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�� CO �Zl—Fs� <br /> °��'°F � Q�NST'RUCTION �� � <br /> everett PE�MIT PERMITNQ:_� JO� 3 <br /> ��-8@ 1� <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING �❑ MECHANICAI. � PLUMBING ❑ SIGN <br /> OWNER M�ILAOORE55 CITV ZIP PHONE <br /> Randy Braa 1526 - 192nd St SE Bothell, WA 98012 487-9185 <br /> ARGIITEGT ON D[SIGNER MAIL AODRESS CITY ZIP VHONE <br /> J. Patrick Mitchell 12620 - 120th Ave NE Kirkland, WA 98033 821-6090 <br /> GENERALCONTpACTOR MAILAODRE55 dTY ZIP PHONE LICENSE� <br /> Atwood Construction 6184 Campbell Rd. Clinton WA 98236 321-6773 <br /> MECHANICALCONTRRCTOR MAILAUORESS dTY plP PHONE LICENSE• <br /> PLUMB:NG GONTRACTOR AIMI ADORE55 ��TY Z�p pHONE LICENSE� <br /> CLlSS OF WOlilt <br /> FL7 NEW ❑ ADDITION ❑ ALTEpAT10N O REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> V�lU�T10N OF WORK <br /> = 97,149.00 <br /> DESCRIBE WORN <br /> New construction <br /> MEATSOURCE <br /> ❑ ELECTIIICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROVOSED USE OF BUIL�ING <br /> aingle family reaidence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TflUE AND <br /> LEOA�pESCPIPTIONOFMOPERTY�SMOWBELOWORqTTpCNFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior 16 BLOCK _OF Crestwood GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRFvUME 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 /> JOBAOIXIE55 SIGNATUREOFCONtPACTO .AUTMORI2 DAGENT,OROWNER OATE <br /> 1616 Edgemoor Lane X _ Z-8 <br /> PIUMBIN6 MECHANICAL <br /> NO. TYPE OF PIXTUHE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> $ WATER CLOSET(TOILET) 1S 00 AiC—AiMN�LG UNITS—H.P. <br /> Z BATHTUB 1 OO REFRIGERATIONUNITS—H.P.EA. <br /> Q LAVATORV�WASHBASIN� 2 00 BOILERS—B.T.U.M.P. <br /> Z SHOWER 1 OO GASFIRr-DA�C.UNITS—B.T.U. <br /> WTCMENSINNBDISP. S OO 1 FORCEDAIRSYSTEMS—BS.U. MEA. B OO <br /> DISHWASHER S OO WA�L NEATEFS—B.T.U. M <br /> UUNDHVTRAY S OO UNITHEATERS—B.T.U. M <br /> 1 CLOTHESWASHER S OO EVAPORATIVECOOLEflS <br /> URINAL 1 CLOTHESDRY�RS ( SO <br /> DRINKING FOUNTAIN �I VENTILATION FAN IB OC <br /> j FIOOR DFAIN S OO �. RANGE HOOD <br /> 6 50 <br /> _ BP.CKFIUW PREVENTERS 1 WATER HEATER • f 50 <br /> ROOF DRAINS—RAINLEADEPS WOOD STOVE <br /> SINK�SEFVICE—BAR,EiC.) METAL FIflEPLACE d CHIMNEY <br /> _ FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL f 0 O SUB TOTAL 46 50 <br /> PERMIT f PEHMIT <br /> TOTALfEE S TOTALFEE <br /> FRONTSETB�CN REARSETBRCN SIDESETORCK PLANCHECKNUMBER FEE, . . .ijECEIPT�NO.,;..-,�� <br /> 20' 6� 6� <br /> 87/19013 � 406.90 90317 <br /> USEZONE �prqqEp i <br /> VACANTSRE <br /> R-1 7,096 9�Es ❑No FEES VACUATON FEE <br /> TYPEOFCONST. OCLUPANCYGFOCP NOOFOWEILIkGUNITS BUILDIN(�i S�g7,149� � - 630 50 <br /> V-N R-3 1 PwMBING ,'c�l 80 00 <br /> SIZEOFBL�. NO OFSTORIES MAX.00C LO O � '�` <br /> 2796 + (JdY 2 NA MECHANICAL - �' 46.50 QQ <br /> INVESTIGATION FEE �.�Sca004�e) q`� �j;,� <br /> FIRESPRINKLEFSREOUIRED YES NO <br /> STATEBUILDINGSURCH�IRGE �t�'�!��`�'='�'" � 3 50 <br /> i <br /> STATE ENERGY SURCHARGE ,;I�,',-�_, � � 15 00 <br /> APPLICAtION ACC 9Y P�ANS CHECNEO BY �PPR FOR ISSUANCE DY - � <br /> DRIVEWAYPERMIT "�����-- 20 00 <br /> M.M, ge L.C. T07AL 795.50 ap <br /> PERMIT VALIDATON <br /> WHEN PROPERLY VALIDATEO pN THIS SPACE�THIS IS YOUR PERMIT <br /> M <br /> � <br /> O <br /> � <br /> � <br /> AUDRE�S FILE <br />