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`�� '"` �NSTRUCTION � '�' n <br />everett PERMIT NERMIT NQ:- � �� �? <br />259-8745 ' <br />❑ DEMOLITION �{7 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ON?!ER MnIL nODRESS CItY 21P PHONE <br />Linda Kane 5107 Woodlawn Ave Everett, WA 98203 252-9285 <br />nRCNITECT OR OESIGNER MRIL AOORE55 GTY Z6' PNONE <br />MI.IL A�DNE55 <br />CITY 21P <br />$dIi12 <br />MECHRNiCAL CONTRACTOR MrIIL PO�RE55 CItY <br />PlUM81NG CONTN�GtOR n.t.t. RDDRESS CI'• Y <br />❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION <br />s 20,000 <br />OESCRIBE WOFn <br />Add bedroom and bath <br />MERTSOURCE <br />� ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />PBOPOSEO USE OF BUIIDMG <br />Single family residence <br />IEGRI DESCRIPiION OF PROPERTY �SHOW DELOW OR ATTr1CM fOUR COPIE51 <br />�oT 5 eiocK _ or Cascade Terrace <br />c <br />5107 Woodlawn <br />PLUMBING <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORY (WASIi BASIN) <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASHER <br />LAUNORYTRAV <br />CLUTHES WASHER <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DHAINS — RAINLEADERS <br />$INK �SERVICE — 6AR, ETCJ <br />2�� <br />ZONE <br />R-2 <br />V-N <br />112E OF BLI <br />1344 <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />ERR SETBACN <br />2�� <br />JT ARER <br />9950 sf <br />CCUPANCYGROUP <br />R-3 <br />2 <br />ES $] NO <br />]H[LNEDOY <br />Be <br />S� <br />V4CAM� SITE <br />❑ vE5 �F] NO <br />r+o oF owEw <br />l. <br />MA% OCC l0< <br />NA <br />APPR fOfi <br />L.C. <br />PHONE LICENSE • <br />21P MONE IICENSE � <br />IIP PNONE LICENSE• <br />❑ BUILDING RELOCATION <br />❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUC710N OR <br />THE PERFORMANCE OF CON ON. <br />SIGN E Of CONTRRCiOR aUT110R R OWNEN DRTE <br />X �'%,, c � S-/ � �3-� <br />TYPE OF EOUIPMENT <br />A� C— A/MNDLG UNITS — H.P. <br />REFRIGERATION UNITS — M P. EA. <br />DOILERS — B.T.0 iHP. <br />GAS FIREO A�C. UNITS — B.T.U. <br />FORCEO AIR SVSTEMS — B.T.0 M EA. <br />WALLHEATERS—BT.0 M <br />UNITMEATERS—OS.U. M <br />EVAPORATIVE COOLERS <br />CIOTHESORVERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATERHEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />135.44 <br />BUILDING S 20,p00 207.00 <br />PLUMBING NUU�_1F1:iY <br />�t% _a--- <br />MECHANICAL t•LFG ±��I .00 <br />INVESTIGATION FEE 1��.304�e) � 4•�'� <br />STATE BUILDIIJG SURCHARGE ���ti;� ��� 3 � <br />STATEENERGYSUPCHARGE <br />DRIVEWAV PERMIT <br />TOTAL <br />PENMIT VALIDRTION <br />WHEN PROPERLV VALIDATEO (IN THIS SPACE) THIS IS YOUR PEflMIT <br />1$ <br />4 <br />1 <br />A.���i�.L;,J � I. �_ <br />J <br />