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t��'� �n "� C'�?I\IS'A"RUCTION � ~ c�7 <br />e�erett p��MeT PERMIT NQ: _���`� t <br />259-8745 <br />❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MlILl10DRESS CITY 21P PHONE <br />Iai�gara Properties 12406 Mukilteo Speedway Lynnwood 98037 348-3961 <br />PRCHITEGTOROESIGN[R MAILADDRE55 CITY 21P PHONE <br />Spectrum Lesign Service Snohomish <br />GENERh�COHTRACTOR MAILNDDRESS LITY ZIP PHONE LICENSEs <br />Owner LANGAPC155MA <br />MECHANICALCONTPPGTOR MAILAOORE55 CITY ZIP PHOVE LICENSE� <br />PLUMBINGCONTPNCTOH MAILAOOqE55 CITY 21P PMONE LICEHSE� <br />C�}NEW rJADDITION <br />�ALUATION OF WORK <br />S -6A�s�i6�4r9e- �iq <br />New Construction <br />IEnTSOURCE <br />❑ ELECTRICITY ❑ GAS <br />[] ALTEflATION ❑ REPAIR <br />� <br />❑ WOODSTOVE <br />Single family residence <br />�or 3� BLOCK _ OF Cedar <br />7719 <br />PLUMBING <br />NO. TVPE OF FIXTURE <br />WATER CLOSET (TOILET) <br />BATHTU9 <br />LAVATOflV�WASHBASIN� <br />SHOW@R <br />NITCHEN SINK 8 OISP. <br />DISFIWASHER <br />LnUNORVTRAV <br />� <br />— n„��.��,...�..� <br />— BAR. ETCJ <br />SUDTOTAL S <br />PEHMIT S <br />TOTALFEE S SO <br />TYf�E OF CONST. OGCUF <br />V�1� <br />SIZEOF�LOG. NO.OF <br />1104 <br />FIRE SPHINKLE'iS REOUIRED ❑ V <br />4PPLICATIONAGC 6Y LANS <br />h1.M. <br />VACANT SITE <br />� �YES ❑NO <br />GROUP ND.OFOWELLI <br />MAX. <br />J.W. I J.W. <br />❑ �EMOLITION <br />LJ OTHER <br />❑ EUILDING REIOCATION <br />I HEREBY CERTIFY THAT i HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 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 OTHER <br />STATE OR LOCAI. LAW REGULATI CONSTRUCTION OR <br />THE PERFORMB.NEE OF CONSTRI}�i10 . <br />YYPE OF EOUIPMENT <br />A/C — A/HN�LG UNITS — H P. <br />R'eFRIGERA iION UNITS — H.P. EA. <br />�OILERS — B.T.U./H.P. <br />GAS FIRED A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. M EA. <br />WALLHEATERS—H.T.U. M <br />UNIT HEATERS — B.T U. M <br />EVAPORATIVE COOLERS <br />CLOTNES DRYERS <br />VENTILATION FFN <br />RANGEHOOD <br />WATER HEATER � <br />woonsrove tfl/?4/RR <br />M.ETAI FIREPLACE 8 CHIMNEV � <br />FIREPI.ACE INSEHT ���7fIR57 <br />REATPUMP Ri nr, <br />GAS PIPING p� pj; <br />E%HAUSTFAN urru <br />,N CHECK NUMBEH <br />88/20857 <br />FEE <br />SUB T <br />PEReA <br />TOTA i <br />F�00006064 RECEIPT NO, <br />��.53 $ tl.0013367 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STA7E BUILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAV PERMIT <br />1171-5 <br />SeC.304�e) <br />TQTAL � I `_jr� ' <br />PEHMIT VALIDATION <br />WHEN PflOPERLV VALIDATED �1N THIS SPACE) THIS IS YOUR PERMIT <br />nuorr:ss ru E <br />2� <br />� <br />