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�� <br />cin oF <br />everett <br />259-8745 <br />~ C'�NSTRUCTION -� '' . ��g� <br />PERMIT <br />PERMIT N�Z: _ � o `�� � <br />❑ DEMOLITION ❑ COMBINATION � BUILOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MrlILr10DRE55 CITY ZIP PNONE <br />Ingrum & Sons �rst. Ca. 2312 136th P1. SW Lynnwood, WA 98037 745-9704 <br />ANCNREGi OR DESIGNER MAIL AODHE55 CITY 21P PHONE <br />Rame <br />GENERAL LONTRACTOIi MAIL ADpPE55 CITY ZIP PHONE LIGENSE • <br />Sama INGRUSCT. 194L7 <br />MECHANICr1LWNTRACTOR MAILADDRE55 CITY 21P PMONE LILENSE+ <br />S.il11P <br />PWMBINGCONTRACTON MARADDRESS CITV ZIP PMONE 4CENSE� <br />CUSS OF WORR <br />I7� NEW ❑ ADDITION ❑ ALTEpATION ❑ HEpAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />VALUATION OF WORK <br />S 65��0�.a0 <br />oeseaiee wonn <br />Construct single family residence <br />MEAt50URCE — <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTqVE ❑ OTHER <br />Single Yamily residence <br />DESCNIPTION OF PqOPERTY ISHOw PE� Ow ni <br />ior 3 u�ocK _ <br />PLUMBING <br />on wheeler_P1� <br />TYPE pF FIXTURt OR <br />WATER CLOSET (701LET� <br />BATHTUB <br />LAVATORY�WASH BASIN� <br />SMOWER <br />KITCHEN SINN 8 DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />URINAL <br />FLOOR ORAIN <br />BACKFLOW PqE4ENTERS <br />ROOF DRAINS - RAINLEA <br />SINN (SERVICE - BAR, ET <br />SUBTOTAL <br />PEqM17 <br />TOTALFEE <br />20 <br />LOT AREA <br />12.496 <br />TYPE OFCONST. OCCUPA <br />V-N <br />S�ZC Oi BLDG. NO OF S <br />2310 2 <br />FIRE SPRINKLERS REOUIRED ❑ VE <br />APPLICATION ACC. BV PLANS C <br />S.H. <br />�' <br />f <br />S <br />ilpE SETOACK <br />6 <br />IAGANTSITE <br />�YES ❑NO <br />JD JF OWELLING UNITS <br />R-3 � 1 <br />TORIES � MR% OCC �OAO <br />8.�. <br />OY <br />APPR fOR ISSUANJE �V <br />L.C. <br />I HEREBY CEIiTIFY THAT I HAVE READ AhD EXAMINED THIS <br />APPLICATION AND KNOW THE SAME 70 BE TRUE AND <br />CORR�cCT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVf=RNING I�HIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHE'i HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR �ANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMF�NCE OF GONSTRUCTION. <br />SIGNATURE OFf.O1{TjifCTOR. AUTHOR�ZEO IIGENT.OR OWNER O4TE <br />MECHANICAL <br />NO. TYPE OF EOUIPME <br />A/C - A/HNDLG UNITS - H P. <br />REFRIGERATIOIJUNITS-H.P EA. <br />BOILERS - B TL:HP. <br />GAS PIRED A.C. UNITS- B.T.U. <br />FORCEDFIRS�ST�MS-BSL. MEA. <br />WALL HEATERS - BS.0 M <br />UNITHEATENS-BT.U. M <br />EVAPORATIVECOOLERS <br />1 CLOTHES bfiVERS <br />VENTILAi ION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />MEiAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXMAUSTFAN <br />PLAN CHECK NUMI <br />87/18433 <br />FEES <br />auaoiN� _ <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />SUBTOTA� <br />PERMIT <br />TOTALFEE <br />FEE RECEIPT NO. <br />3Z3.30 90992 <br />�l VAI,UATION�.. , , i � �-n,F'Ei <br />565,000.00 <br />.�LL''; -: ).L� <br />STATE BUILDING SURCHAqG <br />SiATEENERGVSURCHARGE <br />ORIVEWAY PERMIT <br />TOTAL <br />FEE <br />PERMIT VAUDATION '� '. i= ' �� <br />WHEN PROPERLV VALIDAiED �IN T�7I�SpA��} �HIS IS VOUN PERMIT <br />qli:�r;; _ :,:i,�i.1 <br />�;.. :_ <br />ki;�Cr;'S f II E <br />M <br />M <br />d' <br />� <br />� <br />