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� � <br />H <br />9H�c[~i� <br />Hx� <br />�H�y <br />L M'� 'L <br />Hy <br />xp <br />OHd <br />��g <br />�w n <br />C"y� <br />Hy <br />g�' <br />H <br />C] CC V� <br />M <br />�H� <br />HOrn <br />1 <br />I <br />thc Eoergrcen <br />��ry�F `�� C�7NSTRUCTION •-- � � <br />everett PERMIT PERMITNO. � SGOZ <br />259-8745 <br />❑ DEMOI.ITION ❑ COMBINATION Cl BUILDING ❑ MECHANICAI ❑ PLUMBING ❑ SIGN <br />OIVNEfl ��A�LFODRESS CITY ZIP VMONE <br />David L. Bigelow 29206 64th Ave. NW Stanwood, taA 98292 629-3785 <br />ARC111T[CTOR�ESIGNER MAILFDDRE55 CITY IIP PMONE <br />GENERALCONIRACTOR AIAII A0�8ES5 CITV ZIP CMON[ L�CENSE• <br />s�G�L pL /3 3 C Q <br />CItY <br />PWMOINGCONTRACTOq MnILP00RE55 CITV 21� %IONE LICENSE• <br />anss or woarc <br />�] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING HELOCATION <br />.5 �2,00�.�� <br />oEscnier wonK - <br />New single family residence <br />rcntsouncc <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Residence <br />iar _ o�ocK � or <br />PLUMBING <br />NO. TYPE OF FI%TI <br />2 \VATER CLOSET (TOILET� <br />BATMTUO <br />LAVATORV (WASH BASIN <br />SHOWER <br />KITCHEN SINK 8 �ISP. <br />DISHWASMEfi <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />UPINAL <br />iLOOFi DPAIN <br />9ACKFLOW PREVENTERS <br />ROOF DRAINS — fiAINLEAOE <br />SINK �SERVICE — BAR. ETC 1 <br />25 <br />USE ZONE <br />R-S <br />TvvE OG GONST <br />V-IQ <br />Si2[ Oi OLOG <br />2282 <br />1G06+970GAR <br />FIRE SPRINNLERS REi <br />avrucnliar+ncc or <br />n�. ri. <br />Ave. <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 HEF[IN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVIS�ONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />S.^.NATyfqE OG CONifIAGjpR. AUi110RiZE� hBENT.OR ONN[P DATE <br />�� . <br />MECHANICAL <br />ITEM FEE NO. TYPE OF EOUIPMENT <br />A�C — A�HNDLG UNITS— M P. <br />flEFRIGERATION UNITS — H P. EA. <br />BOILERS—OTUMP <br />GASFIREDAC UNITS—B.T.U. <br />FORCED AIR SVSTEMS — 8 T U. M EA <br />\YALL HEATEPS — � T.U. M <br />UNITHEATERS—OT.U. M <br />SI1B TOTPL <br />u <br />OCCUPnNCY <br />r�nrus <br />�YES ❑NO <br />NP NOOFDWELLINGl:NRS <br />1 <br />MR% OCC IOnD <br />O <br />or navnroRi55unt�cEor <br />B.E. L.C. <br />EVAPORATIVE COOLERS <br />CL0T1{ES �F�VERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER MEATER <br />W OOD STOVE <br />METAL FIREPLACE 8 CNIMNE� <br />FIREPLACEINSERT <br />HEAT PUMP -� � �- <br />GAS PIPING <br />EXMAUSTFAN �- "� <br />SUBTOTRL <br />PERMIT <br />TOTALFEE <br />�N GHECN NUI <br />87/18002 <br />6UILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE� J,�e (� <br />rv i <br />STATE BUILDING SURCHFRG <br />STATEENERG�SURCHARGE <br />DRIVEIVAY PERMIT <br />3 <br />RECEIPT NO. <br />248.30 �.-89567 <br />TOTAL I ��y�"'= <br />PEflMIT YALIDATION <br />WHEN PROPERLY VAU�ATED (IN THIS SPACE) THIS IS YOUR PBRMIT <br />l,C:.,, .. , . <br />r�1 �� <br />N <br />O <br />O <br />� <br />� <br />