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the Euagrern <br />CITV Of <br />ever�tt <br />259-8745 <br />'"'` �ONST�UCTIAIRI?�� <br />PERMJIT <br />� <br />PER�IIITPIO. �7`+�� <br />❑ DEMOLITION (� COMBINATIOFI ❑ BUELDIiVC C MECi1Al11CAL ❑ FLUMBING ❑ SIGN <br />�OWNER MFILADDRE55 CITY ZIP PHONE <br />Debbie Krogen 12216 Hwy 99 So. F.verett, WA 98204 355-G313 <br />ARCMITECTORDESIGNER AIAILADORE55 GTY 21P PHONE <br />GEHEdALCONTAACTOH M>ILADON'SS CITY 21P PMLhE iIGENSEr <br />Same <br />MEGHAIJICAL CONTRACTOR MFI� ADORE55 qTV J.IP PHONE LICENSE x <br />PLUMBIAG CONTRRGTOR <br />MAI. �.�JPE'o5 <br />CITV ZIP <br />CLASS OF WOFK <br />C4i fIEW ❑ ADLITION ❑ ALTERATION ❑ REPAIR �7 DEMOLITION <br />VALUPTION OF WORK <br />s 58,OU0, 1/2 completed. <br />OEa'LRIBE WORN <br />Finish singlc family dwelling <br />N[AT SOURf.E <br />❑ ELECTRI�:ITY ❑ GAS . O WOODSTOVE O OTHER <br />Single family residence <br />LEGAL OESCRIPTiON OP PROPERTV �SHOW BGLOW OR ATTACM FOUR COPIES� <br />cor 40 . �L7CK �� OF Cedar 12idaa F.CYHYPR _ <br />7711 Lower Ridge Rd. <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />; WATER CLOSET (TO!LET) <br />LAVATORV�WASH BASIN! <br />SHOWER <br />KITCHEN SINK & DISP. <br />DISHvVASHER <br />LAUNORYTRAV <br />CLOTHES WASHER <br />URINAL <br />DRlNKING FUUNTAIN <br />FLOOAORPIN � <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAIN_EAOEFS <br />9NK �3ERV1.^.E — BAR, ETQ) <br />6' <br />USE20NE <br />R-2 <br />TVPE OF CONST. <br />V-N <br />SIZE OF BL�G. <br />2289 <br />FIPE SPfiINNLERS F <br />APPLIGATION ACG �Y <br />M.M. <br />SUB TOTAL <br />PEflMIT <br />TOTALFEE <br />REPF SETB4CK <br />20' <br />LOT AREA <br />10,412 sf <br />OCCUPANCYGROUP <br />R- 3 <br />NO.OF STORIES <br />2 <br />) ❑ VES ❑ NO <br />PLANS CHECKED BV <br />LICEYSE • <br />❑ BUILDING flELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KIJOW THE SAME TO BF TRUE AND <br />COFRECT. ALL PROVISIONS OF LAWS AND ORD1tQANCES <br />GOVERNING THIS TYPE OF WOfiK WILL 6E COMPLIED WITFI <br />WHETHER SPECIFIED HFFEIN OR NOT. TIiE GRANTIfvG OF A <br />PFRMIT DOES (J(3T PHESUME TO G�VE AUTHORITY TO <br />VIOLATE UR CAN�EL THE PROVISIONS OF AtdY OTHER <br />STATE CR LOCAL LAW REGULATING COIJSTRUCTION O'i <br />THE PERFORMANCE:OF CONSTRU:TION. <br />SIGN l F O' COANTRACTO/I , AUTHORiZE� AGENI, OR OWNER �ATE <br />V/ _ �//.� K�i . . 11H:/oc <br />�tECHANiCAL <br />FEE NO. TVPE OF EQUIPMENT <br />AiC — NHNDLG UNITS — H.P. <br />PEFRIGEHATION UNITS — H P. EA. <br />BOILERS — B.T. U./H.P. <br />GAS FIFED A.C. UNITS — B.T.U. <br />FORCEC AIR SYSTEMS — 8.7.U. M EA. <br />WALLHEATERS-6.T.U. M <br />UNIT HEATERS — B.T.LL M <br />2 EVAPORATIVECOOLEFS <br />CLOiHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIRFPLACE 8 CHIMNEv <br />PIBEPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%IlAUST FAN <br />5 26 0( <br />S <br />> 26 01 <br />SI�E LETBACK <br />� <br />�,(�CANTSIiE ZO <br />[�YES ❑N� <br />NO.OF DWELLINu UNITS <br />1 <br />MA% OCC. LOAD <br />RENEtaS PBRMIT #14932, issued 6/18/85 <br />L.C. <br />SUBTOTAL <br />PEPMIT <br />PLAN CHEGK NI <br />85/1493Z <br />euaow� <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMI � <br />5 <br />163 <br />Sec.304(e) <br />� <br />FEE <br />76904 <br />FEE <br />153 50 <br />26 00 <br />18 00 <br />TOTAL I r"''u "�i'•"" 197 �50 <br />PEPMIT VALIDATION '��� <br />WHEN PROPERLV VALIDATED (iN irjt{I$,$pACE) TFII��S'YOPJR PERMIT <br />r- <br />Q7 <br />�- <br />N <br />� <br />