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"��` "` Ct`�VSTRUCTION ^ � <br /> c�n oF <br /> everett PERMlT PERMIT NO. 21374 <br /> 259 -8745 <br /> ❑ DEMOLITICN ❑ COMBINATION I� BUILDING ❑ MECHANICAL C PLUMBING ❑ SIGN <br /> OWNER MAILFDDRE55 CITY ZIP PMON[ <br /> Jim Machado 2131 Colrmbia Et�erett 98203 337-2205 <br /> ARCMITECT OR OESIGNER MAIL 400RES5 CIT\' ZIP h.JNE <br /> GENERnICONTdALTOR MAILADDRESS CITY 21P PHONF. IICENSE� <br /> Goode Const. 11217 60th St. NE Lake ^utevens 98258 334-9262 NOkTHG*124LD <br /> IAECHRNICALCONTAACTOR MAILAOORESS CITY ZIP PMONE LICENSE• <br /> FWMBINGCONTR4CTOR MFILAODhE55 CITY ZIP PNONE LICENSE• <br /> LLAS$OF N JRN <br /> � NEW ❑ ADDITION ❑ ACTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILD�NG RELOCATION <br /> VPlUAT10N OF W7RN <br /> 5 6460.00 <br /> DESGRItlE WORK � <br /> Cosntruct garaqe <br /> NEAT SOUf10E <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUILJING <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Garage APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> IEGALDESCP'PTIONOFPROPERTY�SHOW�ELOWORATTACHFOURGOPIES) . CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 50-S�o�K 18 oF Plat of Pinehurst Div B � GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> 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 /> JOB ADDRE55 SIGNATUR CONTRACTOR AUTMO�I D AGENT.OR OWNER DATE <br /> 2131 Colwnbia X � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET QOILCT� A/C-A/HNDLG UNITS-H P. <br /> BATHTUB REFflIGERATION UNITS-H P.EA. <br /> LAVA'fORV ryIASH BASIN� BOILERS-B.T.U.MP. <br /> SHOWER GASFIqEGA�C l/DllTS-B.T.U. <br /> KITCHEN SINK 8 OISP. FORCED AIR SVSTEMS-8 T.U. M EA. <br /> DISNWASHER WALLHEATERS-B.T.U. M <br /> LAUNDRY TRAV UNIT HEATERS-BS.U. IA <br /> CLOTHES WASHER EVAPORATWE COO�ERS <br /> URINAL CLOTHESDRVERS <br /> D:!NKING FOUNI A�N VENTILATION FAN <br /> FLOOR DRAIN FANGE HOO[7 <br /> BACKFLOW PREVENTERS WATER HEATER <br /> ROOF DRAINS-RAINLEADEFS WOOD STOVE <br /> SINK(SERVICE-BAR.ETG) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%MAUSTFAN <br /> SUBTOTAL S SUBTOTAL <br /> PERMIT S PE�IOSIBS 1S��VS OOOAH398a :k:k:K� <br /> TOTAL FEE S TOTAL FEE / <br /> FROr�TSETBncK REARSETOACK 9�E5Et0ACK PLANCH.CKNUMBER F�(fOOPIJ�T�f FIECEIPTNO. <br /> 20 0 5 & 10 86/21379 6LK.8� S .Q04663 <br /> USE20�lE LOTAREA VACANTSITE <br /> R-2 6000 <br /> ❑res �+o FEES ION FEE <br /> TYPEOFCONST. OLLUPANCVGROUP NOOFDWELLINGUNITS BUILDING �gyqA.00 �' .� BO OO <br /> V-N :•1-1 O PLUMBING CHEC{� �S� .�O <br /> 512E OF��DG N0.OF STOp�ES RIA% OCQ LOAD <br /> 432 1 N/A MECHANICAL <br /> INVESTIGATION FEE Pldil k �`�a04�e� 11 70 <br /> FIRE SPRINNLERS REOUIRED ❑VES XjPiO <br /> STATE BUILDING SURCHARGE 3 SO <br /> STATEENERGYSURCHARGE <br /> APPLICAT�ON ACC DY PL�NS GHECKED BY APPR FOR ISSIJANLE BY <br /> DRIVEW�Y PERMIT 20 00 <br /> S.H. J.W J,W, TOTAL 1 <br /> PERMIT VAI.IDATION <br /> WHEN PROPERLV VALI�ATED(IN THIS SPACE)THIS IS YOUR FERMIT �. <br /> �` <br /> �� <br /> �� <br /> N <br /> Ap�� �'.�; �, u.� � <br />