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r� �,ergrren <br />c�rv oF <br />everett <br />259-8745 <br />^ C''°INSTRUCTION � "�`" <br />PERMIT <br />PERMIT NO. <br />19742 <br />❑ DEMOLITION ❑ COMBINATION C�BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ONTlER MAILAOOf1E55 CITY 21P MONE <br />Randy 8 Clark 5502 33rd Ave W Everett, WA 98?.03 353-8932 88888Hi4488 <br />ARCNITECTORpE51CNER MAILAO�IIESS CIiY ZIP PNONE <br />GENERRLCONTHACTOB MA1lA00RE55 CITv ZiP PHONE UCENSE• <br />Select Ilomes 5502 - 33rd Ave W Everett, WA 98203 353-8932 SELECH123DS <br />MECHFNIG � CONTRAGTOP FIAIL RUOBESS CITY 21P PNONE LICENSE • <br />P�UA�BING CONTRACTOP MML AODRE55 CITY 21P PMONE LICENSE � <br />CLASS OF WORK <br />� NEW ❑ ADDITION O ALTERATION ❑ REPAIH ❑ OEMOLITION ❑ BUILDING RELOC�TION <br />5 77,392.00 <br />OESCRIBE WORK � <br />New construction <br />❑ ELECTRICITY � GAS O WOODSTOVE ❑ OTMEH <br />= V� tlVILUIliU <br />family residence <br />�or 3 e�ocK — or <br />PI.UMBING <br />OR <br />FIXTURE OR ITEM <br />j WATERCLOSET�TOILI <br />3 BATMTUB <br />3 Lf.VATORV �WASH BA; <br />1 SMOWER <br />j NITCMEN SINK d OISP. <br />1 DISHWASHER <br />IAUNDRVTFAV <br />j CLOTHES WASHER <br />FOUNTAIN <br />FLOOR <br />ROOF DRAINS — <br />SINN �SERVICE — <br />25' <br />USEZON� 1.0' <br />R-5 <br />TYPEOFC�NST OC <br />V-N <br />SiZEOFBLDG NO <br />1367 sf + <br />SUB TOTl1l <br />PERMIT <br />25' � ��' <br />12,112 sf <br />ANGYGROUP <br />R-3 <br />BY I P��NSCNECNEO�Y <br />M.M. I Be <br />VRCANTSITE <br />{� YES C� NO <br />NO OF OWELLiNG UNITS <br />1 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />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 />SIGNAtUPE OF CONTRACTON. RUTMORiZE� AGENT. OR OWNER OATE <br />� � , �-,�-� <br />MECHANICAL <br />TYPE OF EOUIPI <br />A�C — A/HNDLG UNITS — HP. <br />REFPIGERATION UNITS — H.P. F <br />BOILERS — B T.LLMP. <br />GAS PIRED A C. UNITS — B.T.U. <br />FORCED AIR SVSTEMS — B.T.U. <br />WALL HEATERS — B T.U. <br />UNIT HEATERS — B.T.U. <br />EVAPORATIVECOOLEFS <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%NFUSTFAN <br />88/:9742 <br />FEES <br />BUILDING <br />PLUMBING <br />Mn.. occ iono <br />Np MECHANICAL <br />APPR FOfi <br />Be <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />nerc5rertft6►Fr� (�i4W( <br />STA7E BUILDMG SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />FEE <br />M <br />M <br />M <br />I RECEIPTNO. <br />327.93 95445 <br />VALUATION FEE <br />S 77,392 540 <br />65 <br />%0 <br />23 <br />3 <br />15 <br />20 <br />TO7AL I I 737 I39 <br />PEHMIT V�LIDATION <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />ct- <br />N <br />� <br />� <br />