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r�a,�„�„ <br />cin or- <br />everett <br />259-8745 <br />� Q")NSTRUCTION � c - q <br />PERMIT PERMIT NQ : •� S�OT. <br />❑ DEMOLITION � C7MBINATION � BUILDING �7 MECHANICAL [B PLUMBING ❑ SION <br />ON?!ER MAllA00RES5 CITY 21P PMON[ <br />Douglas S. Hesmer 6428 NE 185th 5eattle, WA 98155 3 486-6189 <br />ARCHITECTORUESIGNER MAIL/.DORE55 CITY 21P PHONE <br />Puget Sound Drafti.ng 106 Meridian 8aia Puyallup 848-0921 <br />GENER�LCONTHqCTOR MAILAppRE55 �ITY ZIP PNONE LICENSE� <br />owner <br />MECHRNICAICONTRAGTOR MNLADDNESS CITY ZIP PNONE LICENSE� <br />PLUMBIN6 CONTR�CTOR MAIL ADDRESS CITY 21P PNONE LICENSE ♦ <br />C:ASS OF WORK <br />LTNEW ❑ AODI710N ❑ ALTERATION ❑ pEPAIR ❑ DEMOLITION ❑ BL'ILDING HELOCATION <br />VALU�TION OF WORIt <br />s io�000. <br />1�eW singl.e family home <br />HEATSOURCE <br />❑ ELECTRICI'I'Y ❑ GAS C WOODSTOVE ❑ OTHER <br />.__ -_______.______ <br />single family residence <br />LE6�L [)ESCRIPTION OF MOGERTV �SNOW BEIO W OR ATTACN FOUR GOPIES� <br />wr 10 o�r„H � oF <br />5022 Aover St. <br />PLUMBING <br />WATEF CLOSET �TOILET) <br />OATHTUO <br />LAVATORY�N'ASHBASIN) <br />SHOWER <br />KITCHEN SINK Q OISP. <br />UUNDRV TRAY <br />CLOTHES WASHER <br />URINAL <br />DHINK�NG FOUNTAIN <br />FLOOR DRAIN <br />�$� <br />R-S <br />TYPE OF Cbl <br />V-N <br />BY <br />SH <br />— MXIIVI <br />— 9AR. <br />SUBTOTAL <br />VENMIT <br />TOTALFEE <br />25,000 <br />OCCUPPNCY <br />R-3 <br />N0. OF STORi <br />$ 2 + <br />FEE <br />I HEREBY C�RTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND 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 OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMAN E OF CONSTqUCTION. <br />SIGNATUR CONTR OR, AUT110Ri2E0 NT. OR ONTIER OATE <br />X ��.V, , 1h0... �.� -�/���Q� <br />MECHANICAL <br />.X•llll].;I�:i� <br />A/C — A'HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — HP. FA. <br />BOILERS — B.T.U.MP. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCEO AIR SYSTEMS — 8 T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. Ai <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RnNGEMOOD <br />WATER HEATER • <br />\YOOD STOVE <br />METAI FIREPLACE 6 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />:n s�oe se*encK I P�AN CHECK NUMBI <br />7.5' 7.5' 4 87/18307 <br />k1YES �NO <br />GROUP INOAFOWELLI <br />1 <br />NA <br />PIRNS CMECHEO BY APPR. FOR IS51 <br />Be L.C. <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATIO� FEE <br />STATE BUILDINu SU <br />FEE <br />SUBTOTAL <br />PERMIT �; � <br />iOT � -� � <br />FFET�� �_61R�CJEIPTNO. <br />wN <br />Cl�f�•9'�10i .,`-,086608 <br />VALUATION FEE <br />5 9����0. <br />u�i;oia�r 9�4 RFf 000aubi <br />STATE ENEFGY SURCHARGE I fiCLH <br />DRIVEWAYPERMIT h'WIhIS�° <br />TOTAL <br />_ �,�_�, <br />STRLCT[1R� SHALL NOT EXCEED 25 FT ABOVE THE WHEN PROPERLV VALIOATED QN ����SPA� <br />AVERAGE ELF.VATION AT THE FOOT OF THE BUILDING. ,,`.;:,. <br />AODflESS FILE <br />pp 15 00 <br />.SD ZO 00 <br />50 <br />'H�S.15; LQUR PEPMIT <br />�� �� <br />`�'��.l.UJ � <br />_�.__ M <br />,._ , ' Gd' <br />a-- <br />