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/ <br /> �'r��.�7— �7 <br /> ��'° � C�NSTRU�TION `- C <br /> everett pEI�MIT PERMITNQ:: � ��� `� <br /> 259 -8745 <br /> ❑ DEMOLITION O COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SICaN <br /> ONTIER MRII AODRESS CITV ZiP PMONE <br /> Leslie R. Cooper 4827 Glenhaven Dr. Everett, WA 96203 2s?-3356 <br /> •RCMITEGTORD[SIGNER MAILAODRESS CITV ZIP PMONE <br /> GENERRLCONTRACTOR MRILADORE55 CITY ZIP PNONE LICENSE• <br /> Leslie R. Cooper sam.: as above <br /> MECHANICALWNTPAGTOR MRILADORE55 CITY ZIP PHONE UCENSE/ <br /> RUMBING CONTRACTOR MAIL ADORE55 CITV ZIP PMONE LILENSE• <br /> C1A550F WORK <br /> ❑ NEW L�ADDITION �J ALTEHATION ❑ pEPAIR ❑ DEMOLITION ❑ BUILDIHG RELOCATION <br /> VA W RTIDN OF WORK <br /> f ZZQ�.00 <br /> DESCRIBE WORK I <br /> Deck <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROGOSED USE OF BUILOING <br /> Single family home I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLOESCflIPT10NOFMOPCRTY�5HOW0ELOWORATfPCMFOURCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 45 Glenhaven GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> lOT_BIOCK �_OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF!+ <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY '�U <br /> — VIOLATE OR CANCEL THE PROVISIONS OF APJY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONS�aUCTION. <br /> JO�AO�RESS SIGNM1TUR6�F CONTRA T �pUTMORi2ED AGE T,OR ONT'.R L�T� <br /> 4827 Glenhave,i Dr. X , �'�/,- �.��_ �� �� � ��J <br /> PLUMBING MECHANICAL � � <br /> NO. TVPE C�FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILHT� A�C—A/HNDLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—O.T.UIHP. <br /> SMOWER GASFIREDA�C UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FONCED AIR SYSTEMS—OS.U. M EA. <br /> OISHWASHER WALLHEAT[RS—BT.U. M <br /> LAUNORYTRAY UNITHEATERS—BS.U. M <br /> CLOTHES N'ASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR�RAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATERHEATER • <br /> FOOF DRAINS—fl�11NLEADEiiS WOOD STOVE <br /> SINK(SERVICE—OAR.ETCJ METAL FIREPLACE&CHIMNEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SUBTOTRL <br /> PERMIT S PEflMiT <br /> TOTAL FEE S TOTAL FEE <br /> FnoNT SET9ncN eEnn SETBncK SiOE SEioACrc PLAN CHECK NUMBEH FEE P.ECEIPT NO. <br /> 87/18715 18.85 90686 <br /> USE20NE LOTAREA Vr1GANT5ITE <br /> ❑YES p�No FEES VALUATION FEE <br /> TYPECFCONST OCCUPANCVGROUP hOOFOWELLINGUNITS BUILDING �.$,�>I�Z_yO.�,�:�,,: 't' n�I��jAf!�iR�Z9 OD �� � <br /> V-N M-�. � PLUMBING � <br /> SIZE OF OLDG NO.OF STORIES MAk OCC.LOAD . . <br /> 650 N�A N�A MECHANICAL _ ._ �,�`;l <br /> � INVESTIGATIONFEE _- $ee:304�e) . ',-,.-� <br /> FIRESPRINKLERSREOUIRED ❑VES O�JO <br /> STATE BUILOING SURCHARGE 3 SO <br /> STATEENERGYSURCHARGE <br /> APPLICATION wCC BY PLANS CMECNE��V APPR FOR ISSUFNCE OV <br /> �RIVEWAV PERMIT <br /> S.H. B.E. L.C. TOTAL 32 50 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATEO(M THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> r� <br /> �� <br /> � <br /> � <br /> numzFss r��� <br />