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`�� � Q'7NSTRUCTION � ( <br /> e��erett PERMIT PERMIT NO. 16866 <br /> 259 -8745 <br /> ❑ DEMOlIT10N �7 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ONTIER MAILRDDPESS QTY ZIP PHONE <br /> KEITH WELCH, JR. 5614 - 145th St. SW Edmonds WA 98020 <br /> ARCMITECTORpESIG1IER MAILADDRE55 . / � ��T�' ZIP PMONE <br /> CENEfl�L CONTP�CTOi MFIL RODNE55 CITY ZIP PHONE LICENSE• <br /> Welch Builders 8505 - 7_18th St. SW Edmon�is WA 98020 WELCHB151C2 774-4916 <br /> MECMANILALCONTPACTOR M�.ILpODRE55 CITY 21P PNONE LICENSE� <br /> itUMBING CONTR�CTOR MAI�RODRE55 CITV ZIP PMONE 4CENSE� <br /> CLA55OF WORK <br /> I� NEW ❑ADDITIOH ❑ ALTENATION ❑ pEPAIR O DEMOLITION ❑ BUILDINO RELOCATION <br /> W WATION OF WORN � <br /> S 95,000.00 _ <br /> UESCRIBE WORK � <br /> New single family residence <br /> HE�TSOURCE <br /> � ELECTRICITY ❑ GAS O WOODSTOVE C OTHE(i <br /> PROPOSE�USE OF BURUING <br /> $�11 le family residence I HERE9Y CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> 9 APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LOESCRIPTIONOFPpOPERTY�SMOWBELOWORPTTACMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior V BLOCK _OF CI'2StW00d _ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OFi NOT. THE GRANTING OF A <br /> PERiv11T DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> � VIOLATE OR CANCEL THE PROVISIONS OP ANY OTHER <br /> STATE OR LOCA W REGU ING CONSTRUCTION OR <br /> THE P F R C' F CONST U TION. <br /> JOB�ODRESS �, SIGN.4T E OF T R,AUT ORI E�R ENT, R OWNER UATE <br /> �69� Edgemoor Ln X /w <br /> PLUMBING MECHA ICAL <br /> NO. TVPE JF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 3 WATER CLOSET(TOILET) � �j OO A/C-A/HNDLG UNITE-H.P. <br /> 3 BATHTUB � B OO REFRIGERATION UNITS-H.P.EA. <br /> �j LAVATORY�WASHBASIN) Z5 OO OOILERS-B.T.U./H.P. <br /> � SHOWEFi S OO GAS FIHEO A C.UNITS-B.T.U. <br /> � KITCMEN SINK 8 DISP. 5 OO � FORCEO AIR SVSTEMS-B.T.U. M EA. <br /> � DISMWASHER 5 OO WALLHEA7ERS-B.T.U. M <br /> LAUNDRV TRAY UNIT HEATERS-B.T.U. M <br /> � CLOTHES WASHER 5 OO EVAPORATNE COOLERS <br /> URINAL � CLOTHESDRVERS <br /> DRINKING FOUNTAIN 'Z VENTILATION FAN <br /> FLOOR DRAIN � RANGE HOOO <br /> BACKFLOW PREVENTERS � WATER HEATER <br /> ROOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SEHVICE-BAH,ETC.) METAL FIREPLACE d CHIMNEV <br /> FIHEPLACEINSERT <br /> HEAT PUh1P <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL f J 5 OO SUB TOTAL <br /> PEpMIT f PERMIT <br /> TOTALFEE f J TOTALFEE <br /> FRONTSETB�CK NEAPSETBACN Si0E5ETBACN P�A'VCMECKNUMBER EF.EM/et �� 61RT.NOS�ta �t <br /> 20' 20' 6' 86/16866 W339 j63 D0258JYT <br /> USEZONE LOTAREA yqCANT:'ITE <br /> R_� C,�ves ❑r+o FEES FEE <br /> TYPE OF CONST. OCfUVANLY GROIIP NO Or UWELLING UNRS OUILDING <br /> V�N R-3 M-� � PLUMBING �� ,aj <br /> SIZEOFBLDG. NO.OFSTORIES MR%.00C LORD <br /> 2453 '� 6�0 z MECHANICAI <br /> INV[STIGA710N FEE 4 SS .� <br /> FIRE�PRINKLERS REOUIRED ❑VES ❑NO " <br /> STATE BUILDING SURCHARGE <br /> STA7EENERGYSURCHARGE {�'(�' � ,� <br /> nPPLICAT10NRCGBY PLRNSCMECKEDBV APPP.F08155URNCEBY <br /> ORIVEWAY PERMIT <br /> mm jef lc TOTAL 1171-5 .00 <br /> PERMIT VALIOATION <br /> WHEN PROVERLV VALIDATED�IN THIS SrACE)THIS IS YOUR PERMIT <br /> �� <br /> �a <br /> � <br /> �� <br /> r� <br /> �1C�)�L:� I ll,. <br />