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Ihe Euergreen ^-y <br />anoF ' � V'�ySTRUCTION � qn <br />��verett pE���r P�RMIT NQ:- � i u�� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION LxI BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER M/RADORESS CIiY ZIP PHONE <br />William E. Smith 8425 Bth Ave. W. Everett 96204 771-9167 <br />ARCMITECTOR�ESIGNER MFIL��DRE55 iiTY ZIP PMONE <br />MAILAOORESS CITY ZIP PHONE IICENSE� <br />Owner <br />MECHFNICFLCONTRACTOR MAILAODRE55 CiTY 21P PHONE �ICENSEu <br />PWMEINGCONTRr1CtOR MqiLF�DRE55 CITY ZIP PMON[ LICENSE+ <br />CLASS O� WORK <br />❑ NEW ❑ ADDITION 6c7 ALTERATION <br />VAlU.1TION OF WORN <br />5 3000.00 <br />❑E`CFIPE WORK <br />Remodel sinqle family to duplex. <br />O REPAIR <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />'POPOSED USE OF BUILOING <br />Duplex <br />iow oe�ow on nrTncN Foun <br />Slover Add <br />LOT _ BLOCK __ OF_ <br />S. 150' of lot A <br />8425 8th Ave. W. <br />PLUMBING <br />). TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET� <br />BAiHTUB <br />LAVATORV�WASFIBASIN� <br />1 SHOWER <br />Z KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINOI <br />�RINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOIVPREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK (SERVICE — BAR. ETC.� <br />TVPE OF CONST <br />V-N <br />SIZE OF 9L�G <br />1470 <br />qPPLICAT10N ACC OY <br />s.x. <br />SU:�TOTAL <br />PEFMIT <br />TOTAL FEE <br />R-3 <br />F STORIES <br />ov <br />5.�. <br />�• <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDIhG RELOCATION <br />I HEREBY CERTIFY THAT � HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E TFUE AND <br />CORRECT. ALI. PROVISIONS OF LAWS AND ORDINANCES <br />GOVERIJING THIS T�PE 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 OH CANCEL ?HE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRU TION. <br />SIGNATUR'i OF CONiRACTOR, AUT ZEO4G . OR OWNER �ATE <br />X l��» n ,�ti i <br />MECHANICAL <br />TYPE OF EOUIPMENT FEE <br />AiC — AiHNDLG UNITS — HP. <br />flEFRIGEPATION UNITS — HP. EA. <br />BOILERS — BS.0 iH.P. <br />GASFlREDAD UNITS—�TL. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WAILHEATERS—B7.U. M <br />UNITHEATERS—�.T.U. M <br />EVAPOf7ATNECOOLERS <br />CLOTHES ORYEfiS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER � <br />YlOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />fIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HhUSTFAN <br />PERMIT <br />5'�UG SErBncK PLAN CHECK NUM�ER F�L-�� 2CEIPT NO. <br />5 88/21025 e sRcy2s ,;� 14s�z <br />vncnNrs1Te FEES VALUATION FEE <br />❑YES C�.'O <br />NO.OFOWELLINGUNITS BUILDING S3OOO.00 <br />2 <br />PlUM01NG <br />n�nz. occ �eno <br />➢i$ N�A MECHANICAL <br />INVESTIGATION FEE Sec.304(c) <br />STATE BUIL�ING SURCHAqGE <br />STATEENEPGVSURCHARGE <br />APPR GOR ISSUANCE OY <br />DPI'/EWAY PERMIT <br />BE TOTAL Zs <br />PERMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE� TMIS IS VOUR PERMIT <br />G.JDI;E`.;5 P�:.� <br />54 00 <br />15 00 <br />3 <br />�..�� <br />N <br />O <br />r <br />N <br />� <br />m <br />