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"�E"��� ^ C�NSTRUCTION � � 1 /� <br /> everett PERMIT PERMITNQ:_ 1 ��`�" <br /> 259 -8745 <br /> ❑ DEMOLITION �cl COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OYMER MARAODRE55 CiTV I�P VHONE <br /> Carl D1. Larsen 4801 76th St. S.W. Mukilteo, 98275 355-9795 <br /> RRCNITECT OIt DESIGNE(i MRiL AODRE55 CITV 21P PMONE <br /> GENERQ CONTRRCTOR MAIL ADDPESS CITV ZIP VMONE LI::EnSE• <br /> Carl Larsen Const. Inc. 4801 76th S.W. Mukilteo 98175 355-9745 LARSECCI160NH <br /> MECNRNIC�ICONiRRCTOR MNiLA00RE55 GTY ZIP PMONE UCENSE• <br /> PLUMBING CONTR�CTOR MAIL RODPF.55 dTV ZIP PHONE IICENSE� <br /> CLA55 OF WORK <br /> O NEW ❑ ADDITION ❑ ALTERATION C�REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> : 5�500.a� <br /> DESCRIBE WORN <br /> New roo£, toilet, sinks, and tub, sheet rock repair, windows. <br /> HEATSOURGE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMER <br /> PROFOSEO USE OF BUILOING <br /> Duplex I HEREBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEG�LDESCRIPTIONOFPqOPERTY�S�lOW6ElOWORATTRCNFOURCOPiE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 9�l�ioc� _ oF �erett Land Co's lst Add 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 PE RMANCE OF CONST UCTION. <br /> JOBAODRESS 51 AtU �CONIRRCT R. UT IZE ENT.OROYIryEP DATE <br /> 3319 Oakea X , � <br /> .wi <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FII(TUflE OR ITEM FEE NO. TYPE OF EOUIPMENT fEE <br /> 1 WATER CLOSET(TOILET) S OO A/C—A/HNDLG UNITS—H P. <br /> 1 BATHTU9 S OO REFRIGERAiIONUNI7S—HP.EA. <br /> Z LAVATOHV(WASH BASIN) IO OO BOILERS—B.T.U./H.P. <br /> SHOWER GAS FIREO AD.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED AiR SVSTEMS—B.T.U. M EA. <br /> DISMWASHER WALLHEATERS—B.T.U. M <br /> LAUNDRY TRAY UNIT MEATERS—B.T.U. M <br /> CIOTHES WASMER EVAPOFATIVE COOLERS <br /> URINAL CLOTMESORYERS <br /> DRINKING FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN NANGE HO00 <br /> BACNFLOW PREVENTERS WATER HEATER • <br /> ROOF ORAINS—RAINLEADERS WOOD STOVE <br /> SINN�SEPVICE—BAR.ETC.� METAL FIREPLACE 8 CHIMNEY _ <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%NAUSTFAN <br /> SUB TOTAL = 2O OO SUB TOTAL <br /> VERMIT f PERMIT <br /> TOTAI FEE f TOTAL FEE � <br /> FPONT SETBRCN REAR SETBFGK SioE 5[Tonc,x PLAN CHECK NUMBER FEE RECEIPT NO. <br /> USE ZONE LOT Rl1EP yqCANT SITE <br /> ❑ves ❑r+o FEES VALUATION FEE _ <br /> TYPEOFCONST OCCUPPNCYGROUP NOOFOWELUNGUNITS �UILDING S 5 .lf <br /> LV_ <br /> F'LUMBING <br /> 512E OF BLDG NO Of$TORIE$ MA% OCC LOAD <br /> MECHANICAI. � -- <br /> INVESTIGATIDN FEE Sec.304�e) <br /> fIRE SPRINNLERS RE0UIRED ❑VES ❑NO � � � <br /> STAT[BUI�DWGSURCHARGE � 3 O <br /> STATEENERGVSURCHARGE � <br /> APMIGRTION pCC OV PLRNS CHECK[D�Y �PPR FOR i5;l1ANCE IlY <br /> DRIVEWAV PEFMIT � <br /> S.H. TOTAL <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�IN THIS SPACEI THIS IS VOUti PEfl�AIi <br /> Q1 <br /> d� <br /> � <br /> � <br /> r� <br /> i,.::-���.,` .... � �. <br />