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'"�� '� C'"')NSTRUCTION '� �` ? c <br />e�•erett PE R M IT PERMIT NQ: ��`� S`� <br />259-8745 <br />[I DEMOLITION �i COMBINATION O BUILDING ❑ MECHANICAL '17 PLUMBING ❑ SIGN <br />Qy�ER MAII ADDRE55 CITV ZIP PHONE <br />D]r. D. Kure 5110 Narbeck Ave. Eveiett, WA 98203 <br />•RLHITECT OR O[SIGNER MAIL AODRESS CITY ZIP PMONE <br />GENER�LCONTRRCTO�i MAILADORESS CITV ZIP PMONE LICENSE� <br />Leghorn P.O. Box 1188 h!ukilteo, WA 96275 745-3577 LEGHOI214QG <br />MECMANILALCONTRRG'OR MAILNDDRESS CITY ZIP PMONE LIf.ENSE� <br />PLUMBING CONTRACTOR I.IAIL ADDPESS <br />GLASS OF WORN <br />C7a NEW ❑ ADDITION <br />S 124,210.00 <br />Construct new residence <br />❑ ELECTRICITY ❑ GAS <br />Single <br />�or 4 e�ocn _ oi <br />residence <br />Narbeck <br />5110 HYXlSild!%lt Narbeck <br />PLUMBING <br />NO. TYPE OF FI%TURE <br />3 WATER CLOSE7 (TOILET� <br />1 BATHTUB <br />d �A�ATORv (WASH BASIN) <br />l <br />SHOWER <br />KITCNEN SINK d DISP. <br />I.AUNDRV TFlAY <br />CLOTHES WASMEH <br />URINAL <br />❑RIf�KRIG FOUNTAIN <br />FLOf�R DRAIN <br />BACKFLOVJPREVENTEqS <br />ROOF ORAINS — RAINLEADE <br />SINK (SERVICE — OAR. ETC.) <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />FRONTSETB�CK RE�RSETBACK <br />25' S0' <br />USE20NE LOTAREA <br />R-S <br />V-N <br />SIZE OF OLOG <br />218 3 <br />UY <br />S.H. <br />❑ ALTERATION ❑ IiEPAIR <br />zs�o3% <br />OCCUPANCYGROUP <br />R-3 <br />NO.OF STORILa <br />1 <br />B.G. <br />❑ WOODSTOVE <br />CITY <br />❑ DEMOLITIC,J <br />❑ OTHEA <br />p�p PNONE 4GENSE • <br />❑ BUILDING REIOCATION <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 WILI 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 CANC L THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL AW RE LATING CONSTRUCTION OR <br />THE P FOR NCE F CON CTION. <br />SIGNATU �CO ACTO . UTHORR ENT,OROWNER '/opT� l <br />X 9 a <br />MECHANICAL <br />FEE NO. " TYPE OF EOUIPI <br />A/C — A/HNDLG UNITS — H P. <br />REFFIGERATION UNITS — H.P. i <br />BOILERS — B.T.U./H.P. <br />GAS FIREO A.C. UNITS — B.T.U. <br />FORCED AIR SYSTEMS — B.T.U. <br />WALI HEATERS — B.T.U. <br />UNIT NEATEPS — B T.U. <br />EVAPORATIVE COOLEflS <br />CLOTHESORYERS <br />VENTILATION FAN <br />RANGENOOD <br />WATER HEATER • <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />7 1/2 <br />,+'�VES ❑NO <br />r+o. oF owE�uHi <br />1 <br />Ma%ACC LOAD <br />aran voa <br />B.E <br />SUBTOTAL <br />PERMIT . <br />M <br />M <br />M <br />�N Ch1ECK NUMBER FEE <br />88/19385 472.55 <br />FEES VALUATIO <br />FEE <br />EIPT NO. <br />93934 <br />FEE <br />BUILDING S 124,210 727 00 <br />PLUMBING 65 00 <br />MECHANICAL 72 OO <br />INVESTIGATION FEE Sec.30A1c) <br />STATE BUILDING SURCHARGE 3 <br />STATEENERGVSURCHARGE � 15 <br />DRIVEWAY PERMIT 20 <br />TOTAL 902 <br />PEHMIT VALIDATION <br />WNEN PROPERLV VALIDA; ED pN TNIS SPACE) THIS IS VOUR PERMIT <br />P.7DI;�Sc f !I.E <br />� <br />