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eve� � �NSTRUCTION r � . : <br /> 259-8745 PERMIT PERMITNQ;_ � 71 O� <br /> ❑ DEMOLITION O COM8INATION O[SUILDINO ❑ MECHANICAL O PLUMBINO ❑ qpN <br /> V��R MAII�DDRE55 CITY tIV p�p.� <br /> Robert Horton 2321 Pine St Everett <br /> ARCMITECTOqpE$pHER M�II�DDRE55 CITY ZIP q�pryE <br /> 6ENEIUL CONTMCTOfl MAI�ADDRESS CITY ZIP PMONE LICENSE� <br /> C. Van Bonkulo Const. 22529 - lst Dr SE Bothell, WA 98021 481-4444 CVAHBL23008 <br /> MECHANICALGONTRACTOR MRILq00RES5 CITY ZIP PHONE LICENSE• <br /> PLUMBING CONTR�CTOq IdAIL AOORESS CITY IIP PMONE LICENSE� <br /> CLASS OF WORK <br /> ❑ NE1M ❑ ADDITION ❑ AL7ERATION L�F pEPAIR O DEMOLITION ❑ BUILDIN6 RELOCATION <br /> V��UATION OF WORK <br /> t L91�0� <br /> DESCRIBE WOqN <br /> Firo ruoair_ Rr,�� a �7 7 e c;,.,, � <br /> HEATSOURCE '" 9H-materi <br /> ❑ ELECTRICITV ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PIiOPOSED USE OF BUILOING <br /> Single family residence I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> LEGALDESCFIPTIONOFPqOPEPTY�SNOWBELOWORATTqCHFOURCOPIES� APP�ICATION AND KNOW THE SAME TO BE TRUE AND <br /> CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> LOT�BLOCN _ OF 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 AUTHORITY 'TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTIO . <br /> JOB AODRE55 SIGNATU F CO Rr1CT0 UiMORIZED AGEN ER OATE <br /> 2321 Pine Street X , 9/3/86 <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF FII(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WATER CLOSET(TOI�ET) A/G—A/HI�IDLG UNITS—HP. <br /> BATHTUB qEFRIGERATION UNITS—H.P.EA. <br /> LAVATORY(WASH BASIN) BOILERS—BS.U./HP. <br /> SHOWER GAS FIRED A C.UNITS—B.T.U. <br /> KITCMEN SINK 8 OISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> DISHWASHER WA��HEATERS—BT.U. M <br /> LAUNDRV TRAV UNIT HEATERS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHES DRYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOORDRAIN RANGEHOOD <br /> BACKFLOW PREVENTERS WATER HEATER • <br /> FOOF ORAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAq,ETCJ METAL FIREPLACE d CHIMNEY <br /> FIREPLACEINSERT � <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUBTOTAI S SUBTOTAL <br /> PERMIT { PEflMIT <br /> TOTALFEE S TOTALfEE <br /> vnoNTSETBACR REnaSETBnCK SiC'SEiBncK PLANCHECNNUMBEH FEE RECEIPTNO. <br /> USEZONE LOTAREA <br /> VACANTSITE FEES VALUATION FEE <br /> [fYES ❑NO <br /> '(YPEOFCONST. OCCUPANLYGFOUP NOO� ]NSLC`IGUNITS BUILDING gl(��000 19 �� <br /> PLUMBING <br /> SRE OF BLDG N0.Oi STORIES A�a% pCC LOAD <br /> MECHANICAL ����� 9� OaJRIII�S9 �X <br /> INVESTIGATION FEE ���� <br /> FIRESPRINKLERSREOUIRED VES NO <br /> STATEBUILDINGSURCMARGE �-DG fS .� 50 <br /> STATEENERGVSURCHARGE CHE� ZS .SO <br /> APPUCATIONACC.BY PLRNSCHECNEDDY APPRFONISSUANCEUY <br /> DRIVEWAV PERMIT <br /> M.M. L.C. TOTAL <br /> VENMIT VALIDATION <br /> WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS VOUH PERMIT <br /> �` <br /> 0 <br /> r� <br /> �` <br /> r� <br /> �DDHFSS !ILE <br />