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ir-f4��7 <br />everett � �NSTRUCTION � � � -18663 <br />259-8745 PERMIT PERMITNt�= <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILApDRE55 CITY ZIP PHONE <br />Thomas W. Harker 917 Slst P1 SW Everett, WA 98203 259-6520 <br />ARCHITECT OR DESIGNER MAIL AODRESS CITV 21P PHONE <br />GENEBAL LONTPACTOR MnIL PDURESS GTY ZIP PHONE LICENSE x <br />owner <br />MECNFNICAL CONTRACTOR MAIL ADORESS CITY ZIP PMONE LICENSE � <br />N/A <br />PLUMBINGCONTNAC'OR MAILADDRESS CITV 21P PHONE LILENSE� <br />N/A <br />C1A55 OF WCRK <br />❑ NEW K] ADDITION ❑ ALTERAT�ON ❑ REPAIH ❑ DEMOLITION ❑ BUILDING pELOCATION <br />VALUATION OF WORK <br />S• ...... .... <br />Add 10' x 14' addition to garage <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Residence <br />LEG/1L OESGRIPTION OF PpOPEHTY �SMOW BELOIY OR ATTACH FOUR COPIESI <br />21 Seahurst Manor <br />LOT _ BLOCN _ OF _ <br />less E1y 13 ft THOF as meas plt ely ln lot x 21 <br />JOBA�ORESS <br />917 Slst Pl SW <br />PLUMBING <br />WATEF CLOSET (TOILET) <br />BATHTUB <br />LAVATORV(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUN�flYTRAV <br />CLOTHES WASHER <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS — RAINLEADERS <br />SINK (SERVICE — BAR, ETQ) <br />2�� <br />R-1 <br />TYPE OF ( <br />pY <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />2�� <br />AREA <br />OCCUPANCYGROUP <br />M-1 <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 LNWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />W4ETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />Pk.� MIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />SfATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAIty��FCONTRACfOR.AUTHOFIZ50qGENT.09AWNEF DAT@ . <br />MECHANICAI. <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — B.T.0 /H.P. <br />GAS FIRED A C. UNITS — B.T.I.. <br />FORCED AIR SYSTEMS — 8 TL. M EA. <br />WALL HEATERS — B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPIACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />6' <br />VACFNT SITE <br />❑YES QNO <br />NO. OF pWELIING UNITS <br />1 <br />APPfl <br />SUBTOTAL <br />PEflM1T <br />87/18663 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILOINCa SURCHARG <br />STATEENERGYSURCHARGE <br />ORIVEWAV PERMIT <br />FEE <br />16.25 90645 <br />VALUATION FEE <br />w4.1�0�.0� ?rJ 00 <br />�'�Sec;.304(e) <br />3 50 <br />� <br />SH <br />B.E. L.C. TOTAL <br />PERMIT VALIDATION <br />ELECTRZCAL WORK WILL REQUIRE A SEPARATE PERMIT. WHEIJ PROPERLV VALIDATED �IN T✓.�3 SPACE' THIS IS YOUF PEFMIT <br />A;i(7�1E55 f�i:..F <br />50 <br />M <br />CD <br />C.D <br />� <br />� <br />% <br />