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rne F�vasr«.t <br />an oF <br />everett <br />259-8745 <br />C'�NSTRUCTION <br />PERMIT <br />PERMIT NO. 2 O 2 O U <br />❑ OEMOLITION ❑ COMBINATION 77�11 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑$�aN <br />OMMER <br />MRILPO�RE55 CITY ZIP PMONE <br />Daniel J. Leendera 3945 S. 242 Kent 96032 824-0685 <br />•RCHITECTORDESIGNER MAILAODNE55 CITV 21P PNONE <br />GENERALCONTRACTOR MAI�A�UNE55 CITY ZIP PMONE LICENSE� <br />owner <br />MECHANICAL CONTRACTOR MNL ADONESS CITY ZIV PMONE LICENSE � <br />PLUMBIN6CONTR�CTOR M�ILAODRESS CITY 21V PMONE LICENSE� <br />CLASS OF WORK <br />❑�yr ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING REIOCATI <br />VIILUATION OF WORK <br />i <br />pESCRIBEYIORN <br />pe air fire dama e <br />HE�TSOURCE <br />❑ ELECTRICITV ❑ OA8 ❑ WOODSTOVE ❑ OTHER <br />FL88 <br />LOT .� BLOCK <br />PLUNIlINO <br />Np, TtpE OF flIITURE OR ITEM <br />WATER CLOSET ITOILET) <br />BIITHTUB <br />LAVATORV IM'ASH BRSIN) <br />SHOWER <br />KITCHEN S1NK 6 DISP. <br />URINAL <br />DRINKINQ FOUNTAIN <br />FLOOA DRAIN � <br />HACKFLOW PREVENTERS <br />ROOF DRAINS — Rwini <br />SINIf (SERVICE — BAR. <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 AUTHORITV TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATI�(IE OF CONTP/�Tryl. A TII �2��0� ER S��T BB <br />• // <br />X /ICY1/YLlty <br />MECHANICAI <br />FEE NO. TYPE OF EOUIPMEN7 <br />piC — AMNDLG UNITS — H.P. <br />REFRIGERATION UNITS — H.P. EA. <br />BO�LERS — B T.U./H.P. <br />GAS FIHED A�C. UNITS — B.T.U. <br />FOPCED AIR SVSTEMS — B.T.U. M EA. <br />WFLLMEATERS—B.T.U. M <br />UNIT HEATERS — B.T.U. M <br />EVqPORATIVE COOLERS <br />CLOTHESDRVERS <br />vFNTILATION FAN <br />6UlTOTAL s <br />KRMR f <br />TOTALFEE _ <br />FRONTSETBACK PEANSETBACk SIDESETBACK <br />USE20NE LOTAREA VACANiSITE <br />❑VES ❑NO <br />TYPE OF CONST. OCCUPRNGY GROUP NO OF OWELLI <br />SI2EOFBLOG. NO-0FSTORIES �!��C.00CIOP <br />FIRE SPRINNLERS RE �ES <br />OS•£f H�1S 8 <br />.__.._._ .............. .ue�ucr APPRFORIS: <br />� <br />fit�k 9T80Ntl000 :ro seiuiso <br />RANGEHOOD <br />WATER MEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUlTOTAL <br />PERMIT <br />pLAN CHECK NUMBER FEE RECEIPT NO. <br />FEES VALUATON �E <br />rs BUILDING S 2 OOO.00 4S OO <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec.701(e) <br />STATEBUILDINGSURCHARGE 3 SO <br />STATEENERGVSURCHARGE <br />pY <br />DRIVEWAY PERMIT <br />TOTAL 48 50 <br />PENMR VALIOATON <br />WHEN PROPERLV VAL�DATED (IN THIS SPACE) TMIS IS VOUR PERMIT � <br />� <br />N <br />O <br />N <br />t�.uui'C4� � . � <br />