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evere ^ CE'NSTRUCTION '' '� 21172 <br /> 259 - 8745 PERMIT PERMITNO. <br /> ❑ DEMOLITION f� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MnILAUDnE55 CITY 21P P110NE <br /> David Bigelow 5126 Narbeck Ave. Everett 96203 347-0825 <br /> ARCHITEGT OR DESIGNER MPIL ADDRESS CITY ZIP PHONE <br /> Piercy & Barclay Deaigners 7080 SW Fix Loop #100 Tigard Or 97223 (503)620-4551 <br /> GENERALCONTRAGTOR MAILADUPESS CITV 21P PMONE LICENSE� <br /> Owner <br /> MECMANICALCONTRRGTOR MAILAODRESS CITY ZIP PHONE LICENSE� <br /> PLUMBING CONTRACTOR M�IL ADDRE55 CITY ZIP PHONE LICENSE� <br /> CUSS OF WORN <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ HE�AIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALU�TION OF WORK <br /> s �1�56�.�0 <br /> DESLRIBE WORK ' <br /> New Oonstruction <br /> HEATSOURCE <br /> ❑ ELECTqICITV O GAS ❑ WOODSTOVE ❑ OTHEH <br /> PROPOSED USE OF BUILDING I <br /> SFR I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS I <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPqOPERTY�SHOWBELOWORAT7ACHFOIIRCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior 17 BLOCN _OF �'estwood 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 AODRE55 SIGNATUR F CONTRACTOR.AUTH 12ED AGENT.O OWNER UATE <br /> 1614 Ed emoor Iane X /z-z � �d <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS—HP. <br /> BATHTUB REFRIGERATION UNITS—HP.EA. <br /> LAVATORV(WASH BASIN) BOILERS—B T.0/H.P. <br /> SHOWER GAS FIREO A G UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—BT.U. M EA. <br /> DISHWASHER WALL HEATERS—B T.U. M <br /> LAUNORYTRAV UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EV�PORATIVE COOLERS <br /> URINAL 1 CLOTHES DRVERS G SO <br /> URINKING FOUNTAIN 3 VENTILATION FAN 13 SO I <br /> FLOOR DAAIN 1 RANGE HOO� I�IZSIBB J%4OF OOOAN.Z rj ' .':':t <br /> BACKFLOW PREVENTERS ]_ WATER MEATGR / G SO <br /> ROOF DRAINS—RAINLEADERS N'OOD STOVE ��9S�IS <br /> SINK(SERVICE—BAR.ETC.) j METAL FIf1EPLACE 8 CHIMN�EC SLS. 3O OO _ <br /> FIREPLACEINSERT I�OOOG7OO9 <br /> HEATPUMP SEWEri $.tO. <br /> GASPIPING 1171-5 51�9. <br /> EXHAUSTFAN N00006147 <br /> WRTER f60. <br /> - suerorn� s suei�(qt1172 7 <br /> PEflMIT f VENIS[�j 4490 0 <br /> TOTALFEE S TOTIR(E�B SSS <br /> FnONTSETBnCa nEnqSEtOnCK SiOESETBnCrc PLANCHECKNUMBER F�CH S IPTNO. <br /> 20 20 20&6 88/21172 B $6�{16 •�}435 <br /> USE 20NE LOT AREA yqCANT SITE � <br /> R-1 C�ves ❑r+o FEES ION FEE <br /> TYPEOFG��n;,f OCCUPPNCYGPOUP NOOFOWELLINGUNITS BUILDINC�i � .60 <br /> V—N R-3 1 PLUMDING <br /> 512E OF OLDG N0.OF STORIES MA%.OCC.LO�D <br /> 1196+462 GAR 1 N�A MECHANICAL <br /> INVESTIGATION FEE Sec.30d(e) <br /> FIRE SPRINKLEFS REC UIRED ❑VES �NO <br /> STATE BUILDING Sl1RCHARGE 3 SO <br /> STATE ENERGV SU(iCt1ARGE 15 00 <br /> °PLiC4TiONr1CC I1� PIANSCMECK[D�Y APPR FOR155UANCE�Y <br /> DRIVEWAY PERMIT <br /> S.H. B.E, g,�, TOTAL 656 60 II <br /> PEHMIT VALlDATION <br /> WHEN PROPERLV VALIDATED pN THIS SPAC[)THIS IS VOUR PERMIT <br /> N <br /> N <br /> � <br /> � I <br /> N � <br /> �,.'�: i ' � <br /> I <br />