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�� <br />arr oF <br />everett <br />259-8745 <br />'�'° C�NSTRUCTiON �a � <br />PERMIT <br />PERMIT NQ: � 02 S 7 <br />❑ OEMOLITION � COMBINATION ❑ BUIL�.ING ❑ MECHANICAL '� PLUMBING ❑ SIGN <br />OWNER MAILAOONESS CITY ZIP PNONE <br />Pred J. Baxter. 2000 39th Ave. W. Seattle. WA a8inq Ba-7an� <br />ANCIIITECTOROESIGNEB MFILqDDRESS CITY ZIP PMONE <br />Same <br />GENERA�WNTRACTOR MAILADDR[55 CITY ZIP PMONE LICENSE� <br />Same raFn,'rnat ��Mn <br />MECHANICAL CONTRACTOR MAIL RDOBf55 CITY ZIP PHONE UCENSE • <br />PLUMBINGCONfRACTOfl MAILADDRESS CITY 21P PROHE LIGENSE� <br />CUSS OF WCNN <br />�1 NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />V/.LUATION OF WORK <br />5 136,000.00 <br />oeseniee woaK <br />New 3,000 S.?, Home <br />HEP�f50UP.CE <br />C'ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />LOT 11 BLOCIt _ <br />JOBADCRESS <br />PLUMBING <br />TYPE OF FIICTI <br />WATER CLOSET (TOILET) <br />BATHTU9 <br />LAVATORY�WASHBASIN) <br />SHOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASHEF <br />URINAL <br />DRINKING FOIlNTA1N <br />FLOOR DRAIN <br />BACICFLOW PREVENT: RS <br />ROOF DR41N5 - RAINLEA <br />SINN ISERVICE — 9AR FT <br />SUBTOTAL <br />PENMIT <br />TOTALFEE <br />FPONTSETBACN REARSETpACK <br />20 25 <br />USEZONE LOTAREA <br />R-S 12.900 <br />TYPE OFGONST OCCUPPNCY GROIIP <br />SREOFOLOG. <br />APPLICATIONAGC OY <br />M.M <br />N0. OF STORIES <br />2 <br />i ❑ yE5 � NO <br />PlANS CHECeED OY <br />B.G. <br />FEE <br />VAGnNi 511� <br />[�YES ❑ NO <br />NO OF DWELIING UNITS <br />APPR iOP ISSUANLE OV <br />B.E. <br />i HtREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APFLICATION AND KNOW THE SAME TO BE THUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND OR�INANCES <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 F'ROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION C^ <br />XHE P(�/ M� O��T/R\UCTION. <br />SIGNRTUii ON t R, T 1il AGENT, OR OWNEP DATE <br />�� . <br />1 <br />1 <br />TYPE OF EQUIPMENT <br />A/C - A/HNDLG UNITS - MP. <br />PEFRIGERATION UNITS - H.P. EA. <br />BOILEHS - B.T.0 /H.P. <br />GAS FIRED AD. UNITS - B.T.U. <br />FORCED AIR SVSTEMS - B7.U. M EA. <br />WALLHEATERS-B.T.U. M <br />UNIT HEATERS -BS.U. M <br />'cVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATEPHEATER • (�7/I3/Og . <br />WOODSTOVE ( <br />METAL FIREPLACE 8 CHIMN�(�Ri <br />FIREPLACE INSERT p� (j(� i <br />HEAT PUMP p � <br />GASPIPING � <br />E%HAUSTFAN a u ru <br />SUB <br />'.HECKNUMBER F� � <br />88/20287 pppp�83 <br />FEES <br />BUILDING <br />PLUMBINCa <br />MECHANICAL <br />INVESTIGATION FEE <br />1171-5 <br />SCc.304(c) <br />FEE <br />NO. <br />10627 <br />STATE BUILOING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PERMIT VALIOP.TION <br />IYHEY PROPERLV VALIDATEO �IN THIS SPACE) THIS IS VOUfl PERMIT <br />� ,.,_. ;i-S� f ILE <br />3150 <br />m1 11 <br />�� <br />Q^. � <br />N <br />O <br />�V <br />