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r� F�erqreen <br />CIIY OF <br />everett <br />259-8745 <br />� <br />CC'VSTRUCTION <br />PERMIT <br />� I"''- <br />PERMIT NO. 210 2 4 <br />O DEMOLITION � COMBINA7.'�N . ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONTIER MRILPDOriE55 CITY 21P PHONE <br />Roth Dev. 6 Const. �:o. Inc. 17901 286NX7[iti[YX88 Sothel Way SE Bothel #105 481-7684 <br />nRLNITECT Oli DESIGNER MAIL ADDRE55 GTY ZIP PMONE <br />G[NEPAL LONTPRGTON MRIL RDORE55 CITY ZIP PMONE �ICENSE • <br />� e= ROTF3DC*203QD <br />MECMANIGPLCONiRPCTOR MRIL�D�NESS CITY Z�P PHONE UCENSE• <br />VLUAIBING CONTPALTOR MAIL AOOHE55 GTY 21P FNONE LICENSE � <br />i,tnw �r nv..� <br />I3CNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING RELOCATION <br />VALU�TION OF WORK <br />S ZBD100�.�0� <br />New construction <br />�, NERT SOUPC[ <br />❑ ELECTRICITY <br />�`�� PRJPOSED USE OF B <br />�or 8 o�ocK <br />❑ GAS <br />UIL�ING <br />family residence <br />)F PROPEtlTY �S��OW OCLOW OR ATTRpI l <br />Hazbor Ridge <br />_ OF <br />5121 Harbor Iane <br />PLUMBING <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATMTUB <br />LAVATORV�WASHBASIN) <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLE� <br />SINK (SERVICE — DAR, El <br />25 <br />USE20NE <br />R-S <br />TYPE OF CONST. <br />V-N <br />SREOFOLDG. <br />2936 <br />S.H. <br />SUBTOTAL <br />VERMIT <br />TOT�LFEE <br />flEARSETBRCK <br />25 <br />LOT RREN <br />65,375 <br />OCCUPRNLV GRC <br />R-3 <br />No. or sronies <br />2 <br />i REOUIREO ❑ YES [}N <br />BY PLANSG�ECKEO <br />B.E. <br />❑ WOODSTOVE C7 OTHEH <br />FEE <br />%.5 <br />1OVES ❑NO <br />NO. OF OWELLINi <br />MR% OLC LOAD <br />4 <br />APPR FOR <br />B.E. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW 'fHE 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 PFiESUME TO GIVE AUTHORITY TO <br />VIOLA OR CANCEL THE PROVISIONS OF ANY OTHER <br />STA O LOCAL LAW REGULATING CONSTRUCTION OR <br />TH PERF ANCE OF CONSTRUCTION. <br />SIG 5.TU9E ACTOR. AUTMO(�ICED AGENT, OR ONRJ �' ��ATp� <br />X / <br />TYPE OF EOUIPMENT <br />A/C — AMNDLa UNITS — H. P. <br />REFRI(iERATION UNITS — H.P. EA. <br />BOILERS �- B.T.U./H P. <br />GASFIREDA.0 UNITS—BT.U. <br />FORCED AIR SVSI'EIdS — B.T.U. M EA. <br />WRLLHEATEFS—BS.U. M <br />UNIi HEATERS — A.T.U. M <br />EVAPORATNECOOLERS <br />CLOTNES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />MEl'AL FIREPLACE 8 CHIMNEV <br />FIREPLACEIN3ERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOT�L <br />PERMIt <br />PLAN CHECK NUM9EH <br />88/21024 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILDING SURCHARGI <br />STATEENERGYSURCHARGE <br />FEE <br />�! �:i. 17oF�� <br />!� • 9 1,1 <br />� , 11 <br />p�: . � � � 4H� <br />l.: , �.• .,1 1,1 <br />ill 1 — <br />MECH <br />DRIVEWAV PERMIT I �1� <br />TOTAL <br />It <br />WHEN PROPERLY VALIDATED pN THIS SPACE) THIS IS YOUR PERMIT <br />i�D'FlESS FILE <br />A <br />