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`��` �`' r ONSTRUCTION ` � <br /> aTr oF • <br /> ev�e���_�,� PERMIT PERMITNQ::�� �0� � <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br /> OYMEN MAILnDDRE55 CITY 21P P110NE <br /> Wayne Scharbach 7931 E. Glen Dr. Everett, WA 98203 353-4118 <br /> PRCHITECT OR DESIGNEB MAIL ADDRE55 CITY ZIP �'MONE <br /> Harris Publications, Inc. 1115 Broadway Ny/Ny 10010 (2'12) 807-7100 <br /> GENERRLCONTRPGTOR MAILApORESS GITY 21P PMONE LICENSE� <br /> Owner <br /> MECHRNICALCONTRPCTOR MAILAOORESS CITY ZIP PNONE LIGENSE� <br /> PLUMBING CONTqAGTOR MPIL AODRESS CITV ZIP �'MONE LICENSE� <br /> LLASS OF WORN <br /> O}�IEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCAT�ON <br /> VALUATION OF WOPK <br /> S 67� 0�0.0� <br /> DESCRIBE WORft <br /> New construction <br /> ME/T SOUFCE <br /> ❑ ELECTRICITY O GAS O WOODSTOVE ❑ OTH_R <br /> PfiOPO5E0U5EOFBUILDING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�IDESGPIPTIONOFPROPERTY�SMOWEELOWOiiATTACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_�BIOLK _OF WHFTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> See Attached PER�.11T DOES NOT PRESUME 70 GIVE AUTHORITY TO <br /> VIOIATE OR CANCEL THE PROVISIONS OF ANY CTHER <br /> STATE OR LOCAL L�W REGULATING CONSTRUCTION OR <br /> THE PERFOR ANCE OF CONSTR CTI N. <br /> JOBRCDRESS SIGNAIUPE O NTRACTOR.AUTIORIZED NI NER DATf <br /> 7933 E. Glen Dr. X � — — � <br /> PLUMBING MECHA ICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NG—A/HNDLG UNITS—H.P. _ <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORV(H'ASH BASIN) �OILERS--B T.0/HP. <br /> SHOWER GAS FIRED AC.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. � FORCED AIR SYSTEMS—B.T.U. M EA. <br /> OISHWASMER WAILHEATEPS—B.T.U. M <br /> LAUNDFVTRAV UNITHEATERS—B.T.U. M _ <br /> CLOTHES WASHER EVAPORATIVE COOLERS _ <br /> URINAL CLOTHESORYERS C+ <br /> DRINI<ING FOUNTAIN VENTILATION FAN _ <br /> FLOOR Dl�AIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATEIi • <br /> ROOF DFAINS—RAINLEADERS WOOD STOV[ <br /> SINK(SERVICE—BAR.ETG) METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACEINSENT <br /> HEAT PUMP <br /> GAS PIPIIJG <br /> E%HAUSTFAN � � � <br /> SUB TOTAL f SUB TOTIIL 6 3 0� <br /> PERMIT f PERMIT <br /> TOTAL FEE f TOTAL FEE 6 3 OO <br /> FPONT SETBnCN nEnN SETBnCK SiDE SETOACK pLAN CHECK NUMBER FEE PECEIPT NO. <br /> 15 ' 20' 15 ' &6' g��19073 269. 43 93719 <br /> usezorve �OTA�EA VACANTSITE FEES � VALUATION. FEE <br /> R�1 784�Z YES ❑NO <br /> TVPEOFGONST. OCCUPPNCYGPOUP NOOFOWELIINGUNITS BUILDING 5 ('� 000 991 �� <br /> V-N R-3 1 PLUMBING SS 00 <br /> SIZE OF BLDG. ND OF STORIES h1AS.OGC LOAD <br /> 1460+GAR 2 N�A ;.1ECHA�ICAL �� 63 00 <br /> INVESTIGATIONFEFpld❑ k �c.�04(e) . . 4y �Z <br /> FIRE SPRINKLERS REOUIRED ❑VES NO STATE BUILDING SURCHARGE 3 S O <br /> STATEENERGYSUPGHARGE 1� 00 <br /> APPUCATIONACC.BV PLANSCMECNEDOY RPPR FOR155UANGEOY <br /> D7IVEWAV PERMIT <br /> 70TAL 697 22 <br /> S .H. B.E. L. C. <br /> PERMIT VALIOATION <br /> WIiE�I PROPERLY VALIDATED pN THI55PACE)THI515 VOUR PERMIT �' <br /> �� <br /> � <br /> Q� <br /> �� <br /> AhI1RFSS FG F <br />