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�� � C'�1NSTRUCTION � - <br /> everett PERMIT PERMITNQ:: �� ��� <br /> 259 -8745 <br /> ❑ DEMOLITION C�COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SI1;N <br /> OWNER MAILAOORE55 QTY LIP PMONE <br /> Lloyd C. Herndon 1519 Jrca View Lane Everett 98203 348-3563 <br /> AqLMIT[Ci OR OESIGNER MAIL AOOflE55 G"1' ZIP PNONE <br /> Northwest Home Design <br /> GENERALCONTPRCTOR MNILApORE55 CITY ZIP PMONE LILENSE� <br /> Owner <br /> MECNANIGAI CONiRAGTOR MAI�RODRESS CITY 21P PHONE UCENSE� <br /> PLbiAAING CONTRACTOR MAIL ApORESS CITY 21P PN011E LICENSE• <br /> CLASS OF WORN <br /> I�NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION � � BUILDING HELOCATION <br /> WLUATION OF WORY. <br /> 5 125�00�.�� <br /> DESC9IBE WORI( <br /> New construction <br /> HEAT SOURC[ <br /> C] ELECTRICITY G GAS ❑ WOODSTOVE ❑ OTHER <br /> PHOPO�EO USE OF B111101NG <br /> SFR I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGNLDESCRIPTIONOFPqOf'ERTY�SMOWBELOWORATTACMFOURCOPIES) CORRECT. ALL PRUVISIONS OF LAWS AND ORDINANCES <br /> �or 1 OLOCK _ OF a'estwood GOVERNING THIS TYPE OF WORK N'ILL BE COAIPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PfRMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> ST4TE OR LOCAL LAW REGULATIN: CON3TRUCTION OR <br /> ThE PERFORMANCE OF CONSTRUG�ION. <br /> JOBAODRESS SIiN FCONTR�A/CTO�/R�*�UTMORIZEOAGENT.OROWNER ORTE <br /> 1609 Ed emoor Iane !� � o L o 1� .tr�0�/, �n i J-�—�/� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> j WATER CLOSET�TOILET) ZS OO �C—A/HNDLG UNITS—HP. <br /> 1 BATHTUB S OO ��-FRIGERATIONUNITS—H.P.EA. <br /> 3 LAVATORY�WASHBASIN) IS OO BOILERS—B.T.U!H.P. <br /> 1 SMOWER S OO GAS FIREO AL.UNITS—8 T.U. <br /> 1 KITCHEN SINK 6 DISP. S OO 1 FORCED AIR SVSTEMS—B.T.U. M EA. J OO <br /> 1 DISHWASHER S OO WALLNEATERS—BT.U. �1 <br /> �AUNDRYTHAV UNITHEATERS—B.TL. M <br /> 1 CLOTMES WASHER S OO EVAPORATIVE COOLERS <br /> URINAL 1 CLOTHES DRVERS rj . , ,k <br /> DRINKING FOUNTAIN 3 VENTILATION FAN L' S <br /> FLOOR DRAIN ]. RANGE HOOD Fi SO <br /> BACKFLOW PREVENTERS ]_ WAT[R HEATEfi • `� 6 <br /> ROOF ORAINS—RAINLEAOERS W OOD STOVE ' <br /> SIIIK(SERVICE—BAR,ETC.) METAL FIREPLACE d CHIMN <br /> FIREPLACEINSERT L' <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S SS OO SUB <br /> PEflMIT f PERM — <br /> TOTALFEE S SS OO TOTA <br /> fflONTSET�ACK PEARSETpRCR S�DESETpACN P�ANCHECKNUM�ER F IPTNO. <br /> 20 20 6 88/21231 CHEC�1;�2 �4�1 1.5014372 <br /> USE 20NE LOT AREA ypCANT SITE <br /> R-1 7350 �dEs ❑rvo FEES VALUATION FEE <br /> iYPEOFCONST. OLCUPANGYGROUP NOOFDWEILINGUN115 BUILDING S <br /> V—N R-3 1 pLUM81NG <br /> SIZE OF pLDG. NO OF STONIES MA% OCC LOAO — <br /> ZS4S 2 N�A MECHANICAL <br /> INVESTIGATION FEE � Sea 90�1(c) <br /> FIPESPRINKLERSFEOUIRED ❑VES NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGYSURCHAP.GE 15 00 <br /> APPLICATIONALC OV PLANSCHEGNEOOY FPPR FOfiISSUANLEOY <br /> URIVEWAV PERMIT 20 00 <br /> S.H. J.S4. J.W. TOTAL 862 50 <br /> PENMIT VALIDATION <br /> WHEN PROPERLV VALIDATED(IN TNIS SPACE)THIS�5 YOUR PERMIT <br /> !� <br /> r� <br /> c�i <br /> �-- <br /> N <br />