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� � CONSTRIlCil�J(� � � <br /> � PER�VIIT APPLICATI�f�! <br /> COMBINATION • t3UILDING • MECHANICAL • PLUME3ING <br /> UWNhH MAILAUUHh55 ZIY YHUf�h <br /> :Javid i�.. 3randvold P.O. �ox 3066, Bverett, 1�7A 9d203 355-1155 <br /> ARCHITkCf U�i OESIUNEN MAILACOHE55 PMONE IICEIVSk NU <br /> GENLRALCONTRACTUH MAILAUOflESS PHONE - �I�ENSENU. <br /> Same as Owner BR P.CJ DD A299 QK <br /> MECIIANICALCUNTRACTOR MAILADOflE55 PHONE LICENSENO. <br /> Ever reen State Sheet hfetal • <br /> PLVM111NG CONTRACTOH MAIL AODRE55 PHONE LiCENSE NU. <br /> Ray's Plumbing <br /> VERMIT CLASSOF WORK • --"--'—' ' <br /> �COh1pINATION <br /> ❑OUILDING []PLUMUING �MECl/ANICAL <br /> "__ <br /> ❑NEW ❑AOOITIUN ❑AL7EfInt1UN ❑NU'N11 <br /> VALUATIONOF WORK -- � --._. ..----..._ <br /> 5 �- ❑DEMOLISH ❑iENCE ❑SIGN ❑':�YIn1�1iNc: f`t�oi. <br /> OESCHIOE WOi1K <br /> Single family �- <br /> YROPOSEO USE OTHER PERMITS OR APPROVAlS � <br /> Single• family residence _ ,n REZONE � SPECIA� USE <br /> LLG4L U!^•CNIPTION OF PqOPERTY ISHOW EIfLOW ON ATTACH <br /> FouRcoriasi #VARIANCE � SF'ORLINE <br /> LOT BLOCK_OF <br /> SEPA CHECK UST REQUIRED <br /> � ' L� YES <br /> � N� � <br /> �oo aoori[55 � <br /> � � - �MECHANICAL ' <br /> PLURQBING rvYE OF CNEHGV <br /> ❑r.ns pe�r.c. <br /> -�---- <br /> . fJO. TVPEOFE�UIPMEN7 FEE <br /> AIR COND. UNITS-II.P. EA. ... —�"'_+'S- �-'- "j--- - <br /> — .._'___..'' <br /> NU. TVPEOF FIXTUHEOR ITE�d 7EE � � qt�HIGERATIONUNifS uv �n. � �---T <br /> __ IlA I H 1 UUti 5 T- - _"'_ ____ _ ". __. ^__'_1_ <br /> ._I_ f1011lPS N.P. EA. <br /> . CIOfHEti1'JASHEH � _ . .. _ _ � <br /> UISH 1'l1yHE115 � FURCED AIR S�'STEh1^. It.T.U. MEA. _T-_ <br /> UIIINY.I\G FUUNTNNS i - . � � � _ _ ' 1 <br /> FIOOR UNA1��S _ c' � _ �S�ACE�F�WAIL NEATERS f1�T.U. .__r— <br /> Klll NFN tiINKS R DI,,i. � VN�T ��ENERS 11.T V. � � <br /> " Hn�1�SR.1Y.5 i EVAPONATIVECUO�EHS _ —� r— <br /> _ ___' "_ ___ '. _ "_ _ "___ _"' <br /> __ IIOOF DI141N!: IiA1N IGAUGHS i � CLOTN[S URVERS � <br /> SHQP:ENPAIHS ^ V[NTILATIONFAN-- --Y— --T-- <br /> SCH\'ICE SINKS I RAN(:E 11000 I � <br /> SUi.iPS - SER'AGE PU'.1P � qiq��nNDLIN(i VNIT C.i.hl. ~�-- <br /> _ __ � <br /> UHINALSi __. .__.._._.___._. .__.... _... ._.. _.. _.. ,._..__"._L—_ <br /> " l4Alk N ClO5F.i5 ..—i _ . _ .. ._..._. ..... ._. . . _ _ .__ #... "' _'T_ <br /> ' _'. ___. . . _. ._. • ..._ WATEH I/EAT[R <br /> WA16�1 MF.AIEHti - EIECiRIC � "�___ <br /> � PJAtil1 HAtiINS - —i' FAC UUILT PIREPIACG W CNIRWEV �'"� .. .-. ' I <br /> LAUNURV THAYS GAS. SVSTEM: NO ON OV TL( 15'--- � �'� " --""T--- <br /> � l'__ <br /> -- -- . - ---.......__ . ..:�n�iorn� _5+ .. _ . . ' <br /> � '--- - ._�... .._..Pc�i�iir... 5 . r_- <br /> — _ SUD TOTAL � _ . _—________._ .'_—�oTnl ftE $ I <br /> � TNIS VF.IIh11T UCCOhtES NUI 1 ANO VO4> if �YU11✓, ��H CUN`:TI:uC <br /> PE. �d1T 5ti___{ TIpN AUi110fi11CU 6 NDL CO\141LNCf!] 1ViT11iN 1,'O C.�V;;. p�i iP <br /> TOTAL FEE S [prytiTRUCiiON ON \V011K r.: 3U:;i`f'r�t�CO nn nnnr�pp�Eo Fp1; nI <br /> WATF.R $f RVICE SIZF. ULOG. SUCPLY SIT.V.__ �'k:fil00 OI- 120 OAVS AT ANv ��ylk nl TEHtVOfiK �!'.Ct�11A�fNCEU I <br /> �� tUac R ,.T - $ETIIACK IILAHYARU561I3ACK 1 HCi1kOV CEHTIFV fIIAT I IiAVC HIAU ANI) ErA�11N!O i1115 4P <br /> PLIG1TIpN l�ND I:NOtY THI 5.\AtE TO I:l Tf1VE .\NU COI:R�f_i. 1LU <br /> PqIIVI:;IUk: OF 1 AlYS ANU OIfI�INnNCEti GOVER4iNG i�a5 TY�E� <br /> OF Y1DItK 1':ILL BE COM1!PLIF.O K9f/1 tYHEir1ER :;VF:CIFI'_U HCiICIN�, <br /> USL JUN! lUT AHIA VACANT ;ITL ON NOT, THFOAANTING Of A PFR�LT OOE$ NOT ��ESVME 'O'. <br /> ' CiIVE AUTHOq1TV TO VIOI.AfE ON CANCkL tNE NNpVI$ION$ UFI <br /> . . ❑YES ❑NO , qNv OTMER STAT[ Of1 LOC/1L I.AW nEGl/LATIN(i CON5TnUCTION� <br /> TYVE UV CUNST. OCCVMnNCY GAOUM Np.OF UWl.LLING OR i/ VEflfOFMANCE OF CONSTf(UCTibN. <br /> UNITS f � / <br /> 1 / �//� <br /> SIZC OF ULUG. NO. OF STOHIES MAX.OCC. LOA� ;��1� 1 J, /[ /���/ ��' _ - _ ���f <br /> x ��LCI_ . � <br /> SIGI� TU1�£OF ONTfilICTOii'DRAUTII. ❑ENT �fE <br /> I�INlZUNI'-"--' 11/1lttMLNT Ilii[ ffPHINKIIiI: <br /> . HfOUIHEI! •LANIMfCKNUM11L11 LANCH[CA'll! � <br /> ❑VES ❑NO l ._ i . - , f I,L „ r f1ECE1PT Nn <br /> SPGCIALCONOITIONS: ��r �i . . � . � <br /> --- -- --- ��_"__� - �- � ;�.�'(.�i C, <br /> -- — FEES VALUATION F[E <br /> _'___'_.'_—'_'_'_ — __.__'_._'� '_.".'.r_" <br /> i <br /> "'.'___..— __ ' _'_'._'L"._ <br /> —"'— "— '�' -- LIUILDING S ' � <br /> .___ ._ - . _—_ � <br /> I <br /> � _ __ . .- ..._._.....-' -- - '--._..r--- � <br /> � riuMnwn i <br /> SEPA REVIEW COhIPLET�1E � ❑YES ❑ NO . ._ .. �.._.... � <br /> confact planninq OAP�. MlC11ANICAL • � <br /> --- �._ <br /> O'IICR � <br /> I <br /> '__.' ___'_T� <br /> �^'��«���,vA�.�.�uur vuta��«+1U�Y enHJv�o�s;��r.cl�� NENALTV tiLC. 7071d I <br /> � � - __.__'. _�. .._. ._.. . ...'_ ' _. '._..__ ... L___ <br /> �. i , � TOTAL � <br /> - - --`- -- --- .�.�.�.._ i %�,�,.,� <br /> . <br />