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`�E"�" � C�NSTRUCTI�IV "� - <br />cirv oF <br />evere� PERMIT PERMITNO. �654� <br />259-8745 <br />❑ DEMOLSTION ❑ COMBINATION �I BUILDING ❑ MECHANICAL O PLUMBING O SIGN <br />OWNER MA'.AO�PE55 CITY 21P PHONE <br />Mr. & Nss. H.M. Middendorf 6030 Mai�or Place Everett, WA 98203 353-7659 <br />ARCMITECTORDESIGNER MAILAppPE55 QTY ZIP PHONE <br />Owner <br />GENERRL CONTRAGTOR MAIL ADDRE55 GITY ZIP PNONE LICENSE � <br />Same <br />MECMPNICNLCONTRACTOR MRILPOORES$ CITY ZIP PMONE LICENSE/ <br />$ai11E <br />PWMBINGGONTRPCTOR MRILADDPE55 CITY 21P GNUNE LICENSEM <br />❑ NEW ❑ ADDITION � ALT�HATION <br />VAIURTiON OF WORK <br />S 7��. <br />DESCFIBE WORK <br />New foundation under kitchen <br />O ELECTRIGTY ❑ GAS <br />'ROPOSEO USE OF 9UILDING <br />Single family residence <br />.EGRL DESCRIPTION OF PROPEOTY �SNOW 9EL0\ <br />�or 6 _ e�ocK <br />5621 Lowe <br />PLUMBING <br />T'�PE OF FIXTUPE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORY�WASHOASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />ROOF OFiAINS — <br />SINK lSERVICE — <br />N.A. <br />JSE20NE <br />N.A. <br />fYPE OF CONST. <br />V-N <br />SIZE OF OLDG. <br />8'0" x 11'6" <br />FIRE SPRINNLERS RE <br />APPLICATION hCG 8Y <br />M.M. <br />SUBTOTAL <br />PEflMIT <br />TOTALFEE <br />REARSET�ACK <br />N.A. <br />�OT AREA <br />N.A. <br />CCCIIPANCY GflOUP <br />R-3 <br />NO. OF STORIES <br />1 ❑ VES ❑ NO <br />PLANS CHECNEO BY <br />JEF <br />❑ REPAIR <br />❑ WOODSTOVE <br />❑ DEMOLITION <br />❑ OTH�H <br />❑ BUIL�ING RELOCATION <br />I HEFEBY CERTIFY THAT I HAVE REPD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIUNS OF LAWS ANL' ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE 6RANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PEflFORMANCE OF CONSTRUCTION. <br />SIGNATVRE1OF CONTRACTOR. AU/THOFIZED AGENTn. OR OWNER DATE <br />� H-r . � � o��lr�„��r�-1" 8/18/86 <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLG UNIT$ — H.P. <br />REFRIGERATION UtJITS — H.P. EA. <br />BOILERS — B.T.U./H.P. <br />GA$ FIRED A.C. UNITS — B.T.U. <br />FOflCEO AIR SVSTEMS — BSJI. M EA. <br />WALLHEATEflS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATIOIJ FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />IdETAI FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTpTAL <br />PERMIT <br />TOTALFEE <br />ToncK PLAN CHECK NUM�. <br />N.A. 86/16890 <br />vncnHrsim FEES VALUATION <br />❑ res �rvo o11 (�,� q <br />NO.OFOWEILINGUNIT$ BUILDING Qr'/]�`VV L <br />1 PLUMBING yiryk7��p� <br />MA%.00C. LOhO <br />-- MECHANICAL <br />����SPIdTI � <br />STATE DUILD!NG SURCIiAflG <br />S7ATEENLRGVSURCHARGE <br />qPPR. FOR ISSUANCE BY <br />DRIVEWAY PERMIT <br />i 1 <br />FEE <br />FEE <br />'M OOOAN15�1 <br />.� <br />:� <br />,� 13 <br />.IS 1 <br />TOTAL � 36 �15 <br />PERMIT VALIOATION F EP�i. <br />WHEN PROPERLV VALI7ATEJ(��d�4�ACPZy �� VOltf�yllT 4T` ' S <br />�� <br />�' <br />� <br />�% <br />l'�' <br />j.�r;��.._°.5 i�l�.,. <br />