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u� � <br />arv oF <br />everett <br />2E9-8745 <br />C-7NSTRUCI'ION! <br />PERMIT <br />PERMIT N�. : � � O U � <br />O DEMOLITION $Z COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SI6N <br />OWNEN MRILADpRE$5 CITY ZIP PHONE <br />MELUM & SMITH PO Box 592 Lake Stevens WA 98258 653-2025 <br />ARCN4ECiONDESiGNEF MAILAD�NE55 CITY ZiP f•HONE <br />GENEFAICONTfULTOR MAILADDRESS GTY zIP PNONE ULENSE� <br />Same <br />MECNhNIGRLGONTRRCTOR M�ILAD�Rf.59 CITY 21P PHONE LICENSE� <br />PWM9INGCANTR�CTON MNLADDBE55 CITY 21V RION[ LiCENS[� <br />CU55 OF WORK <br />❑�(!EW ❑ A4DITION ❑ AI.TERATION O pEPAIH ❑ DEMOLITION ❑ BUILDING RELOC11T10N <br />S 42,000.06 <br />DESCFIBE WORH <br />New sfngle family residence Dasic 1124 <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS � WOODSTOVE <br />PHOPOSEO USE OF pUt01NG <br />Single family residence <br />IEG�L DESCRIPTION OF PROPEPTv �SHOW �ELOW OR RTTPCH FOUR LOPIES� <br />ioT � 4 a�ooK _ oFCol by Pl ace <br />6923 Col <br />PLUMBING <br />NO�— TYPE OF FI%TURE OR ITEM <br />14ATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORY � WP ;4 BASIN� <br />SHOWE(i <br />NITCHEN SINK 8 DISP. <br />DISHWASNER <br />LAUNDRYTRAY <br />CLOTIiES v:nSHER <br />URINAL <br />Ave <br />ROOF DHAINS — RAINLEADERS <br />SINK (SERVICE — DAR. ETC � <br />SUBtOTAL <br />PEflMIT <br />TOT�LFEE <br />>GK FEARSET04CN <br />� � <br />LOT AREA <br />T�vE Of CON<T <br />512E <br />Sq <br />OCGUPANCYGROUP <br />No or <br />sg <br />❑ OTHER <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHEfi SPECIFIED 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 OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THEPERFORMANCE OFCONSTRUCTION. <br />SI^NATIJQ[OF CONTRqGjOR, AUTMORIZED I.GENT, OR OWNER O�TE <br />�^ � / <br />MECHANICAL <br />FEE NO. TYPE OF EO <br />� O OO n.�C — A/HNDLG UNITS — H P. <br />�O OO �EFRIGERATIONUNITS—Hp <br />�Q QD BOILEHS--BTUJHP. <br />GAS FIHED A�C. UNITS — 8 T <br />5 QD FORCEO Alfl SVSTEMS — IiTH <br />5 OO WALL HEATERS — � T U <br />UNIT HEATERS -- 0 TL. <br />5 OO EVAPONATIVE COOLERS � <br />CLOTH[SDFYERS <br />'j VENTILATION PAN <br />RANGEHOOD <br />WATEFHEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMN � <br />FIREPLACEINSEflT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SIOE SETOACN <br />6' <br />VAC4NT SITE <br />CIYEi ❑NO <br />x <br />NO OF OWELLING UNItS <br />Mq%.00C LOAD <br />�C <br />SUBTOTRL <br />PEflMIi <br />86/17061 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />S7ATE BUILOING SURCHARG <br />STATEENERGVSURCHARGE <br />DflIVEWAVPERMIT <br />M EA. <br />FEL <br />Basic <br />VALUATION <br />542.000. <br />Sec.30a�e) <br />NO. <br />FEE <br />TOTAL I I <br />PERMIT VALIDATION <br />WHEN PPOPERLY VALIDATEO pN TNIS SPACE� TNIS IS VOUR PERMIT <br />FUD:�.f"`.S � I; � <br />5 <br />