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�� '�' C'�NSTRUCTION � <br /> everett PERMIT PERMITNQ:� 21503 <br /> 259 - 8745 ' <br /> ❑ DEMOLITION ❑ COMBINATION x� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEP MAII ADORE55 CiTY ZIP PIIONE <br /> Michael lilt7d ltlfltft Anaerson 4999 Elm Everett 98203 252-7779 <br /> nncHiTecr on oEsicr+en Mna nooness cirv zir rror+e <br /> Impression Design 2229 Jackson Everett 98203 355-3200 <br /> GENERRLGON�R/GTOR MAILAO�RESS QTY 21P PHON[ LICENSE� <br /> owner <br /> AIECHANICALCONTRAGTOR MAILAOOBESS QTY ZIP PHONE LICENSE� <br /> PWMHINGCONTRRSTOR MAILADDf1C55 CITV 21P PNONE LICENSE• <br /> CI ASS Of"WORR <br /> ❑ NEW E�C ADDITION ❑ ALTERAT�ON ❑ REPAIR ❑ OEMOLIZION ❑ BUILDING RELOCATION <br /> VALUATION OF WOPN <br /> s 6720.00 <br /> OESCRIBE WORN <br /> Cosntruct garage <br /> Y.EATSOUHCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE O OTHER <br /> PROPOSEO USE OF BUIICING <br /> Same I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCRIPTIONOFPROFERTY�SIIOWOELOWORAiTACNFOUi1CO�IES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 44 View Ridge Add Div 3 GOVERNING 7HIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_OLOCK _ Of WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE UR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULA(ING CONSTRUCTION OR <br /> THE PER RMANCE OF CONSTRUCTION. <br /> JOB A�ORESS SIGNATl1qL CONTR R.PUTH RIZEO�GENT,OR OWNER O�TE <br /> 4944 Elm St. X � Zl � <br /> PLUMBING MECHANI AL <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) NC-A�HNOLG UNITS-H P. <br /> BATHTUB REFRIGERATION UNITS-HP.EA. <br /> LAVATORY IWASH BASIN) 901LEN5-8 T.0 MP. <br /> SHOWER GAS FIRED AC.UNITS-B.TL. <br /> NITCHEN SINK 8 DISP. FOHCED AIR SYSTEMS-B.T.U. M EA <br /> DISHWASHER WALLHEATERS-O.T.U. M <br /> LAUNORVTRAY UNITHEATERS-BS.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTMES bRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOP ORAIN RANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATER � <br /> RUOF DRAINS-RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAP.ETC.) METAI FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTfAN <br /> SUBTOTAL f SUBTOTAL <br /> PEpMIT S PERMIT <br /> TOTALFEE S TO � /69 9�2 OOOAH54�6 �I.�:�k�K <br /> FRONT SETBACK n�nn 5er�nCK SIOE SETBACN PLAN CHECK NUMBER FEE / RECEIPT NO. <br /> 20 6 VAR 6 H ^ 03 <br /> USEZONE LOTAREA 89/21503 �� 14rJrJl <br /> VACANTSITE FEES ATION FEE <br /> R_1 ❑YES (XlNO <br /> TYPEOFCONST OCCUPRNLYGROUP NOOFOWELLINGUNITS BUILDING �C�',QO g .SO 9O OO <br /> V—N M-1 N�A PLUM9ING CNECY gS .�O <br /> S12E Of ULDG ND OF ST0111E5 M�% OCC LOAO <br /> �IQB 1 N/A MECHANICAL <br /> INVESTIGATION PEEpldri C �c.30��e) 11 70 <br /> FIRE SPRINKLERS REOUIRED ❑VES �NO <br /> SiATE BUILDING SURCHARGE 3 SO <br /> STATE ENERGV SIIRCHARGE <br /> APPLICATION ACC OV P�RNS CHELKE�OV APPR FOii ISSUANCE�Y <br /> �RIVEWAV PERMIT <br /> S.H. J.W. J.[9. TOTAL 105 20 <br /> PERMIT VRLIDATION <br /> WHEN PROPERLV VALIDATED�W THIS SPACE�TMI515 YOUR FEfiMIT <br /> r7 <br /> 0 <br /> �..�� <br /> r� <br /> N <br /> l.i.G'�:i_i;ii f�IIE <br />