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i <br /> �`� � C"'�NSTRUCTION 1 <br /> everett PERMIT PERMITNO. �'1654 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COM81NAilON � BUILDIN6 ❑ MECHANICAL ❑ PLUMBING O SION <br /> ONNEN Me�l ADOHESS CrtY 21P PHOhE <br /> Greg Poaey 17910 SR 92 Granite Falle 98205 691-4107 <br /> �NCHITEGTORUESIGNER MML�ODRE55 CIiY Zio pryp:., <br /> OENENALGONTR�CtOH M�IL�DORESS GTY ZiP PHONE IICENSE� <br /> Poeey Cuetom Homee POSEYCH15579 <br /> MECM�NIGLCONTR�CTOR M�Il�00RES5 CItY IIP VMONE LICENSE� <br /> PIUMBINOCONTR�CTON MML�D�RE55 CITY 21P PHONE IICENSF� <br /> CU490i WORM <br /> C�NEW ❑ADDITION O ALTERATION ❑ REPAIN ❑ DEMOLITION O OUILDINO RELOCATION <br /> YALUATION OF MIOpN <br /> = 69,808.00 <br /> DE6CRIBE WOnR <br /> New Conatruction <br /> ME�TSOUNCE <br /> ❑ LL[CTIIICITY ❑ OA6 O WOODBTOVE O OTMER <br /> rnoras[o use or euaoiNa <br /> Sinqle family tesidence I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> APPLICATION ANO KNOW THE SAME TO BE TRUE AND <br /> LEOQUEBGnN,IPTIONOiPROPEPTY�SHOWBELOWOP�TT�CHiOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �oT�o eioc■ _. or Rucker Ridge GOVEFNING THIS TVPE OF WORK WILL BE COMPLIED WITM <br /> 'NHETHER SPECIFIED HEREIN OR NOT. THE CiRANTIN6 OF A <br /> PERMIT DOES NQT PRESUME TO GIVE AUTHORITV TO <br /> VIOLATE OH CANCEL THE PFOVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR <br /> THE PERFORMAN CONSTRUCTION. <br /> JOB�D011E59 SIGN�TURE OG LON111 TMOP11E0�OENT,OR ONMEH OATE <br /> An le Lane X �d —lf <br /> rLUANINO ME A L <br /> NO. TYR Of FUlTU11[OR ITEM FEE NO. TY OF EOUIVMENT R[ <br /> WATER CLOSET(iOILET� A/C-A/MNDLO UNITS-M P <br /> BATMTUB REFRI6ERATION UNITS-MP.EA. <br /> LAVATORV(WASH B�SIN� BORENS-B T.0 M P <br /> SHOWEfl GASFlHEDA�C UNITS-BSU. <br /> NI1:.HEN SINN 8 DISP. FORCED AIR SVSTEMS-B T.0 M EA. <br /> DISNWASHER WALLHEATERS-BT.U. M <br /> LAUNDRY TRAY UHiT MEATERS-B T U M <br /> CLOTHES WASHER EVAPORATIVE COOIERS <br /> URINAL CLOTHESORVENS <br /> ONINNINO FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN RANGE HOOD <br /> BACKFLOW PREVENTEPS WATER MEATER <br /> ROOF DRAINS-RAINLEA�EfiS WOOD SiOVE <br /> 61KK�SERVICE-BAR,ETC.� MF.TAL FIREPLACE 8 CHIMNE <br /> FIREPLACEINSEFT <br /> HEAT PUMP T <br /> GASPIPING 'L� <br /> E%HAUSTFAN G <br /> J <br /> BU!TO7Al { tU!i <br /> PfRMIt i P[PM <br /> TOTAL if[ ! TOTA <br /> FPONTSETB�CI( PEABSETB�CN Si0f5EiB�CK pIANCHECKNUMBER FE � E PTNO. <br /> 20 20 6 89/21654 CI�Q61i00f12 �705 <br /> USE20HE IOTARE� <br /> V/�C�NTSITE FEEB VALUATION FEE <br /> R-1 Klres nr+o <br /> TYVEOiCONST OCCCPANGYGHOUP NOOfpWEllINO�NITS BUILDING S69 BOB.00 SO4 SO <br /> V-N R-3 1 <br /> PLUMBING <br /> SRE OF BLDO NO Oi STOFiES M�x OCL LO�O <br /> 1988 1 N�A MECHANICAL <br /> INVES7IGATIONFEEp�� 1dI5f�4�B� 2 93 <br /> IR i'RINNLERSREOUIPED VES NO <br /> STATE BUILDING SURCHARGE 3 SO <br /> STA7EENERGVSURCHAHGE 15 00 <br /> �PPIIC�TION�CC BY PL�NSCHECNEOBY �nPR fORI55U4NCEliv <br /> ORIVEWAY PERMIT <br /> S.H. J.W. J.W. TOTAL 545 93 <br /> PEPYIT V1ILIUATION <br /> WIiEN PFOPENLV VALIOATEU�M THIS SPACEI THIS IS YOUR PEPMIT <br /> �� <br /> �..�J <br /> �� <br /> � <br /> N <br /> r ,., : s� , , <br />