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the E����qrnm <br />��T�°� � C�NSTRUCTION �� �- - <br />ever�tti PERl1AIT PERMIT NQ: : 21515 <br />259-8745 <br />❑ OEMOLI710N 6L1 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWl1EP MAII /.bDPESti �;It\ LIC PIIONE <br />David and Judy King 615 75th St SE N33 Everett, WA 98203 <br />�PC111TEG10NpB113NFN MRIL�0011E55 f,rtV dIP PMONE <br />GENER�ICUNIq�;1OR M�Il4pURf5ti CI`v IIP fM10NE IICENSF• <br />Everett liuildere, Inc. SG06 Evergreen Way Everett, WA 98203 353-71G1 EVEREB301PH <br />MECIUNIGdCUM1T0�Qp0 MRIlRp01E5S f.ilY IIP PapNE UCENSE� <br />PIUiABiNGMNTR�CTOa MM�ADpR[ti5 �:�iv Ii� v��ONF LiCENSE� <br />f�7 NEW ❑ ADDITION <br />i122,630. <br />Neiu homa <br />❑ ELECTRICITY ❑ 6A5 <br />PROPOSEDUSE JFOUR�INfi <br />Single family residence <br />wr _ s�ocK _ or <br />See attached <br />4717 Belvedere P.ve. <br />❑ ALTERIITIUN ❑ f�EPAIR <br />PLUMBINO <br />NO. TYPE OF FIXTURE UR ITEM <br />WATER CLOSET �TOiLET� <br />❑ATMTLIB <br />LAVATORY (WASH BASIN) <br />2 SIIOWER <br />1 KITCHEN SINN 8 �ISP <br />1 DISHWASHEN <br />LAUNORYTRAY <br />CLOTHESWASHER <br />1'HIlvAL <br />� DRINriI�:C: FOUNTAIN � <br />FLOOR D{IAIN <br />BACNFLOW PREVENTEflS <br />ROOF DRAl1.IS - RAINLEADERS <br />SINN �SERVICE - BFR, ETC � <br />SUBTO7AL <br />VERMIT <br />TOTAL F:E <br />acn ncnnscioncn <br />4 d0' 25' <br />RxP� R-S <br />FE Cf CONSi <br />V-N <br />R-3 <br />size o� e�or, � No o� sroi <br />3611 2 <br />FIRE SPqINN�Ef15 REOu1REO ❑ VES <br />.vvucennr��cc m ur�scne� <br />SH JW <br />❑ WOODSTOVE <br />rouq cnri[s <br />FEE <br />❑ DEMOLITION <br />❑ OTHEH <br />❑ BUILDING RELOCATION <br />I HENEBY CCRTIFV THAT I fiAVE PEAD AND EXAMINED THIS <br />APPLICAI'ION AND KNOW THE SAME TO BE TfIUE AND <br />COPRECT. ALL PROVISIONS OF LAWS A��D ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL AE COMPLIED WITH <br />WHEIHER SPECIfIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DGES NOT PRESUME TO GIVE AUTHOaITY TO <br />VIOLATE R CANCF.I. THE PROVISIONS OF ANY OTHER <br />STATE R LOCAL LAW FEGULATING CONSTRUC"ION OR <br />THE P F RMANC CONSTRUCTION. <br />SIGN�TU E O CONiR4C���T1�2L0 PfiEN1. OR nNNCR UAiE <br />X /i.. �f.1! -�c�.c. �-/ `� � <br />c � <br />MECFi.4HICAl <br />unT rvoc nc eniuow:ur ere <br />A�C - A'MN�LG UNITS - M P <br />REFRICaERATIUN UNITS - H P EA <br />BORERS -- 8 T U'H P <br />GAS FlRED A C UNITS - U i U <br />fORCED AIN SYSTEMS �- � i U M EA <br />WALI NEATERS - B T U hl <br />UNIT NEAIERS -� U T U M <br />EVAVORAih'E COOLERS <br />CLOiHESDNVERS <br />VEN7ILATION FAN <br />RANGEHO00 <br />WA7Cf111CATER � <br />w000srove T <br />METAI FlNEPLACE d CHIMNI�c <br />FIREPLACEINSERT <br />HEATPUMP PWIMIF <br />GAS PIPING � G <br />E%MAUSTFAN SE <br />rtst�o+crc P�ANCHECKNUMf1ER <br />�'S� 89/21515 <br />cnr�� srte FEES <br />v(5 [�NJ <br />uniwGurvir, BUILDING <br />1 <br />PLUMBING <br />104D <br />MECHANICAL <br />auemru-a acsi� <br />PER4I�UOO6GG � T <br />To.�uereF — <br />F � J RECEIPT NO <br />Elfffi9, 35 S7 0.00145G6 <br />n� r.r e e nn <br />4T1�� <br />STATE BWL�ING SUFCNARG <br />S�ATEENERGYSURCHAPGE <br />rn�ivEwar renMit <br />TOTAL <br />.79 <br />wueN �noren�v vni inmFn iw rrus srncei THis is rou� renMir <br />i20 �� <br />65 00 <br />28 50 <br />78 GS <br />3 50 <br />910 <br />1_C') <br />� <br />.--� <br />N <br />