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r�� <br />CITY OF <br />everett <br />259-8745 <br />'-' Cr`�NSTRUCTION ' '�^ <br />PERMIT PERMITNQ:_.16861. <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIIADDRE55 CITY Z�P PHONE <br />LEONARD WILLIAMS 928 - BS�N 51st St. SW Everett WA 98203 259-2504 <br />ARCHITECT OR OESIGNER MAIL AD�RES$ CITY ZIP PMONE <br />GENEFRL CONTRRCTOR MAIL AppPE55 CITY ZIP PMONE LICENSE � <br />PAC WEST CORP 10929 - Hwy 99 South #C Everett WA 98204 347-1491 PACWEC150CN <br />MECMANICRL CONTRP^.TOfl MAIL ADORESS GITY ZIP !HONE LICENSE s <br />PLl1MBINGCONTRRCTOR MRILAODRESS CITY ZIP PHONE LICENSEM <br />CLASS OF VJOHK <br />❑ NEW I(j(ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VAIUATION OF WORR <br />s 19,000.00 <br />OESCRIBE WORK <br />Addn above existing garage <br />❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHER <br />Master bedroon and bath <br />�OT �y B�OLK 1L� <br />JOBADOHESS <br />928 - 51 st St. SW <br />PLUMBING <br />TYPE OF FI7(TI <br />WATER CLOSET (TOILET� <br />BATHTUB <br />SHOIYER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />BACKFLOW PREVENTEFS <br />ROOF DRAIIlS — RAINLEADERS <br />SINK /SERVICE — 9AR ETCI <br />20' <br />TYGE OF CONST <br />V-N <br />SIZE OF ELDG. <br />qYpUCATIONACC �Y <br />mm <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />REARSETUACN <br />20' <br />LOT AREA <br />10,400 sf <br />OCCUPANCYGROUP <br />R-3 <br />NO OF STORIES <br />2 <br />) ❑ YES ❑ NO <br />PLPNS CMECKEp OY <br />jef <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 i.ANCEI THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR <br />THE PERFORMANCE OF,60NSTRUCTION. <br />SIGNAT�qE OF CONTRAGTOR. <br />X L:-FsZ�.w i <br />MECHANICAL <br />OROWNER DATE <br />- .1-�7�e4� <br />FEE NO. TYPE OF E�UIPMENT <br />B OO A/C — A/HNDLG UNITS — H.P. <br />B OO REFRIGERATIONUNITS—H.P.EA. <br />5 �0 BOILE(i5—B.T.U./H.P. <br />GAS FIRED A.C. UNITS — <br />FORCED AIq SYSTEMS — B.T.U. IM EA. <br />WALL HEATERS — C.T.U. <br />UNIT 1EATERS—P,.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYEFS <br />VENTILATION FAN � <br />RANGEHOOD <br />WATER HEATER • <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />6' <br />VACANt SITE <br />❑ YES CXNO <br />NO OF OIYELLING UNIiS <br />1 <br />Mn% OCC LOAO <br />APPR <br />lc <br />SUBTOTAL <br />PENMIT <br />TOTAL FEE <br />86/16861 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTI3ATION fEE <br />STATE BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />ORIVEWAV PERMIT <br />128.70 80251 <br />VALUATION _ <br />�i 9,000. <br />Sec.304(e) <br />FEE <br />� �� <br />15100 <br />1 I 50 <br />TOTAL I I 2jQ 5� <br />PERMIT VALIDATION <br />WHEN PRpPERLV VALIDATED �IN THIS SPACE) THIS IS YOUR PERMIT <br />r' <br />�.� <br />� <br />L� <br />�� <br />i�:`iity[@S (IL� <br />