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u�E��, <br />cirr oF <br />e-�erett <br />259-8745 <br />� '�OMSTRUCTIOt`�°�` <br />PERMIT <br />� <br />PERMIT NO. 1 7 O S 2 <br />❑ REMOLITION f$I COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMOING ❑ SIGN <br />OWNE9 IAqILADDqE55 �ITY ZIP PHONE <br />HENRY MIDDENDORF 5621 LOWELL ROAD Everett WA 98201 353-7659 <br />ARCMITECTOHpE51GNER MAILADDRE55 LITY 21P PHONE <br />GENERAL CONTRqCtUR MnIL AODRESS CITY ZIP PMONE LICENSE • <br />EVERETT BLDRS 5606 Evergreen Way Everett WA98203 353-7161 <br />MECHANICALCONTRqCTOR MAILIDDRE55 CITY ZIP PHONE UGFNSE� <br />PLUMBINGGONTqqCTOP MAILNDDRE55 CITY 21P PHONE LICENSE• <br />CLAS:OF WORN <br />❑ NEW � ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORN <br />s 6534.00 <br />12'x26' rough-in addition <br />❑ ELECTRICITY ❑ GPS ❑ WOODSTOVE <br />ngle family residence <br />lOT � OLOCN _ _ <br />5621 Lowell Road <br />PLUMBING <br />TYPE OF FI%Tl <br />WATER CLOSET �TOILET� <br />BATHTU6 <br />LAVATORV�WASH BASIN) <br />KITCHEN SINK 8 DISP. <br />OISHWASHER <br />LAUNORVTRAY <br />CLOTHES WASHER <br />UflINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAw � <br />ROOF <br />SINK I <br />2�� <br />USEZONE <br />R-2 <br />TYPE OF CONST. <br />V-N <br />SIZE OF CLOG. <br />624 sf <br />FIHE SPRINK�ER: <br />APPLICNTION AL... <br />mm <br />— RAINLEAOERS <br />— BAR, ETC.) <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />REARSETBALN <br />9oi <br />LOTpREA <br />OC W FANCY GROUf <br />R-3 <br />N0. OF STORIES <br />Addn 1 stc <br />1 ❑ VES O NO <br />PLANS CHECeEO oV <br />sg <br />❑ OTHEH <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEU THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORUINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HERE!N OR NOT. THE GRANTING 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 PE ORMAN(((YYY���... OF CONSTRUCTION. <br />SIGN TUR F GONTeA�� qUiHOR2EDAG5% T, OW=ER DATE <br />X i1ca-/ , 0 � �,. .�at " <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />�/ �— A/HNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />60�LFRS — 6.T.U./H.P. <br />G! , FIRED A.C. UNITS — <br />FORCED AIR SYSTEMS — B.T.U. M <br />WALL HEATERS — 0. T.U. <br />UVITHEATERS—B.T.U. M <br />EVAPORATIVECOOLERS <br />CIOTHESDRVERS <br />_ VENTILFTION FAN <br />RANGEHOOD i <br />WATER MEATER <br />WOODSTOVE <br />METAL FIliEPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />� <br />S <br />S <br />SIDE SETBq�K <br />5' <br />VACANT SITE <br />❑ YES LxNO <br />NO. OF OWELLIHG UN <br />1 <br />MAX. OCG LpAO <br />APPp.FOqISSUANCE <br />lc <br />86/17082 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SUI <br />SUBTOTAL <br />PEflM1T <br />TOTALFEE <br />FEE RECEIPTNO. <br />58.50 81832 <br />Sec.304(e) <br />STATEENERGYSURCHARGE <br />DRIVEWAY PEFMIT <br />TOTAL <br />PEPMIT VALIDATION <br />WHEN PROPERLV VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />Upstairs to be for attic space only. <br />%.'�'_ n E:. ., F � ��. .. <br />N <br />� <br />O <br />� <br />P <br />