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theEuergr o ^ �ONSTRIi�TI�►N -��� /� <br />eve.rett PERMIT PERMITNQ:= � ��`�� <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION [� BUILDING ❑ MECHANICAL ❑ PLUM8ING ❑ SIGN <br />OWNEF A1AIIAOOR[55 CRV ZIP PMONE <br />Air. & Mrs. G.R. Radke 2613 In_onard Everett 98201 <br />ARCIIRECTOROESIGNER M11pILP00RE55 CItY Z�� PHONE <br />Star Home Imp. Co. <br />GENERALCONTPACTOR MRILADORE55 CITY ZIP PHONE LICENSE� <br />Star Home Lnp. Co. 5314 :'��:3 Ave. S. Everett 98203 %8S'r.88A8X88R8 353-9278 <br />MECMANIC/ICONTRFCTOR MAILApORESS CIiV IIP PHONE LICENSE• <br />STARHIC147NI <br />PWM9INGCONTRACTOA ��AILRODRE55 QTY ZIP PMONE LICENSE• <br />ClASS OF WORN <br />❑ NEW ❑ ADDITION ❑ ALTEflATION C� REPAIR <br />VALUATION OF WORN <br />54G00.00 <br />oescnioe woaK <br />6d' Pumice Hlock Foundation and Dry Rot Repair. <br />HERTSOURCE <br />❑ ELECTRICITY ❑ GAS L7 WOODSTOVE <br />LOi�'3! 1 VLOCN ? <br />Add. <br />Leonard <br />PLUMBING <br />1faSgH$3u(Ala! residence <br />i.ana co. xxxgx First <br />� i rc vr nn i �n� vn � <br />WqTER CLOSET (TOILET� <br />BATNTUB <br />LAVATOflY�WA5HE3A51N) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHFR <br />LAUNDRYTRnV <br />CLOTHES W�SHFF <br />URINAL <br />ORINNING FOUNTAIN <br />FLOOR DRAIN <br />ROOF ORAINS - flAINLEADE <br />SINK �SERVICE - BAR. ETCJ <br />SUB TOTAL <br />PERMIT <br />TOTALFEE <br />�flONT5ET0ACN CCqRSET�/CK <br />20' 20' <br />USEZONE LOTAR[P <br />R-2 6000 <br />TY{'EOFCONST OLCUPANL�GROUP <br />V-N R-3 <br />SiZE OF pLOG NO OF STC RILS <br />Foundation <br />FIRE SPP�NKLERS REOUIRED ❑ VE� � NO <br />pPPLICAT10N ACC �Y PLANS CHECnED tlY <br />�.G. <br />❑ OEMOLITION <br />❑ OTHER <br />❑ BUILDING flELOCATION <br />I HERE9Y CERTIFY THAT I HAVE READ AND EXAMINE�O TH(S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORGINANCES <br />GOVEHNING THIS TYPE OF VJORK WILI BE COMPLIED WITH <br />WHETHER SPECIFIED HEFEIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLHTE OR CANCEL THE PROVISIONS OF ANY O1HER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTIGN OR <br />THE PE O MANCE ONS CTI <br />SIGNATUa OF ,� CTOR. UT �Ui�Z ENT O WNER D/.TE <br />X. �, ;1 �, �' , •2 i7_ I�'7 <br />FEE NO.I TYPE OF EQUIPMENT <br />A-C - A/HNOLG UNITS - H P. <br />REFRIGERATION 11NITS - H P. EA. <br />BOILERS - 9 T U.MP. <br />Gl.S FIRED A C. UNITS - 0 TL. <br />FORCED AI'1 SYSTEMS - BS U. M EA. <br />VJALLHEnTERS-BT.U. M <br />UNIT HEATERS - BSL M <br />:VAPORATNECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FNN <br />RANGEHOOD <br />WATER HEATER � <br />WOODSTOVE <br />METAL FlHEPLACE 8 CHIPANEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />Gn5 PIPING <br />EXHAUSTFAN <br />5� <br />VnCANi SITE <br />�ves �No <br />NO OF D'AELLIAG UNIiS <br />1 <br />MAN OCC LOAO <br />N/A <br />pprn Fon �SSunNCE or <br />L.C. <br />PLANCHECNNUMBER <br />RH 87/16v43 <br />rtt <br />SUBTOTAL 5 <br />PERMIT 5 <br />TOTALFEE 3 <br />FEE RECEIPT NO <br />40.95 8fiH 90457 <br />�UILDING 5 q0�(J.00 <br />PWYt01NG __u:l:��.� <br />MECHANICAL � <br />INVESTIGATION FEE - �'Sac�� 30d(c) �� �" <br />STATE BUILDING SURCHARGE <br />ST�TE LNERGY SURCHAfiGE <br />OflIVEWAV PERMIT <br />TOTAL <br />PENMIT VpLIOATION <br />WHEN P�OPERLV VALIDATED �IN THIS 5°ACEI THIS IS YOUR PE�MIT <br />63 00 <br />SO <br />$� <br />