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�"� (� P`'�NSTRUCTION � ( A <br /> ������ PERMIT PERMIT NO. � 81 `�4 <br /> � DEMOLITION ❑ COMBINATION � BUILOING ❑ MECHANICAL ❑ PLUM81N6 ❑ SION <br /> pWryEp MAILRODflES$ CITV ZIV PHONE <br /> William L. Miller 1618 Florida Dc. Everatt 98204 355-5101 <br /> APCHITECTORDESIGNER MARADOHESS CITY ZIP MONE <br /> Richard C. Van Dinne 117 Lincoln St. Snoh�ish 98290 568-2921 <br /> 6ENER�LCONTMCTOR M�ILAODRESS CITY 21P PNONE LICENSEI <br /> Logos Oonatruction 117 Lincoln St. Snohomish 98290 568-2921 LOGOSC16104 <br /> MECH�NIC�LCONTMCTOfl MFILADDRESS CITY ZIP � PHONE LICEN3E11 <br /> PLUMBINOCONTMCTOR MAILAUDRESS CITY ZIP PHONE UGENSE� <br /> ClA53OF WOfiK <br /> ❑ NEW Q ADDITION ❑ ALTEMTON ❑ REPAIp ❑ DEMOUTION ❑ BUILDINO RELOCATON <br /> V�LU�TION OF WOqK ' <br /> f Z4�0�0.0� <br /> pESCFIBE WOFN � <br /> donvert existing qarage into �IYI�F inaster bedroom, install shower/tub Build garage addition <br /> HEAT90URCE <br /> ❑ ELECTRICITY ❑ QAS ❑ WOODSTOVE ❑ OTNER <br /> PROP09ED USE OF BUILDIN6 <br /> Residence I HEFEBY CERTIFY THA'�� I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNUW THE SAME TO BE TRUE AND <br /> LEO�LOESCJi1Pf10NOFPROPERTY�SHOWBELOWORATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT_BLOCK _ OF see attac:hed GO�1EfiNING THIS TYPE OF WORK WILL BE COMPLIED WITN <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PEPMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANV OTHER <br /> STATE OR LOCAL LAW REGULATINC CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB�OORE55 SIGN E OF CONT AGT EO AGENT,OR OWNER DFTE <br /> 1618 Florida Dr. X S i a a <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FlIfiURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> 1 WATER CIOSET(TOILET) S OO NC—A/HNDLG UNITS—H.P. <br /> 1 BATHTUB S OO REFRIGERATION UNITS—H.P.EA. <br /> ,1 LAVATORV(WASHBASIN) S OO BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIRED A�C.UNITS—B.T.U. <br /> KITCMEN SINK 6 DISP. FORCED AIR SVS7EMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS--B.T.U. M <br /> UUNDRY TRAV UNIT HEATERS—B.T.U. M <br /> 1 CLOTMES WASHER S OO EVAPORATIVE COOLERS <br /> URINAL 1 CLOTHES DRYERS ( SO <br /> UMNKING FOUNTAIN ], VENTILATION FAN Q S _ <br /> FLOOR DRAIN - RANC�E HOOD <br /> BACKROWPREVENTERS ], WATERHEATER (j <br /> ROOF DMINS—RAINLEAOERS WOOD STOVE <br /> 91NK(SEfiVICE—BAR.ETC.) METAL FIREPLACE A CHIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPIN� <br /> E%HAUSTFAN <br /> �T�w • 2O 00 SUBTOTu <br /> PERMIT f PERMR <br /> TOTALFEE t TOTALfEE <br /> Fl10Ni8E78�CK nEwR SETB�cK SiDE SEre�CK PUN CHECK NUMBER FEE RECEIPT NO. <br /> 20 20 5 g7�18144 99.45 86664 <br /> �I�1 Lot 8505 O�sT�no FEES VALUATION FEE <br /> 7YPEOFCON3T. OCGUPUICYOPOUP NOAF�NELLINGUNITS BUILDING •1 AM OOOA# Y��K <br /> V-N R-3 1 p�UMBING 20 00 <br /> 911E OF BLDp. NO.OF STOPIES MR%.OCG LOAD <br /> 4O0 1 N/A MECHANICAL ELDG SL .00 <br /> INVESTIGATION FEE .301(e) <br /> I L RS REOUIRED YES NO <br /> STATE BUILDING SURCHARGE 6 SRCH $ .SO� <br /> STATEENERGVSURCHARGE � <br /> APPLICATION 11CG.BY PLANS d1ECNE0 BY RPPR FOR ISSWINCE BY <br /> DRIVEWAY PERMIT <br /> S.E. L.C. TOTAL 192 00 <br /> ve�wr vwu�noH <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUH PERMIT <br /> � <br /> �' <br /> !� <br /> � <br /> \� <br /> ADGRESS FILE <br />