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`�� ^ C�'�JNSTRUCTION ~ '`' � qc <br /> everett PERMIT PERMITNQ:: I U�O� <br /> 259 -8745 <br /> ❑ DEMOLITION �?(COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNEH MRILAOORE55 CITY ZIP PHONE <br /> LARSEN & LNRSEN UEVELOPMENT 144 Railroad Avenue #214 Edmonds WA 98020 776-1701 <br /> ARCNITEGT OR DESIGNGR <br /> MRILROOPESS CITY ZIP PMONE <br /> GENERALCONTHnCTOR MAILFODRE55 ��TY ZIP LARSELD141C7`"ENSE� <br /> Same <br /> M[f,H/NICALCONTNRCTOR MAILAODRESS CIT� 21P PMONE LICENSE� <br /> P�UMBING CONTPACTOR <br /> MAIL/ODRESS CITV EIP PHON[ LICCNSF.• <br /> CLASS OF WOFN <br /> Q(�Eyy ❑ ADDITION ❑ ALTEHATIUN ❑ HEPAIR ❑ UEMOLITION ❑ BUILDING RELOCA <br /> VRLUNTION OF WORK <br /> s �00�0��.�� <br /> DESLPIBE WORK . <br /> New single family residence <br /> MEATSOURCE ' <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTH�LR <br /> PnoroseouseoFeuaoir+c I HEREBY CERTIFY THAI' I HAVE READ AND EXAMINED THIS <br /> Single family residence A?PL1CA"(ION AND KNUW THE SAME TO BE TRUE AND <br /> LEGRLDESCRIPTIONOFPROVERTV�SHOWBF.LOWORATfACMFOIIRCOPIE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> GOVEfiNING THIS TYP[ OF WORK WILL BE COMPLIED WITH <br /> LOT�BLOLK _OF WHETHER SPECIFIED I+EREIN OR NOT. THE GRANTING OF A <br /> Attached pER!v11T DOEu NOT PAESUME TO GIVE AUTHORITY TO <br /> VICLATE OR CAN L T' PRGVISIONS �JF ANY OTHER <br /> STA OR OCAL L W GULATING CONSTRUCTION OR <br /> TNE RFO MANC F C STRUCTION. <br /> 'iIGN O"C NTRTGT AUTMO EDAGENT.OROWNER URTE <br /> JOBPD�RE5573� <br /> �3}�6-f� Heather Wa X "Z7' b <br /> PLUMBING , MECHANIC L <br /> NO. TYPE OF FIXTUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H.P. <br /> BATHTUd ( REFRIGERATIONUNITS—NP.EA. �_ <br /> LAVATORY(WASH BASIN) BOILERS—B T.U./H.P. <br /> � SHOWER GASFIREDAC.UNITS—B.T.U. <br /> � KITCHEN SINK&DISP. 5 � FORCED AIR SYSTEMS—B.T.U. ��EA. J OO <br /> � DISHWASHER L� WALLMEATERS—B.T.U. M <br /> � LAUNDRV TRAY ,5 UNIT HEATERS—A T.U. u� <br /> � CLOTHESWASHER EVAPORATIVECOOLERS _ ,� <br /> URINAL CLOTHESDRVERS <br /> ORINKIN(i FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> [iACKFLOWPREVENTERS WATEFiHEATER • <br /> ROOF DRA�NS—F7AINLEADERS W OGD STOVE <br /> SINK�SERVICE—BAR.ETC.) METAL FIFEPLACE&CHIMNEY <br /> FIREPLACEINSERT <br /> d tG R <br /> HEAT PUMP <br /> GAS PIPING � <br /> EXHAUSTFAN <br /> SUBTOTAL S SUBTOTPL <br /> VEpM1T S PERMIT _ <br /> TOTALFEE f TOTALFEE <br /> FRonT SETBnCK REAa SETBnCrc S.oE SEionCK� PLAN CHECK NUMBER FEE RECEIPT NO. <br /> 20 ' ' ' 86/16fl01 � , O � ^^ kk'k <br /> USEZONE �OTAAEA VACANTSRE F�C YRW TION • FEE <br /> YEF ❑NO --- <br /> TVPE OF CONST. <br /> OCCUPANCYGOOUP NOAFOWELIINGUNlTS BUILDING 1 <br /> PLUMBING <br /> SIZEOFBL�(��o�+4�(1 �IO.OFSTORiES MAXACCLOAD <br /> MECHpNICAL ME�H g! •$� <br /> . i.._ <br /> INVESTIGATION FEE G (e) <br /> FIRE�PHINNLERSREOUIRED ❑YES ❑NO STATEBLIILOINGSURCHARGE _ SRCH 31 .DO <br /> n: <br /> STA7EENERGVSURCIiARGE � ?599^ <br /> APPLCATIO^�ACG.OY PIANSCMECKE�[lV /•PPR FORISSUANCEOV DRIVEWAV PERMIT SEW[k y���a� <br /> ,C TOTAL 117!LS 9R1.;.f�0 <br /> mm S9 PENMITVALIOATION pny:u'lnt� ]� �(1 <br /> 1VHEN PROPERLY VALI�ATED(IN Try'.�,y�h�CE)THISISUY�l1R PERMIT '� <br /> 4ir/lC L6 �� <br /> u��o�o6-•;�� o <br /> _.� -�.�r.� o0 <br /> �;�;,.��Cp-:i <br /> � <br />