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c vor L" )IV�i 1 1'ilJCr � IVIV � pp <br />ever�tt pER�IIT PERMITNQ : � U`��� <br />259-8745 <br />❑ DEMOLITION C}� COMBINATION ❑ BIIILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER h1NILP0ORE55 �ITY ZIP PMONE <br />Richard & Sally Brigham 923 Hoyt Everett, WA 98201 252-3413 <br />ARCHITEGTOF�ESIGNER h1AILPp�RE55 CITV ZIP PHONE <br />GENEHALCONTRACTOR MAILnODRE55 CITY ZiP PMONE LiCENSE� <br />Same <br />MECHPNICRLCONTRACTOR MAILADDRE55 CITY ZIP PMONE LICENSE� <br />PLUMB�FGCONTRqCTON M1IAtLR��RE55 �ITY ZIP PHONE LILENSE� <br />CL4550F WORN <br />❑ NEW C�ADDIiION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION <br />VAIURT10N OF WORN <br />52,000 for front porch, $2000 to complete addition at rear of house, <br />Remove exist. front <br />❑ FLECTRICITY ❑ GAS <br />�ii0f�O5ED USE OF BUIL�ING <br />Single family residence <br />12-13 900 Hoyt <br />LOT _ BLOCK ._ OF <br />923 Hoyt <br />PLUMBING <br />❑ BUILUING FiELOCATION <br />rear of house. <br />rebuild & expand po�h - entry way; complete bathroom in addition at <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORV(WASH BASIN) <br />SHOWER <br />NITCHEN SINK & DISP. <br />DISHWASHER <br />LAl1NDRV TflAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF ORAINS - Rt :NLEADERS <br />SINK�SERVICE-BAR ETC.) <br />20� <br />USE ZONE <br />R-2 <br />T� PE OF CONST. <br />V-N <br />SIZE OF OLDG <br />489 sf (add) <br />AnP�ICATION ACC <br />SH <br />SUBTOTAL S <br />PEPMIT S <br />TOTALFEE S <br />20' <br />OT aPE� <br />2000 sf <br />)CGUPANCYGF01 <br />R-3 <br />10. OF StORIES <br />1 <br />He <br />❑ WOOUSTOVE � OTHER <br />5' <br />VACANT SITE <br />�YES �NO <br />NO OF DIVELLI <br />1 <br />NA <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED 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 O LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PER RMANCE � CONSTRlJC710N.� <br />SIGNATUR PCONjBAGTO 7HORIZEOn�EfJT.OBOW ER DATE <br />x � - �lG'�c,- ,;rz�;� /'/`i�%//r/�� ���/ <br />MCl.11N1Y1l.XL/ / � ; � <br />FEE NO. ` TYPE OF EOUIPMENi <br />A/C - A/HNDLG UNITS - H P. <br />REFRIGERATION UNITS - HP. EA. <br />BOILERS - B.T.0 /H P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCED Alfl SYSTEMS - B TU. M EA <br />WALLHEATERS-BSL. M <br />UNITHEATERS-BT.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESORYEflS <br />1 VENTI! ATION FAN <br />RANGEHOOD <br />WATERHEATER � <br />WOODSTOVE <br />METAL FlREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />L.C. <br />OY <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />PLANCHECKNUMBER � FEE <br />87/�@A�s 18471 40.95 <br />FEE <br />BUILDING 5 4 � 000. <br />PLUMBING ''��;'-.'i:IT _'.ir;.:.��'.._'�.i•;•', <br />MECHANICAL - <br />��i <br />INVESTIGA710NFEE ����3ev.304(e) � �`�i�� <br />STATE BUILDING SURCHARGE ,-;{ =�1 <br />STATEENERGVSURCHARGE �- �- - ' -� <br />ORIVEWAV PERMIi" � <br />TOTAL � <br />PEflMIT VALIDATIGN <br />WHEN PflOPEFiLY V.LIDATED �IN THIS SPACE� THI515 VOUR PERM1IIT <br />. '�d�,'._::S �... <br />5� <br />