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-- � <br />`��' ��� �"` t'�NSTRUCTION ,�� �� = -18893 � <br />evere PERMIT PERMIT NQ. = <br />259-8745 I <br />❑ DEMOLITION ❑ COMBINATION CA BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILAUDRE55 LITY 21P PHONE <br />Patricia L. Linehan 327 SOth St SW ^nverett, WA 982C3 252-8281 <br />APCHITECT OH OESIGNER MNIL ADORESS CITY ZiP PHONE <br />GENERAL CONTflACTOR MAR AODRE55 GITv ZIP PHONE IICENSE x <br />Evarett Builders, Inc. 5606 Evergreen Way Everett, WA 982�3 353-7161 EVEREB301PH <br />MECMANICALCONTFNCTOR MAILAOORESS CITY ZIP PMONE LICENSE• <br />PIUMGING GONTpACTOF MRIL ADORESS GITY ZIP PHONE UCENSE / <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION L�9 ALTERATION ❑ NEPAIR ❑ DEMOLITION <br />VFLUATION OF WORN <br />a 1624.00 <br />�ESCRIBE WORK <br />Reroof - 17 sq composition on existing residence <br />HEATSOURCE <br />❑ ELECTRICITV ❑ GA> ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />LOT _� BLOCK _ OF__ <br />327 - SOth St S'rl <br />PLUMBIA3 <br />TVPE OF FlXTIiHE Op ITEM <br />WATER CL03ET (TOILET; <br />BATHTUB <br />LAVATOPV (WASH l3AS.N) <br />SHOWER <br />KITCHEN SINK 8 DIS�. <br />OISHWASMER <br />LAUNDRYTRAY <br />CLOTHES WASHF.R <br />ORINKING FOI <br />FLOOR DRAItJ <br />ROOF DRl�INS — FiAINI <br />SINK (SE iVICE — BAR, <br />USE2]NE <br />iYP�d OF CONST. <br />SIZ"c OF BLOG. <br />F�RE SPPINKLEHS R <br />�PPUCATION ACC. �Y <br />M.M. <br />SUB TOTAL <br />PERMIT <br />NO. OF StOPIES <br />CHECKE�BY <br />FEE <br />VACANT SITE <br />❑ YES ❑ NO <br />NO OF OWEILING UNITS <br />MA%. OCC. LOAD <br />qPPR FOR ISSUANGE OY <br />❑ BUILDING aELOCATION <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 �AWS AND ORDINANCES <br />GOVERNING �i HIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATU`E�II OT\�TOR, A�TI� MOR12ED Gq ENT.OROWNER ���E�� <br />X � i�,i u- r <br />� � o cti• <br />MECHANICAL <br />NO. TrpE OF EOUIPMENT FEE <br />A'C — A/NVDLC UNITS — HP. <br />RCFRIGERAI tiJN UNITS — H.P. EA. <br />BOILERS -- B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED Alfl SYSTEMS — B.T.U. M E�. <br />WALLHEATERS-87.U. M <br />UNITHEATERS—BT.0 M <br />EVAPORATIVL COfjL�FS <br />CLOTHES DRVEF.S <br />VENTILATION �AN <br />RANGEHOOJ <br />WATEp HEaTER � <br />WOODSiJVE <br />ME'fAl_ FIREPLACE 8 CHIMNE�' <br />FIRFPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />Sl1B 70TAL <br />PERMIT <br />TOTALFEE <br />NUMBER FEE IHtc.tiYlrvV,,,-.,- <br />, :', i . � _.��' . <br />FEE^ VALUA71oN rte <br />BUILDING 5����1624.00 - .--�'�"� <br />PLUAIBING - <br />.NECHANICAL <br />iNVESTIGATION FEE Sec. 304(e) <br />STATE Bl11LDING SURCHARGE <br />STATEENERGVSURCHARGE ` <br />DRIV'cWAY PERMIT <br />TOTAL <br />VERMIT VALIDATION <br />WHEN PROPEF.LY VALIDATED (IN THIS SPACE� THIS 15 1'OUR PEFMIT <br />I�1771i�rI,'lilli <br />391@B <br />31 50 <br />421 50 <br />• <br />