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�E °� � r''JNSTRUCTION ^ "` c <br />everett pEFtMIT PERMII NQ� _ � ��U� <br />259-87�15 - <br />❑ DEMOLITION ❑ COMBINATION �] BUILDItdG ❑ MECHANICAL ❑ PI.UM9ING ❑ SIGN <br />OWNER MAIL AOpRE55 CITY gg�2p <br />Patricia l Ledbetter Edmonds, WA gpiggH ZP�43-2513 rHurve <br />�RCHITECT 09 pE51dNER MqIL A��RESS CITV ZIP PHUNE <br />Spectrum Drafting 6519 Foster Slough Cd. 334-2697 <br />GENERAL CONTRRCTOR MAIL R001 �SS dTY ZIP PHONE LICENSE � <br />:�cra West Con:,t. 6126 135th St. SE Everett, WA 98208 337-0890 ACRA**178CC <br />MECMANICRLCONTqACTOR MAILRDDfiESS CITY ZIP PHONE ULENSE� <br />PIUMBING LONTR6CTOR Mqll AOORESS CITY IIP PNONE LICENSE � <br />CU55 OF WORN <br />C}NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br />VALURTION OF WORN <br />S 10J�840.�� <br />OLSCHIBE WOflN <br />Residential Oonstruction <br />HEATSOURCE <br />❑ ELECTRICITY O GAS ❑ WOODSTOVE ❑ OTHEH <br />residence <br />�ar �l eiocrc <br />JO�AODNE55 <br />F'LUMBING <br />NO. <br />WATER CLOSET (TOI�ET) <br />BATHTUB <br />LAVATORY�WASHBASIN) <br />SHOwER <br />NITCHEN SINK 6 OISP. <br />DISHWASHER <br />LAUNDRY T'AY <br />CLOTHES WAg �ER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR ORAIA' <br />ow eE�ow on �,nncM Fou <br />Triada cranada <br />ROOF ORAINS — RAINLEA�ERS <br />SINK (SERVICE — BAR, ETC � <br />SUBTOTAL f <br />PEPMIT s <br />TOTAL FEE S <br />55' CL of ROW 25' <br />USEZONE LOTAIIEA <br />x-s <br />TVPE OF CONST OCCUPANCY Gl10UP <br />V-N R-3 <br />SIZE OF E1LDG ND. OF STORIES <br />3963 2+Bsmt <br />FIRF SPRINKLFRC REOUIRED ❑ YES � NO <br />APPLICATIONACC BY PLpNSCNECMEDOY <br />M.M. <br />H.E. <br />00 <br />7 1/2' <br />VACANT $ITE <br />x'ltes ❑no <br />NO OF DWELIING U�11TS <br />1 <br />MAN OCC LOAD <br />N/A <br />APPR FOR ISSUANCE OY <br />Structure shall not exceed 25 feet. <br />L.C. <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 SPE�IFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL Tf iE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PE ORMANCE OF CONSTRUCTION. <br />��GNATU F ONTRACT00.AU 12ED/� GENT�.OtiOWNER DATE <br />X � D : .. �-' L�%�/:n'-7/ i /.�7 � /> - G <br />MECHANICAL <br />TYPE OF EOUIPMENT <br />A/C — A/HNDLIi UNITS —� H P. <br />REFRIGERATION UNITS — H.P. EA. <br />OOILERS — B.T U MP. <br />GASFIREDA.C. UWTS—B.T.U. <br />FORCED AIR SYSTEMS — B T.U. M EA. <br />WALLHEATERS—B.T.U. M <br />UNIT HEATERS — B.7.U. M <br />EVAPORATIVECOOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSEHT <br />HEAT PUMP <br />GAR PIPING <br />E%HAUSTFAN - �•� <br />87/18869 <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAI <br />INVES7IGATION FEE <br />SUBTOTAL f <br />PENMIT 3 <br />TOTALFEE <br />FEE RECEIPiNO. <br />429.33 90363 <br />VALUAT�ON FEE <br />g 105,4:;0.0 660 50 <br />75 00 <br />B1 00 <br />Sec.30e(e) <br />STATE BL'ILDING SUFCHARGE - � <br />STATEENERGYSURCHARGE . <br />ORIVEWAV PERMIT � <br />TOTAL <br />PEHMIT VALIU Y <br />WHEN PROPF \LIDATED �1N THIS SPAC[) ThU515 VOUR PERMIT <br />i,DOiiFSS Fii E <br />3 50 <br />15 00 <br />