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`�� ''ONSTRUCTION �- "'� �7 <br /> everett PERMIT PERMITNQ:=-� ��� f <br /> 259 -8745 <br /> ❑ DEMOLITION C� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> OWNEfl MNII/�DRE55 CITY ZIP PHONE <br /> HERB & DEBRA HULSE 1421 - 155th Ave NE Snohomish WA 96290 339-6893 <br /> ARCHITECT OR DESIGNER MAIL NDORE55 GITY 21P PHONE <br /> GENERAL CONTRACTON MAIL ADDRESS CITY ZIP PMONE LICENSE� <br /> Same <br /> MECHANICALCONTRAGTOR MRILAODRE55 CITY 21P PHONE LICENSE♦ <br /> PLUMBINGCONTP�CTOR MAILA�DRE55 CITY ZIP PHONE UCENSE• <br /> CLASS OF WORK <br /> ❑ NEW ❑ ADDITION I� ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VA�U�TION OF WORK <br /> S ZQI��Q.�� <br /> DESCRIBE WOPK <br /> Repair existing house and convert to duplex <br /> HEATSOURLE <br /> O ELECT111CITV ❑ GAS O WOODSTOVE ❑ OTNER <br /> PPOPOSED USE OF BUIIOING <br /> Duplex APPLCATION AINDTKNOWHTHE SAMEATO BE MIRUE AN'D <br /> LEGALOESCRIPTIONOFPROPERTY�SNOWOELOWONARRCHFOUNCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �orl��'e�oc� 574 oF Miley Lands 4th Addn 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 CONSTRUCTION. <br /> JOB ADDRE55 SIGNITU OF CON RCTO THORi p AGENT.OR OWNEH DATE <br /> 2531 Pine X <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIKTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET) A/C—A/FINDLG UNITS—H.P. <br /> BATHTUB REFRIGERATIONUNITS—IJp/§f(/(�, 10:0� �� <br /> LAVATORY(WASH BASIN) BOILERS—B T.0/H.P. <br /> SHOWER GASFIREDA�C.UNITS-8.T � <br /> KITCMEN SINK Q DISP. FORCED AIR SVSTEMS—B. M EA �+ <br /> DISFiWASFiER WALLHEATERS—B.T.U. M <br /> LAUNDRVTRAY UNITMEATEHS—B.T.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> � URINAL CLOTHES DflYE(75 � <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOORDRAIN RANGEHOOD <br /> BACKfLOWPREVENTERS WATERHEATER • <br /> ROOF�RAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR.ETC.) METAL FIREPLACE fl CHIMNEY <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUBTOTAL f SUBTOTAL <br /> PENMIT f PERMIT <br /> TOTAL FEE f TOT11L FEE <br /> FRONi5ET9ACK �EAHSET9FCH SiDESETenCK PLANCHECKNUMBER FEE RECEIPTNO. <br /> 86/17277 134.55 81978 <br /> USEZONE LOTAREA ypCANTSITE <br /> R-2 9000 sf ❑ves �4o FEES VALUATION FEE <br /> TYPEOFGONST. OCCUPANCYGROUP NOOFpWELIINGUNITS BUILDING s20�000. 20� 00 <br /> V—N R-3 Z pLUMBING <br /> SIZE OF BLOG NO.OF STORIES Mn%ACC.LOAD <br /> existing 2 MECHANICAL 5 <br /> INVESTIGATION FEE Sec.3041�1 <br /> FIRESPRINKLERSREOUIRED ❑VES ❑NO <br /> STATE BUILDING SURCHARGE <br /> STATEENERGVSURCHARGE <br /> APPLICATION ACC.OY PLANS LHECKED OY APPR FOR ISSU/NCE OY <br /> �RIVEWAY PERMIT <br /> mm jef lc TOTAL <br /> PERMIT VRLIDATION <br /> WHEN PROPERLY VAUDATEO�IN THIS SPACE�THIS IS YOUR PERMIi <br /> �' <br /> �` <br /> N <br /> N <br /> � <br /> �,���� ,�;. ..; i �, � <br />