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`�� � C�NSTRUCTION �' � <br /> everett PERMIT PERMITNn. 16740 <br /> 259 -8745 <br /> ❑ DEMOLITIJN �(1 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADDFE55 CITY ZIP PHONE <br /> JAMES K. WAHL 1710 - 100th PL SE EveNett WA 98204 337-4405 <br /> ARCMITECT OB OESIGNER MAIL PUORE55 CITV ZIP PiiONE <br /> GENERALCONTRACiOR MRI�AD�RE55 GTV ZIP PFONE LICE'3E• <br /> Wahl C�nsi;ruction Above <br /> MECHRNIC/LCONTRAGTOII MAIIADDRESS dTY 21P PHONE LICENSE� <br /> VLUM81'.GCONTP�LTOR MRILPDDRE55 GITY ZIP PNONE LICENSE• <br /> CUSS OF WORK <br /> �] NEW ❑ ADDITION ❑ ALTENATION ❑ 11EPAIR ❑ DEMOLITION ❑ BUIIDING RELOCATION <br /> VALl1AT10N OF WOPN <br /> S 115,000.00 <br /> OESCRIBE WORN ' <br /> New single family residence <br /> NEATSOURCF <br /> ❑ ELECTR�CITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> PROVOSEO USE OF 6UILUING <br /> Singl e family residence � :iEREBY CERTIFY THnT I HAVE READ AND EXAMINED THIS <br /> Ar�.iCATION AND KNOW THE SAl�E TO BE TRUE AND <br /> LEG�l0E5CRIPTIONOFPROPERiY�SHOWOEIOWORATfACMFOUPCOPIES� CORREIT. ALL PROVISIONS OF LA1'-'S AND ORDINANCES <br /> ior ��BLOCK _ OF Crestwood GOVERNI�JG THIS TYPE OF WORK WILL DE 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 O1HEFl <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTIUN OR <br /> � ' THE P ORMANCE OF CONSTR T N. <br /> J09 ADONESS SIGNAT E F CONTRACTOR.AUTIIORRE R OWNER � � <br /> � Edgemoor Lane X � �� <br /> PLUMBING E ANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE O. TYPE OF EOUIPMENT FEE <br /> 4 WATEq CLOSET(TOILET) ZO OO A/C—A/HNOLG UNITS—H.P. <br /> Z BATHTUB �O OO REFRIGERATION UNITS—H.P.EA. <br /> Q LAVATORY�WASHBASIN) ZO OO DOILERS—B.T.U/H.P. <br /> 'L SHOWER �O OO GASFIREDAC.UNITS—B,T.U. _ <br /> � HITCMEN SINK 8 DISP. 5 OO � FORCED AIR SYSTEMS—B.T.U. M EA. 9 OO <br /> � DISMWASHER 5 OO VdALLHEATERS—B.T.U. �� <br /> LAUNDRY TRAY UNIT HEATEqS—B.T.U. M <br /> � CIOTHESWASHER 5 OO G �PORATIVECOOLERS <br /> URINAL � CLOTHES DRYERS G �JO <br /> ORINkING FOUNThIN Q VENTILATION FAN �S OO <br /> FLOOR DRAIN ' � RANGE HOOD G 5O <br /> BACKFLOW PREVENTERS � WATER HEATER G 5O <br /> FOOF ORPINS—RAINLEADEFS H'000 STOVE <br /> SINK�SERVICE—��R,ETQ) METAL FIREPLACE 8 CHIMt:EY <br /> FIREPLACE MSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL S �Q SUBTOTAL 46 50 <br /> PERMIT S PERMIT <br /> 70TALFEE S OO TOTALFEE s 46 50 <br /> FRONT SETBnCN eEnR SETBncK SiOE SETBnce PLAN CHECK NUM6ER FEE RECEIPT NO. <br /> 20' 20' 6' 86/16740 415.6Fi 80322 <br /> USE ZONE LOT AREn ypCnNT SITE <br /> R-1 31 ,OOO + C�res ❑No FEES O ; 68 tY#I <br /> TYPEOFCONST. OCCUPANCYGROUP NOOF�WELLINGUNRS BUILDING 5115� ppZ OO <br /> V-N R-3 � PLUMBING 75 00 <br /> S12E OF ULOG NO OF STORIES MA%.OLC LOr1D <br /> 3004+936 1�- MECHANICAL PLBG f •� 46 50 <br /> INVESTIGATION FEEAdd� a � 34 12 <br /> FIRE SPRINKLEFS REOUIRED ❑VES ❑NO $TATE BUILDING SUFiCHARGE B SRCH 1.� <br /> 1 50 <br /> STATE ENERGY SURCHARGE � 5 OO <br /> APPLICATIONACC DY PLANSGNECKEDOY APPfI FORISSJ4NCEDY <br /> DRIVEWAY PERMIT NO�SSOS ZO OO <br /> mm sg/jef lc TOTAL 884 12 <br /> PERMIT VALIDATION C�� <br /> rVHEN PROPERLY VALIDATED�IN T11f715'751PAS4 T��PERMIT O <br /> �HE�{� z1198.12 C}_ <br /> � <br /> C� <br /> � <br />