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r�a,e,�,�„ <br />cm oF <br />everett <br />259-8745 <br />"` ('�NSTRUCTION " <br />PERMIT <br />,� <br />PERMIT NQ: _ � E� � � � <br />❑ DEMOLITION � C(1Mf)INAI'ION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />OYMER MAIL nDDRE55 CITV ZIP PNOHE <br />Melum & Smith P.O. Box 592 Lake Stevens, S4A 98258 653-2025 <br />ARCNITECT OR DESiGN[P MRII NODPE55 pTY 21P MONE <br />GENER�LCONTRACTON MRiLADDPE55 CIiY 21P PHONE UCENSE• <br />Same <br />MECNRAICAL CONTRACTON MRILAOUflE55 G'" 21V PNONE LICENSE � <br />PLUM�INGCONTRACTOR MRIIADORE55 pTY ZIP PMONE LIG E• <br />GLASS OF WORK <br />� NEW C ADDITION ❑ ALTERATIOIc ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALWiIONOF WOqR <br />S 4115�� <br />Construct Single Family Home - BASIC PI�AN 1152 <br />� ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Sinqle��family�residence <br />ior? o�ocK <br />PLUMBING <br />2 WATERCLOSET�TOIL[T� <br />2 BATHTUB <br />2 LAVATORY�WASHBASIN) <br />� CHOWEF <br />j NITCHEN SINH 8 OISP. <br />1 DISMWASHER <br />IAUNORVTflAY <br />], CLOTHES WASHE(i <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />} BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADERS <br />SINN (SERVILE - BAR, ETCJ <br />2�� <br />USEZONE <br />R-1 <br />tYPE OF CONST <br />V-N <br />SI2E OF OL�G. <br />1636 sf <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />io� <br />S <br />S <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE A�D <br />COFlRECT. ALL PROVISIONS nF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIE^ WITh1 <br />WHETHER SPECIFIED HEREIN OR NOT. "fHE GRANTING OF A <br />PERMIT DOES NOT PRt�UME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATUR[ OF CONTRACTOR. AUTN�RIZEO AGENT, OR OWNER ,.DATE <br />� <br />MECHANICAL <br />NO. TYPE OF EOUIPMENT <br />OO A/C-A/HNDLGUNITS-MF. <br />OO REFRIGERATION UNITS - HP. EA. <br />OO DOILERS-�TUINP. <br />:BO GASFIREOAC.UNITS-B.T.U. <br />OO FORCEO AIR SYSTEMS - B.T.U. M EA <br />OO WALLHEATERS-BS.U. M <br />UNIT HEATERS - B TL. M <br />OO EVAPORATIVE COOLERS <br />1 CLOTHESDRVERS <br />Z VENTILATION FAN <br />1 PANGENOOD <br />]. WATERHEATER • <br />WODOStOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIRCPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN t!�,j^yj{�f ',I�: <br />! <br />00 SUB TOTAq �'�;"tiS <br />-�"" VACAVTSITE <br />approx 7125 ves ❑No <br />OCLUP�NGYGRDUP NOOFLWELLINGUNIiS <br />R-3 1 <br />NO.OFSLORiES NA%.00GLORO <br />1 NA <br />APPR FOR ISSUANCE �V <br />SH I Be I L.C. <br />e�/i�o6o <br />FEES <br />�UILDINCa <br />PLUMBINC� <br />NECH�NICAL <br />INVESTIGATION FEE <br />'EE��`.:•{ a�;RECEIPTNO. <br />rB85L C (d .:�r� <br />'VALUATION��.'. "".� FEE <br />?41,500 , ,� VV <br />.. � .. -:'..��.�II <br />� . _. . . - � 1.���� <br />"f't,'a�;a�ar��'s: i� 1.G7 <br />STA7E BUILDING SURCHARGE �-.���- •�� ;,, � , �.�,,_ <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PEPMIT VALIDATION <br />WHEN PROPERLY VALIDAtED (IN THIS SPACE� THIS IS YOUR PERMIT <br />kl'�Oi'i.'S i li.[ <br />50 <br />362 50 <br />45 00 <br />28 50 <br />1 50 <br />15 00 <br />20 00 <br />972 50 <br />C� <br />� <br />N <br />� <br />c— <br />