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r���� F���,�,���•„ �NSTR UCTION <br />"`Y°F � PERMII" � <br />everett <br />l'ITY HALL 259�8'/45 <br />a-eaerr,wn oazoi COMBINATION • BUILDING • MECHANICAL • PLUMBING <br />owNEn niai�noor�ess ziN r�iionE <br />Ruth LeAfaster 1515 Mukilteo, Mul:ilteo Wa <br />Person & <br />R <br />f.UMf31 <br />13410 8th <br />IAIL ADORE55 <br />3G <br />OR 317KR <br />� <br />everett <br />❑ COMBINATION <br />'��UILDING �PWh1i31NG ❑MECHANICAL <br />�NEW ❑ADDITION ❑ALTERATION ❑FiEPAIF <br />V/1WATION OF 4':U(3K <br />5 Z%�OOO.00 ❑�C-MOLISH ❑fENCE ❑51(3N ❑SWIMMING POOL <br />_�'_—___—_ <br />�ESCRIUE WURK <br />construct single family residence <br />PROPOSED USE MECHANICAL <br />single fami.ly residence -- <br />rvre pr ENeacv <br />LEGAL OESCRIYTION OF PROPEHTV ISiiOW f3GLOW OR ATTACH ❑GAS []ELEC. <br />FOUR COPI[SI <br />LOT o�oCK—oF hidj�l0 Heights NO. TVPE OF EQUIPMENT <br />AIR CONO. UNITS-N.P. EA. 5 <br />FiEFRIGERATION UNITS-�H,p, EA. <br />JOB ADDRESS _ I$PACE W WAL� HEMERS — B.T.U. _�_ <br />1316 Madrona Avenue uwrnenreas-ia.r.u. i <br />EVAPpPATIVECOOLEftS T <br />PLUMBING --- c�oTFies onveFs i <br />-1 -- — — 3T08— <br />VENTILATIONFAN <br />- 1 � anNcr r�000 � 2-� Ofl— <br />NO. TVPE OF FIXTURE OR ITEM FEE nII311nNOLWc UNiT-� C.F.M. <br />BATH T1185 5 — - ""' — � <br />CIOTHE$WASHER � � WATER HEATER <br />OISH WASHERS � ' -- ------ --'---' <br />DRINKING FOUNTAINS i _ FAC. BUILT FIaEPLACE i4 CHIMNEv I <br />GAS. SYSTEM: NO OP OUTLETS T <br />FLOOF URAINS i -- ---- -� -------- 1-- <br />KITCHEN SINKS & DISP. i _ __ ____ 5U[i ToinL 5 A � nQ_ <br />BAR SINKS i PERMIT 5 -T <br />----- D— <br />P.00F DRlUNS - RAW LEADERS � TOTAL f-EE 5 �I(J�� <br />SHOWER 6ATH$ TNIS PERMIT 6ECOME.S NULL I�NO VO!O IF WORK OR 4Si�RUC <br />SERVICE SINKS TION nU1HOR12ED IS NOT COMM[NCEU WITHIN 120 DAYS, OP IF <br />SUfviPS - SEWAGE PUMP CONSI'RUCTIUN oR WONK IS SUSVENDED OR nUnNUON[D POq n <br />— J- PLHIOD OP I10 Dr1V5 r�T ANV TIME AFTERbVORK IS COMMGNCED. <br />UF7NAL5 <br />WATER �:�OSETS i � HEREItY CERTIFY THAT I HAVE REl1D AND E%l1MWED THIS AP- <br />-�. - �O P�IG�TION AND KNON' T11[ :�ME TO I3E TRUG AND CORfiECT. ALL <br />WATER HEATGftS - ELECTRIC �YQ PROVISIONS OF LAW i AND pfiUlNl1NC[S GUVERNING THIS TVPG <br />WASFI BFlS!NS _ � i �O OF WONK WILL 8E COMPLIEp W1T4 WHETHER SPECIFIED HEREIN <br />LAUNDRV TRAV$ —"-��" a� NOT, 1HE GRnNTWG OF A PEP4IIT DOES NOT PPESUME ?O <br />- � GIV[ AUTHORITV TO VIOLATc OR CiWC@L TIiE PPOVISIONS OF <br />.-1 l�NV Ol1�lER STATL OR LOCAL LPV: REGULATIf1G CGNSTRUCTION <br />� Ufi THE PLflFOfiMI�NCE OF CONSTRUCTION. <br />$UB TOTAL �_i_oo :_�_-..... <br />TOTALFEE S 3��� x C��, 3�Zl��a <br />13�-0 __—�= <br />6VATERSERVICESIZE [3LUG.SUPPLYSIZE ��GNnTUfiEUPCONTNACTOHORAUTH.nGENT DnTE <br />SIUEVAR�SETp/1CK STR[ETSETOACK RE(1RV1�H051[TRl1CKPLANCHCCKNUMB[H PLnNCHECKFEE <br />6' 20' Zp� Fee RECEIPT NO. <br />USEZOhE LOTAfiE/� VACANTSITE %8�2�8 rJ9.�0 28736 3/3� <br />R-1 850U S[j. Ft. [�XES ❑No FEES VALUA710N FEE <br />OF CONS <br />V-N <br />3 <br />SPECIAL CONDITIONS- <br />• '.�.._. '.L <br />� <br />I <br />i <br />1 <br />[�UILDING <br />PWMf31NG <br />MeC11ANICAL <br />OTH[R <br />f'E�I�LTV <br />Si7,000.00 118i 00 <br />15� �� <br />I <br />11� 0� <br />i <br />f E C. 303 lal <br />pp. —__"—___—_ _ —_—_. <br />� TOTAL � <br />144� 00 <br />$ ERMI A 1 Yl I N �r q <br />�_— wi�eNNraorEai_rvni.ioniEotiNll���S�i'ncEip��i9�0.4��t;t_[ipair1 � <br />� ; 7 4 A � <br />— YOUEt R�G�tf'�, �. <br />�'-- T�iP:n!K YQ4i;�'-�_ YOU : �:EL!:yt�3 ' <br />I'L�NSl:11ICKLObV FPPNUVIOIOIIIS:IIAtlLfliY �. �� �. r T����t�i� MjQ��"y�. t <br />1 �' � <br />K.C.eb � i � �� ! ` .� <br />n { � <br />.i �`. � . �', tr. �. <br />'�!)C?i�PS3 rlLE � • g1.�-. ' �. <br />