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�� � � �NSTRUCTION � r" <br /> everett PERMIT PERMIT NO. 19916 <br /> 259 -8745 <br /> ❑ DEMOLITION C�COMBINA710N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBINC: ❑ SIGN <br /> JNMER MaILnDDRE55 CITY ZIP PNONE <br /> James and Falene Pishue <br /> AFCHITECT Ofl DESIGNEN MAIL ADOPESS CITY 21P PHONE <br /> GENEML CONTP�CTOR MRII ADORESS dTV 21P PMONE UCENSE• <br /> Roth Development 303 Sth Ave. S. Edmonds, WA 96020 ROTFIDC203QD <br /> MECHANICALCONTHRGTOp MRILn�DRE55 CITV ZIP PHONE UCENSE• <br /> Reliable Heating 11447 120th Ave. NE Kirkland, WA 98033 Fi23-6868 RELIASM437RS <br /> PLUM8INGCONTPACTOR MAILI.�pPESS CITV ZIP PMONE UCENSEI <br /> Mill Creek Plinnbing 15323 Wood Fern Iane 1'illcreek, WA 98012 337-1860 MILLCPI137D5 <br /> CL�SS OF WORK <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING NELOCATION <br /> WLUATION OF WORK - <br /> S 152�500.�0 <br /> DESCRIB4 wORK � <br /> Oonstruction of a new home <br /> ME�TSOURCE I <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH <br /> vnoroseo use oF e�aoirvc <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> :ingle family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LE311LDESCRPTIONOFPqOPERTY�SNOWBELOWORATTACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 5 OLOCK _OF Plat 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 PRF.SUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THF PROVI510^JS OF ANY OTHER <br /> STATE LOCAL LAW REG�!LATING CONSTRUCTION OR <br /> THE P RF HMANCE OF CONSTRUCTION. <br /> JOB AOOHE55 SIGN URE F O�TPACTOR,AUTHOQ12E0 AGENT,O�R O("y.\E�Q DATE <br /> 6 7 Ed >tnoor Iane X ! f-(J i <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUAE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> 4 WATERCLOSET�TOILET) ZO OO A�C—A/HNDLGUNITS—H.P. <br /> BATNTUB LO OO REFRIGERATIONUNITS—H.P.EA, <br /> LAVATORY�WwSHBASIN) ZS OO BOILERS—B.T.U/H.P. <br /> SMOWER ZO OO GASFIREDA�C.UNITS—BT.U. <br /> KITCMEN SINN 8 OISP. S OO 1 �PFCED AIR SYSTEMS—B.T.U. M EA. B OO <br /> DISHWASHER S OO WFLLHEATEHS—B.T.U. M <br /> LAUNDRV TRAV S OO UNIT HEATERS—B.T.U. M <br /> CLOTHESWASHER S OO EVAPORATIVECOOLEFS <br /> URINAL j CLOTHES DRYERS 6 SO <br /> DRINKING FOUNT�IN Z VENTILATION FAN 9 OO <br /> FLOOR DRAIN � 1 qANGE HOOD 6 SO <br /> BACKFLOW PREVENTERS 1 WATER HEATER G SO <br /> ROOFORAINS—RAINLEAOERS 1 WOODSTOVE 3O OO <br /> SINK(SERVICE—BAR.ETC.) 1 METAL FIREPLACE 8 CHIMNEV � <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GASPIPING � <br /> E%HAUSTFAN <br /> SUB TOTAL s 85 00 sua ror�� 97 50 <br /> PERMIT { PERMIT <br /> TOTALFEE i $ TOTALFEE � SO <br /> FRONT SETB�CI( REnR SEIBACN S�OE SEfBnCK PLAN CHECN NUMBER FEE RECEIPT NO. <br /> 20 20 6 88/19?16 536.25 97b28 <br /> USE20NE LOTAREp <br /> VRCNNTSITE FEES VALUATION FEE <br /> R-1 �cves Orvo <br /> TYVEOFCONST. OCCUPANCYGROUP NOAFDWELLINGUNITS BUILLI4G S 5 BZS OO <br /> V—N R-3 1 pLUM�lING <br /> 512E OF BLDG. NO.OF STORIES MA% OCC.IOAD �S OU <br /> 3017 1+BSMT N�A MECHANIC'AL (K/ZB/BB 8� �ORMOS�.� 5� <br /> INVESTIGATION FEE � <br /> FIRESPNINKLERSREOUIRED ❑VES QNO <br /> STATE AUILDING SURCHARGE �DG J.OD <br /> STATEENERGVSURCHARGE 1 <br /> APPLIC�TIUN RCC.BY PLANS CNECKE�OV APPP FOR ISSUFNCE�Y <br /> DRIVEV/AYPERMIT B SRC�FI 3.SII <br /> S.H. B.E. B g TOTAL <br /> PENMIT VIILID�TIO�� yryy�}/,�'�{ <br /> WHEN PHOPERLV VALIDATED�IN T�CE�'IHIS�OVO�UH PERMIT CD <br /> 1171-5 f2G4.00 �— <br /> �cwrwaEx <br /> rn <br /> � <br /> nouF�ss i i!E <br />