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`�� `'` fr"�NSTRUC�ION �� ''" <br />everett PERMIT PERMITNO. 19298 <br />259-8745 <br />❑ DEMOLITION O COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADDNESS dTY ZIP PNONE <br />David A. Anell 811 Center Rd. Everett, WA 98204 742-8997 or 542-7474 <br />I1pCMITEGTOR0E51GNER MPILND�PESS QTY 21P PNONE <br />Impression Design 2229 Jackson St. Everett, WA 98208 355-3200 <br />GENEPAI CONiNACTOl1 MAIL POD(IESS CITV 21P PHONE LILENSE � <br />Owner <br />MEf.HRNICALGONTRRLiOR MAILAUORE55 CITV 21P PNONE LICENSE� <br />Owner <br />PLUMBINGCONTRACTOR MAILP�OBE55 CITY ZIP PHONE LICFNSE• <br />Owner <br />CLASS OF WORK <br />�j NEW ❑ ADDIT�ON ❑ ALTERATION <br />VRLURTI1ON OF WORK <br />i 1��10��. <br />OESCNIBEwONN single <br />Construction, :iycit family dwelling <br />❑ REPAIH ❑ DEMOLITION ❑ BUILDING RELOCIITION <br />❑ ELECTR�CITV ❑ GAS ❑ WOODSTOVE <br />single family residence <br />�or 1 BLOCN � OF Narbeck PaL'k <br />Quarter5of3SW quarter SacSE30ua�shp 29NE <br />5 <br />Ave <br />PLUMBING <br />TYPE OF FI7(TURE OI <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVPTOqY/WASHBhSIN� <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDRYTRAV <br />CLOTHES WASHER <br />UA�NAL <br />DRINKING FOl1NTAIN <br />FLOOR DRAIN <br />BACNF�OW PREVENTERS <br />ROOF �RAINS — RAINLEADERS <br />SINK �SERVICE — BAR. ETC.) <br />25' <br />USE20NE <br />88 R-S <br />TYVE OF CONST. <br />V-N <br />5�23�1� Sf <br />476 sf aai <br />FIRE SPRINNLERS R <br />qPPLICATION ACC AY <br />M.M. <br />SUBTOTAL S <br />PEHMIT S <br />TOTALFEE f <br />25' <br />LOTRREA <br />27,485 sf <br />OCCUPRNGYGNOUP <br />R-3 <br />NO OF STORIES <br />1 <br />Be <br />7.5' <br />V�CANTSITE <br />�ves ❑r+o <br />NO OF DWELLING UNITS <br />1 <br />MR% OCG LOAD <br />NA <br />FOfi ISSUANCE OY <br />L.C. <br />❑ OTHEH <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />NPPLICATION 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 E(;FORMANCE OF ONSTRUCTION. <br />SIGNRT REOFCONtRACTOR.AU ORIZEDAGENT,OROWNER � Iy.TE � <br />x,�� �z [ <br />TYPE OF EOUIPMENT <br />A/C — AMNDLG UNITS — HP. <br />RFFRIGERATION 11NlT5 - H.P. EA. <br />BOI�ERS - B.7.0 M.P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCEO AIR SYSTEMS - B T.U. <br />WALL HEATERS - B.T.U. <br />UNIT HEATERS - B,T.U. <br />EVAPORATIVE COOLERS <br />CLOTHESORVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />wOODSTOVE <br />METAL FIREPLACE d CHIMNEV <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUBTOTRL <br />7ERMIT <br />TOTALFEE <br />PLANCHECK NUMBEH <br />87/19298 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />��y��}�Plan C <br />STATE BUILDING SURCHARG <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />M EA. <br />M <br />M <br />ree <br />PECEIPT NO. <br />371.80 93865 <br />S 100,000 <br />Sec.30<(e) <br />TOTAL � I <br />P'cRMIT VALIDATION <br />WHEN PROPERLV VALIDATED pN THIS SPACE) THIS IS VOUR PERMII <br />p�llii;l �,.: f i:'- <br />853 I 88 <br />