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`�EV��" " t'��NST�RU�TION � � . /�n <br />cin oF <br />ever�tt pE�IVIIT PERMITNO:: � ��`�J <br />-�,�J� �5q-S�la <br />❑ DEMOUTI01�1 � COMBINATION ❑ BUILDING ❑ MECiiANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDRESS CITY ZIP PNO..E <br />Blue Bay Corp 1429 Broadway Everett, WA 98201 252-1166 <br />ARCNITECT OR UESIGNER MqIL ADORE55 GITV ZIP PMONE <br />GENERALCONTflACTOR IAAILAO�RE55 GITY ZIP PMONE LICENSEM <br />D.G. Brandvold Corp. 5307 139th Ave. SE Snohoinish, WA 98290 So8-9342 <br />NECHANICALCON"iRACTOR MAILADDREBS CITY :IP PMONE LICENSE� <br />DGRRAC171CM <br />PLUMFIINGCONTRACTON MAILADDRES$ CITY ZIP PHONE LILENSEr <br />GLA�S OF WORK <br />[�IVEW ❑ ADDITION <br />S 72,000.00 <br />DESCFIBE WORK <br />House Construction <br />MEAT SOl1RCE <br />❑ ELECTRICITY ❑ GAS <br />❑ ALTERATION ❑ REPAIR <br />Sinale fmaily reisdence <br />LOT 4 Z pLOCK _ <br />7611 <br />PLUMBING <br />NO. <br />❑ WOODSTOYE <br />Cedar Ridge Estates <br />[�1:L1�.:1 <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV�WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PPEVE!ITERS <br />ROOF DRAINS — RFINL6?DERS <br />SINK (SERVICE — BFR, ETC.) <br />SUBTOTAL <br />P3flMlT <br />20 20 <br />USEZONE LOTAREA <br />R-1 <br />TYPE OP CONST. OCGUPANCY GR <br />V-N R-3 <br />SI2E OF pLDG. NO.OF STORIES <br />1832+590GE1 2 <br />BY <br />S.H. <br />❑ DEMOLITION <br />❑ OTHER <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE P.ND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WGRK WILL BE CUMPLIED 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 OTHEH <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />7AyE FERFORMANCE OF CQJJSTRUCj,ION. <br />SIG��ITUREOFCONTFACi(�i3OUT110��[DAGENT�(�iOWNER 0/+TE <br />X f \. � e _ . n K n„_.1/ _�.Q.F/ � ! % � % se �7 <br />N�ECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />SS OO A/C—A/HNOLGUNITS—H.P. <br />S OO REFRIGERATIONUNITS—H.F.EA. <br />�.S OO BOILERS—B.T.U./H.P. <br />S O O GAS FIRED A�C. UNITS — B.T.U. <br />S OO FORCEOAIRSYSTEMS—B.T.U. MEA. <br />S OO WALLHEATERS—B.T.U. M <br />UNITHEATERS—B.T.U. M <br />S OO EVAPORATIVECOOLERS <br />1 CLOTHES DRYERS <br />2 V[NTILATION FAN <br />1 RANGEHOOD <br />1 WATEfl HEATER • <br />1 WOODSTOVE <br />METAL FIFEPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />S $S 00 <br />S <br />S 55 00 <br />SiOE SETBqCK <br />6 <br />VACANT SITE <br />[�ES ❑NO <br />NP NO.OFpWELLINGUNIiS <br />1 <br />MA%. OCG LOhO <br />N/A <br />O <br />pY APPR FOR 13SURNCE kY <br />S.E. <br />L.C. <br />V CHECK NUMBI <br />67/19049 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION <br />SU�TOTAL <br />PERMIT <br />TOTALFEE <br />FEE <br />. 248. 30.. -, <br />VALUATION <br />5 -�� nnn r <br />STATE BUI�DIIVG SURCHAHG <br />STATEENERGYSURCHARGE <br />DFiIVEWAY PERMIT <br />TOTAL <br />SeG 304(e) <br />IPT NO. <br />39701 <br />KFIEN PROPERLV VALIDATED �IN THI$ SPACE) THIS IS VOJR 7ERMIT <br />� ;iGI;i:S'i f'��. _ <br />3150 <br />