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� - y <br /> - C("I5TRU�:TION . ,� � <br /> � � PERMIT APPLICATION ' � <br /> � , <br /> COMBINATION • BUILDING • MECHANICAL • PLUMBING � <br /> i <br /> OWNER MAILAODHES:i ZIP YNUNE � <br /> David A. Brandvold P.O. Box 3066, Everett, WA 98203 355-1135 i <br /> ARCMITECTORDESIUNEfl AILAODRESS MON UCENSENU. � '�, <br /> OENERALCONTRACTOR MAILAODRESS ►NONE �ICENGENU. <br /> Same as Owner BR AN DD A299c)K � <br /> � MECN/1NICALCONiRAGTOH MAILAODRESS • �NONE ' UCENSENO.� ' I <br /> Evergreen State Sheetmetal • <br /> �LUMtlING CONTRACTOR MAIL AD�RESS ►NONE LICENSE NO. <br /> Ray's Plumbing <br /> �. ►EIIMIT CLASSOF WORK • <br /> aCOMBINATION <br /> . �lUIIDING �PLUMBING �]MECHANICAL �y <br /> L`,�NEW ❑ADDITIUN ❑ALTERAfIfIN DH[1'niH , <br /> VALUAilO Of WORK '� ������ <br /> � �OOO ❑DEMOLISN ❑FENCE ❑SIGN ❑'iWIMMIN(: Pn0l. <br /> OFSCRIBE WORK . <br /> Construct ainqle family residence � <br /> ; ►RWOSED u5E OTHER PERMITS OR APPROVAlS <br /> Sinqle family residence � RE ZONE � SPECIAL USE <br /> LtOAL DkSCRIPTION OF PNO►ERTY ISNOW BEIOW OR ATTACM ' <br /> � . � fOUPCONE51 Attached T F �LVARIANCE ,� SHORLINE � <br /> . � � � LOT3��LllOCKCI.iOf � ' <br /> SE PA CHECK UST REQUIRED <br /> ' d^' Tfi" k:.3'UGLGtN �� T•, <br /> _ L* YES � <br /> G--,- l�- z9-5' =l No <br /> ' � JOO ADOPE55 <br /> �>r Pine Street at lOth / o/ 3 �iNE ST, MECHANICAI <br /> .. � �` • PLUMBING . TYVE OF ENEN�Y <br /> ❑an5 ❑ELf.C. <br /> � . NQ TV►EOFE�UIPMENT� FEE <br /> � �AIR CONU.UNITS-H.P. EA �5 1 <br /> - NO. TV�E OF FIXTURE OR ITEM FEE RkFRIGERATIONUN��S 11.P. EA. —~ -T— � <br /> . AN H TU85 f ' - " - '-"-----..__�_— 1 <br /> OOI l ERS N.P. E A. __l__ 1 � <br /> CIOTHES WASHEH - � ' T <br /> OISH WASMERS _ FORCED AIR SYSTEMS� B.T.U. MEA. _ L I <br /> DRINKING FOUNT/11N5 -- � - � <br /> SPACE b WAII MEATERS �- fl.T.U. � <br /> f1.00R ORAINS _ .- - i <br /> KITCHEN S�NKS 6 IS . UNI7 ��EATEPS A.T.U. __�_ � <br /> HAN SINKS E V/�vUNATI V E COOLE RS—_ ' <br /> � NOOF DRAINS RAIN LGAUERS 1 CLOTNES ORVEHS _ �� ; <br /> SIIOWER BATMS VENTILA710N FAN � <br /> 5ERVICE SINKS ], qANGE MOOD ��$1 <br /> 5UMP5 - SEWAGE PUMP •" � T— � <br /> URINAlS _ AIR.HnNOLING VNI7.. ... .__... C.�.M. _ _J � <br /> WATER ClQ5ET5 _-' '--'. .... _._.. . . _ _ .. � <br /> C WATER _HEATER " - T <br /> p� WATEA NEATEHS - ELECTRIC .._ . -.. . _ . . . _ . _ __L,.� ` <br /> � WASM BASINS _ _ FAC._BUILT FIREPIACE F CMIMNEv _ ^ 1 I <br /> lAU D V TRAVS �:AS. S�STEM NO OP OUTLF-.15_t � <br /> ' — '_ . . ..:VOThfAI 5 �.1� i <br /> __c.�.c <br /> � � '—"'�"" PERMIT $ --�����,�, i <br /> I 1-'"'—�— '-- - TOTAI FEE S � <br /> SU8 TOTAL � � ----��=-- � <br /> PERMIT S ����5 VEfIM1T OECOMES NUI L ANO VOIU 1{ WURK DN f.ONSTi�UG . <br /> �,. ---E iION AUtHURI'LED IS NOT f.OMMINCEO W1T111N 1?0 UAYS, OH IF <br /> CONSTRl1C�lON OR WORK IS SUtiPCNDED OO AOANDONED FOH A <br /> � WATER SERVICE SIZE BLDG. SUPVLV SI2E PERIOD OF 170 OAVS AT ANv fIME AF TEti WOnK �5 COA11dENCED. . , <br /> HkAHYAqDSETBACK � ���qkI7V CkfiTIFY THf.t 1 IIAVE IiEAb ANn EXqMINf D TIIIS 4P� <br /> � P�ICATION ANU !CNO'N TIIE ;AME 1U Ilk TRUE ANp CO��NF.Ci. AlL <br /> T^ �� /J !1 -�'� '7 /1l�'y PROVISIONS OF I.AWS /1NU GHOINANCES GOVFfiNING THIS TVPE � <br /> J �!�� ���� �_ OF WOHK WILL BE COMP(,IEO WITN WNET11Ef1 :SPECIFItU HEREIN <br /> � USL LUNk WT ARIA VACANT Slih' OR IVOT, T11F GRANSING OF A PEHMIT OpES NOT VRESUME TO <br /> GIVE AUTIIOPITY TO VIOIAfE ON CANCEL TIIE NRUVISIDNS Of <br /> �� ' �'IES ❑NO ANv 07MER STATE OR LDCAL LAW IILGUII�TIN(i CONtiTHUC�ION <br /> TY►E NST. OCCU�ANC�GROUI NO.OF OWELLING OP TNE�EIiFOHMANCE O! CONSiHUC710N. , <br /> �� � 3 uNirs � , <br /> $IL OF BLOG. NO.Of STOFIES MAR.00Q LOAO � <br /> /f�� ��y / / <br /> ,f��w�,__ !/ � �� ��� <br /> ��q(20Nk IIA:�lMkry f IRL 51'HINKI.L11.5 SIGN URE Of CO TRA N AUT11.A(ikNT D <br /> � /U RfOU1HEU �' �ANCMt K �IVMOEN i'LANCHlCKFGt <br /> �/ ❑YES L7N0 tkC t1ECE�PT Nn. <br /> 5►fC1Al CONDI�IONf: ? <br /> _ _ �t''i J _.. .. <br /> �FEES VALUATION ^ FEE <br /> - --�- �---T <br /> '__'_"_�� <br /> 1 <br /> _""""_ fr/�/yy� �.. ..__�n�� <br /> _.�'_'_" I BUILD�NG � �Y'J'GG.v. �U _�� !�' vO <br /> SEPA REVIEW COMPLETE � ❑YES ❑ NO ' ��uMn�N�i �� __ /�� (' <br /> to�fotf Plonninq depf. M�c�iwNic�� • �0 <br /> on�cn � <br />