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r� a,e�reoi <br />aTv oF <br />everett <br />259-8745 <br />'"'` �NSTRUCTION �"' <br />PERMIT <br />� <br />PERMIT NO. 17666 <br />❑ DEMOLITION C$ COMBINATION C$ BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />pWNER MACRDORE55 CITY 21P PMONE <br />Robert La Grand=ur 1213 Wetmore Everett 98201 252-7186 <br />ARCMITECT OR O[SIGNEN M�II AODRESS dTY ZIP PNONE <br />Impression Design 2229 Jackson Everett 98201 355-3200 <br />6ENERALCONTRAGTOR p MRILRDDPESS �I CITY ZIP PMONE IICENSE• <br />- ••-�_-����.�_...,lnrfnd �t1VG VWI�L:+�'iV�.sl �i�5 7�7—%dL� <br />MEGNRNIC�LCONTRAGTOR MAILRODRE55 CITY 2�? PMONE UCENSE� <br />S�c�FL iaS�,T�_ <br />PLUMBING GONTRRGTOR MRIL RODRESS dTY ZIP PHONE LICENSE e <br />L$ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIp ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALUATION OF WORN <br />S Z��I�O�. <br />Construction of a new home <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTMEii <br />lOT � pLOCK <br />PLUMIBING <br />NO. TYPE OF FIXTURE <br />3 WATER CLOSET (TOILET) <br />Z BATHTUB <br />3 LAVATORY (WASH BASIN) <br />3 SMOWER <br />1 KITCHEN SINK a DISP. <br />1 DISHWASHER <br />1 LAUNDRVTRAV <br />] C�OTHES WASHEF <br />FLOORDHAW � <br />BACKFLOW PREVENTERS <br />ROOF DFAINS — RAINLEA� <br />SINK (SERVICE -- OAR, ETC <br />20 <br />I:SE 20NE <br />R-1 <br />TYPE OF CONST. <br />V-N <br />s¢eoFoioc. <br />2248 + qar 484 <br />1 Nassacc <br />SUBTOTAL f 7 OO <br />PEAMIT S <br />TOTAL FEE S ') OO <br />1R SETBRCK SiDE SETUACN <br />20 N sj. e var. � <br />f AREN yqCANT S11E <br />9,109 SIYES ❑r+o <br />GROUP <br />R- 3 <br />Of OWELLING UNITS <br />1 <br />+ 1/2 Bmt I - <br />'ES ❑ NO <br />CHECNE� BY APPR PORISEUANCEDY <br />id.M. I Be I L.C. <br />I HEf EBY CERTIFY THAT 1 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 CONSTRUCTI N OR <br />THE P ORMANCE OF NSTRUCTION. .� �/��] <br />SIGN R OFCONTRAGTOrygu T f12E�AGENT.OHOWNER DRT� / <br />X; ' ,✓.,, _ �f—T /� � L? , i+�YJ- <br />TYPE OF EOU�PMENT <br />A/C — A/HNDLG UNITS — MP. <br />flEFRIGERATION UNIT$ - HP. EA. <br />BOILERS - B.T.0 M. P. <br />GAS FIRED A.C. UNITS - B.T.U. <br />FORCED AIR SYSTEMS - B.T.U. M <br />WALLHEATERS-B.T.U. M <br />UNITHEATERS-9.T.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEFiHEATER <br />WOODSTOVE <br />METAL FIREP�a CE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEATPUM� HECH <br />GAS PIPING FLN CH <br />E%HAUST FAN P• SF <br />SUB <br />PERI <br />TOT <br />PLANCHECKNUMBER F <br />67/17666 <br />FEES <br />eui�owc <br />PLUMBING <br />MECHANICAL <br />STATE BUILDING SURCHARG'. <br />STATEENERGYSURCHARGE <br />DRIVEWAY PEFiMIT <br />TOTAL <br />RECEIPT NO <br />392.55 83997 <br />0^J06/87 1 <br />ELEC <br />HD0026054 <br />' 63 50 <br />75 00 <br />H OOOAN,95�Z �t:g <br />7 13 <br />pp 50 <br />1 00 <br />Z �0 <br />nn 89 13 <br />PERMIT VALIDATION y����{'7/,/, <br />WHEN PROPERLY VALIDATED (IN THIS'SPACEj'AiIS IS VOUR PERMIT <br />BLDG i639.50 �.p <br />FL�G 475.00 CO <br />�.l�.C�47E�i}- � <br />�` <br />e— <br />AD^Hfc:,: i"H.k_ <br />