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everett � �^ ONSTRUCTIOI�, � <br />259-8745 PERMIT PERMITNO. � 7� 2O <br />❑ DEMOLITION C8 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OVMER MAIL ADDRE55 CITY JP PNONE <br />Anthony Goetz 2510 - 107th Pl SE Everett, WA 98203 337-3847 <br />AqCMiTECi OR OESIGNER MnIL RDDRESS CITV 2iP PMONE <br />Jim Drake 405 - 40th NW M�qc Marysville, WA 9A'�0 659-8077 <br />GENEN�L CONTRnCTOR MRIL NDORE55 U i. 21P PMONE IICENSE � <br />Everett School Uist. #2 c/o Jim Drake 801 Casino kd Everett 98203 339-4542 <br />MECHRNIC�L LONiNACTOR MRIL AppRE55 GTY 2�P PMONE UCENSE � <br />PLUMBiNG CONTR�CTOR MAIL /.ODRE55 <br />7(] NEW ❑ ADDITION <br />VRIUATION OF WORN <br />f 6110��. <br />�ESCRIBE WORK <br />New Construction <br />❑ ALTEqATON O REPAIR <br />❑ ELECTfi�CITY ❑ GAS L WOODSTOVE <br />'ROPOSED USE OF BUILUiNG <br />Sinqle family residence <br />.EG�L DESCRIPTION OF MiOPEqTY �SMOW BELOW OR ATIACH FOIIN COPi[5� <br />9 3 Sylvan Crest <br />ior _ s�ocK _ ov <br />7212 Yew St. <br />PIUMBING <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATMTUB <br />LAVATOFV �WnSH BASIN� <br />SHOWER <br />KITCMEN SINK 8 DISP. <br />URINAL <br />- RAINLEADERS <br />. - BAR. ETC.� <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />)NT�ET9RCM PEARSETBhCN <br />20' 20' <br />E20NE LOTAREA <br />:-1 6600sf <br />'E OF CONST OCCUPANCV GROUP <br />V-N R-3 <br />E OF BLDG NO Of STORIES <br />438 + 400 1 <br />APPLICATiON ACG. OV <br />M.M. <br />CIiY <br />�� DEMOUTION <br />❑ OTHER <br />ZIP PHONE LICENSE � <br />� BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO PE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OFD!NANCES <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 />STNTE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNtTURE OF CONI ACTDR. RUTHOP2ED GENT. OWYEP �qTC <br />X �U�� ku v� ��S-� <br />MECHANICAL <br />FEE NO. TYPE Oi EOUIPMENT <br />IO OO //C — A/HNDLG UNITS — MP. <br />S OO REFRIGERATIONUNITS—H.P.EA. <br />IO OO BOILERS—BT.U./HP. <br />S OO G4S FIRED A C. UNITS — �.T.U. <br />S OO PORCED Alq SVSTEMS — B T.U. M EA. <br />S OO WALLHEATERS—BS.U. M <br />S OO UNIT HEATERS — BSL M <br />S OO EVAPORATIVE COOLERS <br />j CLOTHES ORYERS <br />2 VENTILATION FAN <br />1 RANGEHOOD <br />1 WATER HEPTER <br />1 WOODSTOVE <br />METAL FIREPLACE 8 CHIMK IY <br />FIREPLACE�NSERT � <br />HEATVUMP <br />GAS PIPING <br />E%HAUSTFAN ' <br />6' <br />Y/.CANT SITE <br />]Y[S ❑NO <br />NO OF OWEILING UNITS <br />1 <br />MA% OCG LOnO <br />8G/17120 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />FEE <br />SUBTOTAL 3 SB SO <br />PERMIT f <br />TOTALFEE S SB SO <br />FEE RECEIPT NO. <br />284.05 818H6 <br />VALUATION FEE <br />S 61,000 464 00 <br />50 00 <br />STATE BUILDING SURCHARGE <br />STATEENEFGVSURCHAqGE <br />Pl4N5CHECKEDBY APPR FORi55U4NCE0Y <br />DfiIVEWAV PERMIT <br />S.G. L.C. <br />TOTAI <br />VEHMIT VALIDATION <br />WHEN PROPERLV VALt�ATED �IN <br />.L�cJGf �,J ��`t �d��� <br />;,r:;.3b �,_,_ <br />.�]$eo.�70q(e) <br />u000.:�rro <br />� <br />�sc ss .00 <br />t7ECH 45 .50 <br />�' <br />f, 5�^C'�1 4 .50 <br />c SFi;N ?-1:i.OD <br />LN�v�Pj�CE) THI��IS. Al <br />u uu <br />{,0�'CDJ2OS <br />! iriE';: � �Q'�).LI, <br />li 55 <br />1 50 <br />is o0 <br />20 00 <br />26 55 <br />PERMIT <br />O <br />N <br />� <br />: Ci.NT [l'�+� � <br />� <br />