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`�� " CL JSTRUCTI4N �- � c n <br /> evPrett PERMIT PERMITNO. � � JSG <br /> 25y -8745 <br /> ❑ DEMOLITION ❑ COMBINATION C� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIi�N <br /> ONMER MAIL PODRE55 CITY ZIP PMONE <br /> David Mullen 3122 Columbia Ave. Everett 98203 347-3151 <br /> AqCHITEGTOR0E51GNER MARA�OFlE55 CItY 21P PHONE <br /> Michael Pederson 774-0830 <br /> GENEPRLCONTR/CTOq MAILApORESS GiTY ZIP PIIONE LICENSE� <br /> Owner <br /> MEC11�NiCAL CONTR�CTOR MAIL AD�PE55 pTY ZIP PHONE LICENSE� <br /> Owner <br /> Pll1MBWGWNTRACTOR MAILRODRE55 CITV 21P f'110NE LICENSE� <br /> Owner <br /> CLASS OF WORK <br /> ❑ NEW Cal ADDITION ❑ ALTERATION L� REPAIR ❑ DEMOLITION ❑ BUIIDING HELOCRTION <br /> VALURTI01�UF WORK <br /> S 20,590.00 <br /> DESCRIBE WORN <br /> Adding 6' to the living room and one bedroom. <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS CI WOODSTOVE ❑ OTHER <br /> vqovoseouseoFew�oiNc ' i HEREBY CERTIFY THAT I HAVE REAU AND EXAMINED THIS <br /> Single family residence APPLICA710N AND KNOW THE SAME TO BE �RUE AND <br /> LEGFLOESCRIPTIONOFPROFERTY�SMOWUELOWORATfALNFOURCOPiES� CORRECT. ALL PROVISIONS OF LAWS AND .HDINANCES <br /> 3&4 21 Div B Plat of Pinehurst GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT�OLOCN ��OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME 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 /> JOBAODRESS SiG TUPHOFCONTRACTOR. �THORIZED G T.ORON'N[R 0/1E � <br /> 2122 Columbia Ave. <br /> z %�Z��-�e.-- G' � <br /> PLUMBING MECHAN CAL <br /> Np, TYPE OF F�%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� A/C—AMNDLG UNITS—HP. <br /> 9ATMTUB REFRIGEF7ATIONUNITS— P. <br /> LAVATORY�WASH BASIN� BOILERS—8 T.U.•HP. . <br /> SHOWER GAS FIRED A C.UNITS—0 T. <br /> KIICHENSINKBDISP. FORCED,'�IRSYSTEMS—B.T . ` <br /> �ISHWASHEF WALLHEATERS—B.T.LL M <br /> I LAUNDRVTRAV UNITMEAIERS—OT.U. M <br /> I CLOTHESWASHER EVAPORATIVECOOLEfiS <br />! URINAL CLOTHESOHVERS <br /> I DHINKING FOUNiAIN VENTILATION FAN n <br /> FLOOR DRAIN RANGE HOOD � <br /> 1 <br />� BACKFLOW PREVENTEFS WATER HEATER <br /> I ROOF DHAINS—RA�NLEADERS WOOD STOVE <br /> I SINK�SERVICE—BAR.ETC.) METALFIREPLACESCNIMNEY _ <br /> I FIREPLACEINSERT <br /> HEAT PUMP <br /> I GAS PIPING <br /> i EXHAUSTFAN <br /> SUBTOTAL S SU � J ` <br /> PERMIT S PERMIT <br /> TOTALFEE S TOT <br /> FRONT SET�ACR RERR SET�4CN SIDE SETDACN PLAN CHECK NUMBER MEIPT NO. <br /> �. S .Vtl <br /> 88 19582 .30 5337 <br /> USE ZONE LOT ARER ypCANT SITE FEES ATIO FEE <br /> ❑YES ❑NO <br /> TYPE OF CONST OGCUPANGV GROUP NO OF DWEILING UNITS <br /> BUILDING $ 20,590.0 216 00 <br /> PLUM8ING I� <br /> 512E OF OLDG NO OF STORIES ��AX OCC.IOAD <br /> MECHAYICAL <br /> INVe3TtG1cT�9NfE� c.9oale) �� <br /> FIRE SPRINNLERS REOUIFEO ❑1'ES [�NO STATE BUIL�ING Sl1RCHARGE <br /> STATEENERGYSURCHARGE <br /> APPLICATION ACC.�Y �'IANS CMECKED OY FPPR FOR ISSWNLC OV <br /> DRIVEWAY PERMIT <br /> TOTAL � <br /> M.ht. B.E. B.B. <br /> PERMIT VRLIDATION <br /> WHEN PROPERIV VALI�AT[D(IN THIS SPACE)THIS IS YOUR PERA7�T �7 <br /> � <br /> �� <br /> Q7 <br /> t� <br /> H:I!)i�[:�.5 � ��._� <br />