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ehe Euergre�e <br />��T� oF <br />evere�t <br />259-8745 <br />-:., C �,N��TRIJC�'iON <br />PERI4�IT <br />, r, , __ <br />PERMIT NO: � � � 0 � <br />� DEMOLITION ❑ COM�INATION ❑ BUILDING ❑ MECHANICAL -❑ pLUMBIVG ❑ SIGN <br />OWNER AIAIL ADDfiE55 �ITY ZiP PMpNE <br />Robert Jungaro P.O. Box 363 Mukilteo, WA 98275 742-5760 <br />AqLHITEGTOR0E51GNER MRILADpR[55 CITY ZIP PHONE <br />GENERFLCONTRACTOR MAILqOOBFSS GTY 21P PHONE LICENSEn <br />h1ECHANICALCON'fiACTOR MrIILA�DRE55 CITY ZIP PHONE Li.^,ENSEx <br />CLA55 OF WORh <br />❑ NEW ❑ ADDITInN <br />VAW4TION OF WORK <br />E <br />b1nIL AD�PE55 <br />❑ ALTERATION ❑ REPAIR <br />Remove s:.ngle family residence <br />nEATS�URCE <br />❑ ELECTRICITI' ❑ GAS <br />PROPOSEO US[ OF BL ILOMG <br />LOT _ pLOCK __ <br />❑ WOODSTOVE <br />Jq ATT 1CH FOUR COPIESI <br />Tract 35 Beverly Berry Tracts, L>iv 2, S. 720' <br />thereof. <br />8605 l8th Ave W. <br />PLUMBING <br />NO. TYPE OF FL'(TURE OH <br />WATER CLOSE' (TOILET) <br />BATMTUB <br />LAVATORY (WASH L'i.SIN) <br />SHOWER <br />KITCHEN SINK 8 DIEiP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINI<INC FOU�JTAIN <br />FLODRDPAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAWS - RAINLE4DER5 <br />SINK (SERVICE - BAR. ETC.� <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />USE ZONE � LOT <br />TYPE OF CONST. I OCCIIPANCY GROUP <br />pLDG <br />PVP�ICATIANACC PY <br />M.M. <br />FEE <br />GTY <br />�7 DEMOLITION <br />O OTHER <br />21P PMONE LICENSE � <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAb'E READ 4ND EXAMINED THIS <br />APPLICATION AND KNOW THE SA4{E TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIEU HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE O OC{� L LAW REGULATING CONSTRUCTION OR <br />THE PEF O M�CE OF CONSTRUCTION. <br />SIGNqTUR f TRA TOF, nUTHOPiZED AGENT. OR OWNEF ONTE <br />z % � � 3%��1�'� <br />MECHANICAL ��% <br />NO. TYPE OF EOUIPMENT <br />A:C — A/HNDLG UNITS — H P. <br />REFRIGERATION UNITS -- HP. EA. <br />�OILERS — BTL.iHP. <br />GAS FIRED A.C. UNIT$ —� B T.U. <br />FORCED Alfl SVSTEMS — BS.U. M EA. <br />WALLHEATERS—BT.U. td <br />LNITHEATERS—BS.U. M <br />EVAPORATIVECOOLERS <br />CLOiHESORYERS <br />VENTILATION Ff.N <br />RANGEHOOD <br />l'lATER HE�TER � <br />\VOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FlREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN CHECK <br />vnc,:v. sire FEES <br />❑rEs ❑r�o <br />No.orDWEIunGUNrts �UILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATIOW FEE <br />STA7E BUILDING SU <br />FEE <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTAL FEE S <br />FEE RECEIPT NO. <br />VALUATIO�I FEE <br />g _0_ _p_ <br />Sec.304�c� <br />�E 3 50 <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />T07AL I I 3I50 <br />PEqMIT VALIDATION <br />\4HEtJ PROPERIV VAIJDATED (IN THIS SVACE) THIS IS VOUR PERh91T <br />�7 <br />0 <br />L� <br />�) <br />r� <br />