <br />DRIVEWAY PERMIT <br />- � Z — <br />a8�49 <br />I 1_ <br />�ec 30a1e1 ., <br />-:0 <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PNOPERLY VALIDATED �IN TMIS SPACE) THIS IS YOUR PERMIT <br />�..�_.... .., i � .. <br />3�50 <br />;37F� <br />