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��E ��° '"` �NSTRUCTION -- � . C <br /> everett PERMIT PERMIT NQ:_ � �`�� � <br /> 259 -f3745 <br /> O DEMOLITION }I� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILAOORE55 CITY ZIP PNONE I <br /> Dr. & Mrs. Willard Wagner 804 Alpine Dr. F.verett, WA 98203 252-0500 � <br /> ARCMITECTOROESIGNEq MAILADDRESS CiTV ZIP PHONE <br /> Behm Design Studio 201 Sth Av� R8 S. Edmonds 98020 774-8000 <br /> GENEHA�CONTRACTOR h141�RDDIlESS CRY ZIP pMONE LICENSE• I <br /> Darrell C Anderson 1207 8th Dr Mukilteo 98275 355-2283 ANDERC281LL <br /> MECNANICALCONTRACTOf1 MrlILA00PG55 CrtY ZIP PMONE LICENSE• <br /> PWMOINGCONTR�CTOR MAILAODRESS CITV 21P PHONE LICENSE♦ <br /> GLASS OF WORH <br /> 7� NEW ❑ ADDIYtON ❑ ALTERATION � REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�LURTION OF WCRR <br /> _ �..5��0��. <br /> �ESfR18E WORN <br /> � New residence <br /> NEATSOURCE <br /> ❑ ELECTR�CITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PflOPOSED USc OF BUILOING <br /> Residence I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> APPLICA�''ION AND KNOW THE SAME TU BE TRUE AVD <br /> IEG�LDESCRIPt10NOFPqOPERTV�SNOWBELUWORATTACNFOIIRCOPIESI CORRECI'. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 36 e�ucK _ or Edgemoor Heights GOVFRNING THIS TYPE OF WORK N'ILL BE C'�MH���D WITH <br /> WFiETHEf1 SPECIFIED HEREIN OR NOT. TN� GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO G:'JE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STA7� OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> J09P�DRE55 SIGN i E OF CONTRALTOR.AUTHORREDAGENT.OR OWNER DA E <br /> i 1510 Edgemoor Lane X �, <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI)(TURE OR ITEM FEE NO. TVPE OF EDUIPMENT FEE <br /> Q WATER CLOSET�TOILET� A/C-A�HNDLG UNITS-HP. <br /> Z BATHTUB ZO OO HEFRIGERATION UNITS-HP.EA. <br /> rj LAVATORV�WASHBASIN) z5 Q� BOILERS-BiU.MP. <br /> 1 SMOWER 5 QQ GASFIREDA�C.UNITS-B.TL. <br /> 1 KITCHEN SINN 8 DISP. S OO 1 FORCED AIR SVSTEMS-BSL. M EA. 9 OO <br /> J. DISHWASNER ,rj QQ WALL HEATERS—B T.U. M <br /> 1 LAUNORY TRAV S OO UNIT NEATERS—BSL. M <br /> j CLOTHLS WASHER S OO EVAPORATIVE COOLERS <br /> �' URINAL 1 CLOTHESORYERS (> SO <br /> I ORINKING FOUNTAIN <br /> Q VENTILATION FAN ].H OO <br /> FLOOR DRA�N j RANGE NOOD G SO <br /> BACNFLOW PREVENTERS Z WATER HEATER � 13 OO <br /> ROOF DRAINS—RAINLEA�ERS Z WOOD STOVE (O OO <br /> 1 SINK(SERVICE—BAR,ETC.) S OO METAL FIREPLACE 8 CHIMNEY <br /> FIf7EPLACE INSERT <br /> ], HEAT PUMP J OO <br /> GAS PIPING <br /> EXHAUSTFAN <br /> sueTor�� s 85 00 sue rorn� 122 00 <br /> PEflMIT i PERMIT f — — <br /> TOTALFEE S BS OO TOTALFEE S ZZZ OO <br /> FRONTSETBACN qEARSET�nCK 9oE5Ett�nCK PLANCHECKNUMBEP FEE FECEIpTNO. <br /> 55' from CL 12' �•5� g7/12593 529.43 � 90599 <br /> USEZONE LOTAREA <br /> R-5 17�195 7�YESTOtNO FEES �VALUATION FEE <br /> TYPEOFCONST OCCUPANGYGROUP NOOFOWEILINGUNITS BUILOING S -" � <br /> 150,000` ' 814 <br /> V-N R-3 1 -- <br /> PLUMBING 85 00 <br /> SIZE OF OLDG NO OF StORIES MA% OCC LOr1D ' <br /> 4�230 + gar 858 2 NA MECNANICAL ' ' � lZz 0� <br /> INVESTIGATIONFEE �.Sec.304�c) . <br /> FIRE SPFINNLFRS REOUIRcD ❑YES RXNO <br /> S7ATE BUILDING SURCHA(iGE � 3 SO <br /> S7ATEENERGYSURCHARGE 15 00 <br /> APPLiC�TIONACCOV VLqNSCMECKE�OY APPRFOt1iS5URNC[DY <br /> DRIVEWAY PERMIT � 20 00 <br /> SH BE L.C. TOTAL 1,0G0 00 <br /> PEHMIT VALIDATION <br /> WHEN PROPERLY VALIDATCD�IN THIS SPACE�THIS IS�OUR PERMIT <br /> M <br /> . O7 <br /> l� <br /> 'J� <br /> � <br /> AGi�f!f5; i :'. E <br />