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COIF ..rTRUCTION <br />4L PERMIT <br />PERMIT NUMBER: C0303-028 <br />I DATE: <br />JOB ADDRESS 1614 HOLLOW DALE PL NA&B <br />00537900002600 "A .- LOT 1 OF BSP 15714-99 <br />GOERTZEN HOLDING INT INC <br />11724 23RD DR SE <br />EVERETT WA 98208 <br />nrnr 4253375273 <br />GOERTZEN HOLDING INT INC <br />uano•nr:r w.ra <br />NEW DUPLEX - BASIC 2235 <br />11724 23RD DR SE <br />EVERETT WA 98208 <br />M. 4253375273 <br />"M.. <br />CI'I ' OF EVERETT <br />PERMIT SERVICES <br />3200 CEDAR STREET <br />EVERETT, WA 98201 <br />(425) 257.88i0 <br />MECHANICAL EQUIPMENT <br />-Water linter <br />2 <br />-Gas Firepl..ce <br />2 <br />-Gas Range <br />2 <br />-Gas Piping <br />8 <br />-Exhaust Fan <br />8 <br />:-Fir Sp < 2000 S <br />2 120 <br />-Forced Air Syst <br />2 <br />Dryer <br />2 <br />r-Clothes <br />-Range Hood <br />2 <br />v/T) <br />minn <br />xu OnP <br />1u1 sm. <br />nA\\NIN, <br />R-) <br />28.0 <br />2 <br />6.000 <br />u u�n.x <br />unrnu� <br />wr: semoac <br />v. mnux <br />usxvw ryl <br />ulvruaan <br />20 <br />20 <br />5 <br />5 <br />722 <br />2,891 <br />R-3/ U-I <br />NA <br />2 <br />NO <br />nn 1.111s1. <br />Iti.,nnann <br />lav nr.. <br />n.\v usw In <br />VN <br />DUPLEX <br />GAS <br />JII <br />SNI\1Jlx a.fr <br />P1.1<h' <br />AA}1n \'All'AriZ� <br />NO <br />205,460 <br />rat u.uu u1A1 <br />mul' wlwu n x\m <br />NO <br />PW0303-019 <br />FEES: <br />1!v <br />Basic Construction Pertnit Fee <br />SI.587.35 <br />Mechanical Permit Fees <br />$120.00 <br />Plan Check Fee <br />S30.00 <br />SR:;Ii <br />Plumbing Fm <br />$168.00 <br />MEW <br />Public Works <br />S25.00 <br />PLUM <br />Slate Building Code Surcharge <br />S6.50 <br />DRIV <br />SEW! <br />UTIL <br />WATE <br />0 <br />TOTAL FEE <br />SI.936.85 <br />^THE' <br />TorAf. FEES PAID <br />s30.00 <br />To rAl. FEES DUE <br />$1.906.85 11 Q� rsk n n <br />r;= r\ <br />Hli\1:\HAS. U I I I L-/1 <br />JUN ^ 7 2003 <br />Permits ecpire If work not commenced nithln 180 Jays or cease more than 180 da,ChTY U F cpL' VEH�� <br />'I he ('lty% of Eseretl Is nor responsible In rt%len the applicability of plat covenants to this R[4..IComfli FM "& plat covenants Is the <br />sole responsibility of the appllunno%ner. <br />PLUMBING EQUIPMENT <br />tt Closet <br />6 <br />dub <br />4 <br />(wash bas <br />8 <br />hen Sink., <br />2 <br />(14.rn <br />he`s assllee.. <br />' <br />2 <br />6.50 <br />120.00 <br />168.00 <br />25.00 <br />303036 <br />70.00 <br />1884.00 <br />190.00 <br />180505 <br />1800.00 <br />5850.85 <br />iCHEK <br />A OM3451 <br />PERMIT NO: <br />C0303-028 <br />ADDRESS FILE COPY <br />He <br />I■ <br />