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� <br /> `����� �"� C?�NSTRUCTION � �'" <br /> everett PERMIT PERMITNQ:= �� ��� <br /> 259 -8745 <br /> ❑ DEMOLITION �COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OYMER MFIL AODRESS CITY ZIP PHONE <br /> Henry F. Osborn 30- 140th NE Marysville 98270 - 652-0603 _ <br /> RRLHITECTORDESIGNER MAILADDRE55 CITY ZIP PHONE <br /> GENENAL CONTNACTOR MAIL ADDRESS CITY ZIP VHONE LICENSE� <br /> Owner OSBORS*154N B9 <br /> MECHANICALCONTRRCTON MAILnODt1E5F CITY ZIP PNONE LICENSEM <br /> PLUMBING CONTRRCTOR AIFIL RDDRESS CITY 21P PHONE ��CENSE� <br /> CLFSS OF WORN <br /> �NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAlUr1TION UF WOliN <br /> s 68,588.00 <br /> DESCFIBE WORK <br /> E�a Construct new e residence _ <br /> MEATSJURCE <br /> ❑ ELECTR�CITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUILUINis <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Sin le SYIXYdf Famil Residence AppLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGRLDESCRIPTIONOFPROPERTY�SMOWBELOWORATTACMFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS .AND ORDINANCES <br /> �oT Z� BLOLK � OF x������ GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A <br /> Hiahland h�a �S'�n Y PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR •OCAL LAW REGULATING CONSTRUCTION OR <br /> TH P RMANCE OF TRUCTION. <br /> JOB�DUPESS SIGNA F CONTR/CT GENT.OR ONT! DRTE � <br /> ZZ � <br /> PLUMBING MEC ANICA � <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> Z WATER CLOSET(TOILET) � A/C—A/HNDLG UNITS—H P. _ <br /> 2 BATHTUB REFRIGERATIONUNITS—H.P.EA. <br /> Z $� LAVATORV(WASH BASIN� BOILERS—BSL/HP <br /> SHOWER GAS FIRED A�C.UNITS—O.T.U. <br /> 1 KITCHEN SINK 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> 1 DISHWASHER WALLHEATERS—B.T.U. M <br /> LAUNDFYTRAY UNITHEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTMESDRYERS <br /> DRINNING FOUNTAIN ,1 VENTILATION FAN ' �} SO <br /> FLOOP DRA�N 1 NANGE HOOD S x <br /> BACHfLOW PREVENTERS ,1 WATERHEATER � SO <br /> ROOF DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE 8 CHIMN <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN � <br /> SUB TOTAL S SUB Q <br /> PENMIT S �R <br /> TOTA �S <br /> FnoNT SE�BACK REABOSEA AFC E S oE SETBaCK PLAN CMECK NUMBER F IPT NO. <br /> ����. <br /> 20 20 5 8e/21283 E .19 ;,5'4 717 <br /> USE20NE LOTAREA yqCANT5ITE <br /> R-2 n nn <br /> ves ❑No FEES PEE <br /> TYPEOiCONST. OCCUPFNCVGROUP NOOFDWELLINGUNITS BUILOING S T S l.'•W <br /> V—N R-3 1 PLUMBING � <br /> 5¢F.OFBLOG. NO.OFSTORIES MA%.OLC.lOAO <br /> 2496 1 jJ p MECHANICAL 24 00 <br /> INVESTIGATION FE Sec.3041e) <br /> FIRE SPRINNLERS REOUIRED O YES W NO STATE BUILDING SURCHARGE <br /> STATEENFRGVSURCHARGE � <br /> pPPUCAp09ACC BV PLANSCMECNED�Y APPR FORISSUANC[OY <br /> DRIVEWAV PEFMIT <br /> S.H. J.W. J.W. TOTAL <br /> PERMIT VALID�TION <br /> WHEN PIIOPG(1LV VALIDATED(IN THIS SPACE)THIS IS YOUF7�'SRMIT <br /> �� <br /> � <br /> N <br /> � <br /> N <br /> naorr:s n��,_� <br />