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�`� � F't�NSTRUCTION � � c <br />everett PERMIT PERMITNO. � 7OUO <br />259-8745 <br />D DEMOLITION Cjj COMBINIITION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGH <br />ONMER MAIL RUGHE55 GITY ZIP ��E <br />MELUM & SMITN PO BOX 592 Lake Stevens WA 98258 653-2025 <br />ARpIRECT OR DESIGNEH MAIL ADDRE55 CIiY 21P R10NE <br />GENERALCONTMCIOB MAILAODBESS LITY Z�P PMONE UCENSE• <br />Same MELUMC180P7 <br />MECHANIC�LCONTNACTOR MMLAW%'S5 CITY IP PHONE LICENSE• <br />RUMBINGLONTR�GTOR MAILADORE55 CITY 21P Pf1pNE LiLENSE� <br />cuss or wonK <br />W N�yy ❑ ADDITON ❑ ALTERATON ❑ REPAIR <br />V�LU�tIINJOf WOliit <br />s 41,500.00 <br />DESGRIBE WORN <br />New single family residence <br />HEATSOURGE <br />❑ ELECTRICITY ❑ GAS ❑ WOODfiTOVE <br />Single family residence <br />�or � 6 eioc� <br />7�0� l <br />PLUMSIN6 <br />TVPE OF <br />WA7ER CLOSET �T <br />BATMTUB <br />UVATONY�WASM <br />NITCNEM .^rINK d DISP. <br />DISNWAti� .R <br />LAUNDNrTRAY <br />CL07HES WASHEH <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINI.EADE <br />SINK ISERVICE — BAR, ETC.� <br />� <br />fRONt SETBRCN <br />20' <br />USEIONE <br />R-1 <br />rvre or co• � :r. <br />V-N <br />SiZE OF BIDG. <br />1152 + 484 <br />FIRE SPRINKLERS R <br />pIWIIG�TION RLC BY <br />m�n <br />P1 <br />OR ITEM <br />❑ OEMOLITiON <br />❑ orHen <br />❑ BUILDING RELOCATION � I <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAIv11NED T111S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AiVD <br />CCRfiECT. ALL PROVISIONS OF LAWS AND QRDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WhIETHEfl SPECIFIED HcREiN C'R NOT. THE GRANTING OF A <br />PE.RMIT DOES NOT PRESUME TO GIVE AUTHOFITY TO <br />VIOIATE OR CANCEL THE PROVISIONS OF �NY OTHER <br />STATE OR LOCAL LAW REGUL.4TING CONSTPUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />X�SIGNAT�U`/R//�E/}q��L CONTPACTOR. AUinOAiZED R�GCjNT, UR OWN[R OATE <br />.4%���' L/'�/ � _ <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — AMNOLG UMTS — H . <br />REFRIGERAiIONUNITS—NP EA <br />BOIIERS--D.T.U�HP � <br />GAS FIREO A C. UNITS — � T. <br />FORCEDAIRSYSfEMS—D.L . MEA. <br />WALLHEATERS—BTU. M <br />UNIT HEATERS — U TL. <br />EVPPORATIVECOOLERS � <br />CLOTIIES DRVERS� <br />VENTILATION FAN— `� L� <br />RFNGE HOOD --�� <br />WATEP MEATER �I� <br />WOOOSTOVE <br />METAL fIREPLACE SCHIMNE <br />FIREPLACEINSERT <br />MEATPUMP � <br />GA$ PIPING <br />EXHAUSTFAN <br />SUBTOTAL S <br />VENMIT f <br />TOT�LFEE f <br />iB SETBACN JIDE SETBRGN <br />� � <br />iR9EA �•qCANT51iE <br />���_ _ ❑Y[5 ❑NO <br />I:PI� <br />sg <br />MR% occ. Lono <br />0 <br />OY APPN FOfl�SSUANCEBY <br />�C <br />PLAN CNEGK NUMI <br />86/17060 <br />FEES <br />BUILDING <br />PLUMOING <br />MECHANICAL <br />SUB TOTl1l <br />PERMIT <br />basic <br />s <br />INVE.",TIGATION FEE � Sec.304(e) <br />FEE <br />STA7EBUILDING SURCHARGE j 5O <br />STATEENERGYSURCHAFGE �S OO <br />DRIVEWAVPERMIT ZO OO_ <br />TOTAL 482 50 <br />PEflMIT VALIDATON <br />WHEN PROPERLY VALIDATED �IN THIS SPACE� THIS IS YOUR PERMIT C= <br />i� <br />0 <br />� <br />� <br />n�;;�r,r.�_ s rn.� <br />