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�`� � �ONSTRUCTION "� � <br />everett PERMIT PERMIT NO. 17650 <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION f� BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />OMMEfl MAILAODRESS � CItY ZIP PHONC <br />Dean Skaar 816 52nd St. Everett 98203 353-6771 <br />ANCHITECT OR DESIGNER MAIL AOpflE55 CITY 21P Pt�ONE <br />CONTNACTOR <br />M�IL ADDNESS <br />CITY ZIP PHONE LICENSEII <br />MEGHANICM.CONTflRCTOR MrIILAD�RE55 CITY ZIP PHONE LICENSEa <br />�1UMBING CONTF�CTOR MAIL ADDRE55 dTY ZIP PHONE LICENSE � <br />� NEW ❑ ADDITION � ALTERATION ❑ REPAIN ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALI/ fION OF WORK ' <br />S 1�0�.00 <br />WORK <br />ve Rti(N Kitchen and acd sink to expand bathroom <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Single family residence <br />LEGAL DESCRIPTION OF PRpPERTY (SNOW B6' J <br />LOT _ BLOCK _ <br />PLUMBING <br />NO. TYPE OF FIIITURE OR ITEM <br />WA7ER CLOSET (TOILET) <br />BATHTUB <br />1 LAVATORY(WASHBASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN � <br />fi00F DRAINS - R.1INLEADERS <br />SINK (SEFVICE -- BNR. ETCJ <br />R-3 2 <br />TYPE OF CONST. <br />V-N <br />exist/no cham <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />10489 <br />OCCUPANCYGROUP <br />R-3 <br />1 <br />M.M./S.H. � B.E <br />COPIES� <br />FEE <br />V/ CANT $ITE <br />]YES ❑NO <br />N0. OF OWELLING UNITS <br />1 <br />unn. occ �ono <br />APPP FOli ISSL'ANCE BY <br />L.C. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TNE 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 P�10VISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATURE Oi CONTRAGTOR. AUTHORIZED NGENT. OR OY.NER DATE <br />X �.,,,_�� 1- 29 87 <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT FEE <br />A/C -.1/HNDLG I�NITS - H.P. <br />REFRIGEflATION UNITS - H.P. EA. <br />601LERS - B.T.U./H.P. <br />GAS FIflED A.C. UNITS -- B.T.U. <br />FORCED AIR SVSTEMS - B.T.U. M EA. <br />WALLHEATERS-B.T.U. M <br />UNITHEATEFS-B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES�RVERS <br />VENTILATION FAN <br />1 RANGEHOOD 6 50 <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB TOTAL <br />7EHMIT <br />TOTALFEE <br />PLAN CHECK NUMBER FEE <br />87/17650 16.25 <br />FEES <br />BUILDING <br />PLUMBING ELDG <br />MECHANICAL ELEC <br />INVESTIGATION FEE E ��� <br />STATE BUILDING SURCHARGE , <br />STATEENERGVSURCHARGE <br />DRIVEWAV PERMIT <br />TOTAL I I 4HIOO <br />PERMIT VALIDIITION <br />WHEN PROPERLY VALIDA7'ED (IN THIS SPACE) THIS IS VOUfl PERMIT <br />� <br />�7 <br />�a <br />L` <br />r� <br />hD"uHC55 slLi <br />