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�� �.. _ 1-31-Y� <br />��TM�F C`�NSTRUCTION � <br />everett PERMIT PERMITNO. 18566 <br />259-8745 <br />❑ DEMOLITION Ll COMBINATION L$ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />pWNER MPILADDRESS CITY 21P PMONE <br />Sob Dever Const. 3302 lOSth P1 SE Everett, WA 98203 337-6394 <br />ARCNITEGT OR OESIGNER MI IL AO�fiE55 CITY ZIP PNONE <br />GENERALGONTR�CTOR MRILADDFE55 CITY ZIP FHONE LICENSE� <br />Same BOBDECC192RU <br />MECMANICRLCONTR/.CTOO M�ILADONE55 GIiY ZIP VMONE 4CENSE� <br />CONTRACTOR MAIL ADORE55 GITY ZIP PMONE LIC[NSE � <br />� NEW ❑ ADDITION ❑ ALTEHATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION O� WORK ' <br />j 51��00. <br />UESCRIBE WORK � <br />New residence <br />❑ ELECTRICITY ❑ GAS O WOODSTOVE ❑ OTHER <br />woaosco use oF euaoinc <br />Single family residence <br />ATTRCH FOUR COPIES� <br />LOT _ BLOCN � OF <br />Lot 3 of SP#1202-16-86 <br />Drive <br />PLUMBING <br />N0. TI�PE OF FIXTURE OR ITEM <br />Z WATER CLOSET �TOILET) <br />1 <br />BATHTUB <br />LAVATORV (WASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNORYTRAY <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINN ISERVICE — OAR. ETCJ <br />20' <br />USE20NE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />SIZE OF OLDG <br />1056 + gar 484 <br />FIRE SPRINKLERS FEOUIF <br />APPLICRTION ACC �V <br />SH <br />SUBTOTAL <br />PEPMIT <br />TOTALFEE <br />20' <br />LOTABEA <br />7090 <br />R-3 <br />or sTor <br />1 <br />PLANS CMECNED OV <br />Be <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANC� KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PiIOVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS iYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIF;ED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOtS NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLA� dwk�i�E PROVISIONS OF ANY OTHER <br />S R LOC REGULATING r�NSTRUCTION OR <br />TH P R ONSTRUCTIOI� <br />SIGNA IiE NT 0 2EDAGENT.ORO' �CR DATE <br />z � <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />IO.00 } A/C—A/HNDLGl1NITS—H.P. <br />IO OO REFRIGERATION UNITS — H.P. EA. <br />LO OO BOILERS—B.T.U/H.P. <br />GAS FIRED A.G UNITS — B.T.U. <br />S OO FORCEO AIR SYSTEMS — B.T.U. M EA. <br />S OO WALLHEATERS—B.T.U. M <br />UNITMEATERS—B.T.U. M <br />S OO EVAPORATIVECOOLERS <br />], CLOTMESDRYERS <br />Z VENTILATION FAN <br />1 RANGEHOOD <br />1 WATER HEATER <br />WOODSTOVE <br />1 METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />s 45 <br />S - <br />s 45 <br />SI�E SETpACK <br />6' <br />VACANTSITE <br />]YES ❑NO <br />NO OF DWEILING UI <br />1 <br />uaz occ iono <br />NA <br />L.C. <br />PLANCHECKNUMBER <br />87/18566 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />sue.'tor�u.��r :_�,y, .:uu�ar-Sff 50���,,' <br />PERMIT � S — — <br />ror�t��iii,>ao s 58 50 <br />FEEUb • ::RECEIPTNO. <br />;'260.97 - - '-�J0568 <br />5;51, 000 <br />Plan he�ec. soa��� <br />STATE BUILDING SURCHARGE - . _. l, _iQ <br />STATE ENERGV SURCHARGE �" �� � � � "�� <br />„:, „ <br />DRIVEWAVPEFMIT !�;i=L!; _ <br />TOTAL 5 <br />PERMIT VALID�TION <br />WHEN PROPERLY VALIDATED (W THIS SPACE) THIS IS YOUR PERMIT <br />.; �7ttS[i h IL��_ <br />50 <br />38 <br />50 <br />00 <br />�0 <br />38 <br />