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`�� �'� Q�IoISTRUCTION � � - onC <br /> everett PERMIT PERMITNQ:_� �oJ`� <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUM�INCa ❑ SION <br /> OWNEP MRILAODRE55 CITY 21P FMONE <br /> Gene Willard Const. 23307 Hwy 99 Edmonds, WA 98020 775-0912 <br /> �RCHITECTORDESIGNEN MAILADpRE55 GITY 21P PMONE <br /> Raincastles, Inc. P.O. box Woodinville, WA 98072 8 488-0260 <br /> GENERALCONTPACTOR MAILAUORESS CITY ZIP PMONE IICENSE� <br /> Ge�e Willard Const. CENEWC238MA <br /> MECNANICALCONTRACTOR M�ILADOREC3 CITY98.loq ZIP PHONE UGENSEI <br /> Valley Nai:ural Gas 11323 Hwy 99 Edmonds, WA fl8fl8fl YY8R8928 355-7730 VALLENG153LI <br /> PLUMbING CONTRRCTOR MRIL AODRE55 CITY b^ PMONE LICENSE� <br /> Danco Inc. 1522 Walnut Everett, WA 98203 258-6938 DANC0�95187BN <br /> CLASS OF WORK <br /> C�NEW O �►ODiI't�tt ❑ ALTERATION ❑ REPAIR ❑ DEMOUTION ❑ BUILDIN6 RELOCATION <br /> WIUATIONOFWORI: —"_'-_-�'"'_-" <br /> S IQO�OVU. <br /> DESCRIBE WORK <br /> Construct new single family residence <br /> HEATSOURCE <br /> ❑ ELECTAICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> vnovoseo use or ew�owc <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LOE3CRIPTIONOFPqOPE°�Y/SHOWBELOWOPAITPCMFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND OROINANCES <br /> LOT.�L BLOLK _ OF GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANT�NG OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> - STATE � CAL LAW REGULATING CONSTRUCTION OR <br /> � THE P PIRMANCE QF C TRUCT ON. <br /> JOBADORE55 SIGNR �6FCONT Oq(n T aGENT OWNER 04iE <br /> 1623 Edgemoor Lane X j (�� %> 'T r� <br /> PLUMBIN6 MECHANI AL <br /> NO. TYP'c OF fIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CI JSET(TOILET) ZO OO aC-A/HNDLG UNITS-HP. <br /> j BATHTUi ].S OO REFRIGERATIONUNITS-M.flEA. <br /> rj LAVATORV�WASHBASIN) ZS OO BOILEFS-B.T.U./H.P. i <br /> 1 SMOWER S OO GASFIRE�A.C.UNITS-B.T.U. <br /> 1 KITCHEN SINK d DISP. S OO 1 FORCED AIR SVSTEMS-d.T.U. M EA. 9 OO �. <br /> j DISHWASHER S OO WA��HEATERS-9.T.U. M , <br /> 1 LAUNDRV TRAV S OO UNIT HEATERS-B.T.U. M <br /> 1 CLOTMES WASHER S OO EVAPORATIVE COOLERS <br /> URINAL CLOTMESDRYERS <br /> �RINKING FOUNTAIN �'j VENTILATION FAN ZZ SO <br /> FLOORDFA�N 1 AANGEHOOD E1 SO <br /> BACKFLOWPREVENTERS 1 WATERHEATER • G SO <br /> ROOF DRAINS-RAINLEADERS WOOD ST(1VE <br /> 1 SINK�SERVICE-BAR,ETC.) S OO METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> sue ror�� s 90 00 SUB TOTIIL 94 50 <br /> PERMIT f PEflMIT - - <br /> TOTAL FEE S T� S ����{� <br /> FRONT SETBALN PE/.9 SETBACN SIpE 5[TORCK P�AN CHECK NUMBEii FEE � RECEIPT NO. <br /> 20' 20' 6' 87/17895 It00A$'�`� 89504 <br /> VSE20NE �OTRREA yp�qNT51TE O-- <br /> R-1 48�115 R]res ❑rvo FEES ATIO FEE <br /> TYPEOFCUNST. OCCUPANCYGROUP NOOFDWELIINGUN�TS �UILOING � � OO�OO � (�3 SO <br /> V-N R-3 1 pLUMBING B SftCH 4 .50 9 00 <br /> SIZE OF BLOG. NO OF STORIES MnY OCC.IORD <br /> 2995 sf + 623 g r 2 W�dSiflt - MECHANICAL „ ., ' 4 50 <br /> INVEST�GATION fEE NO��4�) <br /> FIRESPRINKLERSREOUIRED YES NO J . <br /> 57ATE BUILDING SURCHARGE � �� SO <br /> STATEENERGVSURCHARGE NOOOOS:bS 1 00 <br /> �PPLIGATION qCG.PY PLANS CNECNED OY APPR FOR ISSUANCE BY <br /> M.M. BB L.C. �RIVEWAYPEfiM1T H � � � 2 00 <br /> TOTAI 81 00 <br /> PERMIT VIILIDATION <br /> WHEN PPOPERLV VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT <br /> �� <br /> Q� <br /> � <br /> L` <br /> !� <br /> ADDRESS FIL� <br />