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� L' 1 � <br />H <br />C�H <br />9HV� <br />HK' � I"� <br />H �1 <br />� H ':I <br />V1 M <br />C70� <br />OH <br />H/��8 <br />^. Y � <br />t+y� <br />gyy <br />oty(i, <br />Rr <br />t+9 <br />HO� <br />lheFucndnrn �-��1NSTRUCTIO(�i C <br />everett PERMIT PERMITNQ: � ���`� <br />259-8745 <br />❑ DEMOLITI01' � COMBINATION ❑ BUILDING ❑ MECHANICAL 'O PLUMBING ❑ SIGN <br />O\VNER <br />MRI�_AC'JRE55 CILY ZIP PNONE <br />WYZ Group 13302 89th St. SE Snohomish, WA 98290 566-6703 <br />nRL11rtEGT 0110lSIGNC". <br />AUIL AUDRE55 cm zir rrwr+e <br />f.[NEML CONTRACTOR MNIL ADO�ESS CiLY ZIP PIIONE LICENSC • <br />Glen Applin Same as above. GLENNAC132KQ <br />MECMANICALCONTRACTOR <br />MAILApDRE55 CITY ZiP PIIONE IICENS[• <br />RU�'J�NG GONiHACTOR <br />MPIlA00lIE55 CITY 21� PNONE LICCNSE• <br />:�nss or wonK <br />❑ NEW Gd AODITION <br />s 72,095.00 <br />❑ ALTERATION ❑ REPAIR ❑ DEMOLITION I� BUILDING RELOCATION <br />t \YVMI� <br />Move existing duplex onto lot and build under them 2 additional unit�. <br />❑ ELECTRICITV ❑ GAS ❑ N�OODSTOVE <br />Apts. <br />Beverly Garden Tracts Div 1 <br />�o. _ n�ocK _ ov <br />replat of lot 15, 16, and NWLY 1/2 of lot 17 <br />100 <br />207 Dorn Ave. <br />PLUMBING <br />TYPE OF FIXTURE OR <br />\4ATEfi CLOSET (TOILET� <br />pqTliTUO <br />LAVATORV�WASH �ASIN� <br />2 KITCHEN SINK 8 �115P. <br />z DISHWASHER <br />LAUNORYTRAY <br />� CLOTNESIVASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />DACNFLOW PREVEN7ERS <br />ROOF DRAIN' � — flAINLEA�ERS <br />SINK ISERVICE — BAR. ETC � <br />I ��t� <br />� USE <br />SUBTOTAL <br />PERM�T <br />TOTALFEE <br />'NPCH RCM SEiO/.GIt <br />20 20 <br />R-3 <br />V-N <br />!E OF OLDG <br />15G0 <br />12000 <br />f OCCUPnNGVGRO�P <br />R-1 <br />NO. OF STORIES <br />2 <br />LERS REOUIflED ❑ YES {rLNO <br />ACC �Y PUNSCHECNEOOY <br />S.H. <br />B.E. <br />(Back <br />SIpE SCiOACK <br />5 x� � 10� <br />1 <br />VACANi SIiE <br />S�rEs ❑r+o <br />NO OF �NEIIINGUNITS <br />4 <br />rana occ iono <br />N/A <br />nrpn wn issunr�c� or <br />B.E. <br />❑ OTHEfl <br />I HEREBY CERTiFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION ,�ND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 OTHFR <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OFi <br />THE PERFORMANCE OFCONSTRUCTION. <br />SiGNA1UP/Ep( CO nCTOR.A/UT110RIZF.�AG[NL.OIR/O�y�+ER //pATE �/ <br />X �// .� �_ C c ( .�/,/L /�Ti�N !l / � l/ •1 <br />MECHANICAL d <br />�p, TYPEOFE�UIPMEN7 <br />A�C — A:MNDLG UNITS — H P. <br />REFRIGEPATION UNITS — M P. EA <br />BOILERS — � T U �rIP. <br />G�SFIREOAC UNITS—O.T.U. <br />FORCE� AIR SYSTEMS — B T U. M1� � <br />WALLHE•1TER5—�.TL. h� <br />UNITHEATERS—OTU. M <br />EVAPORATIVE COOLERS <br />CIOTnE50RYER5 / <br />VENTILATION FAN y�j1977z4 <br />RANGEHOOD ^ <br />WATERHEATER � <br />WOODSTOVE 9 <br />A7ETAL FIREPLACE 8 CHIMN ,��_ <br />FIREPLACEINSERT FWINSF <br />HEAT PUM11P <br />GAS PIPING �%� <br />E%HAUST FAN ��(� <br />SUB <br />88/19935 <br />FEES <br />BUILDING <br />PLUME3ING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHAfiG <br />STATEENERGYSURCHARGE <br />�RIVEWAY PEFMIT <br />. P 0'7 <br />� • . � : ru :., <br />. �t�: � � '�� <br />E� ,,. - �,.. ,�, <br />�1 11 <br />i 1't <br />1 <br />uar..n,:7,t - <br />TOTAL � I <br />PERMIT VALIDATION <br />WHEN PROPLRLV VALIDATED (IN THIS SPACE) THIS IS VOUR PEFMIT <br />_ � 1_:� ;; i : � c <br />L:� <br />M <br />Q') <br />O7 <br />� <br />n <br />r:� <br />