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`�� �"` �NSTRUCTION � �`�� q G /� <br /> everett PERMIT PERMITNQ:: I �`�`�� <br /> 259 -8745 <br /> ❑ DEMOLITION C$ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING � SIGN <br /> OWNER MRI�AUDRE55 CITY 21P PI/ONE <br /> Jim Brandvold 5307 - 139th Ave SE Snnhomish 98290 568-9342 <br /> ARCHITECT OR OESIGNEIi AIAII ADDBESS dTY ZIP PHONE <br /> GENERAL CONTRACTOR h1AIL ADDRESS CITY 21P P��ONE LICENSE r <br /> D.G. Brandvold C: f07 - 139th Ave S� Snohomish DGBRAC171CM <br /> MECMANICALCONTBACTOR MAILAOD(IESS CITY 21P PRONE LICENSE• <br /> P�UM�INGCONTRACiOP �.��RADDRE55 CITV ZIP PHONE LICENSE� <br /> CLASS OF WORI( <br /> GI NEW � ADDITION ❑ ALTERATION ❑ REPAIF ❑ DE!AOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WORK <br /> S 35��0� <br /> DESCRIBE WORN <br /> New construction <br /> NEAT S�URCE <br /> ❑ ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSE[1 USE OF BUILOING <br /> Residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TR�E AND <br /> LECRLDESCRiPTIONOFPROPERTY�SHOWOELOWORAITACMFOURGOPIES� CORRECT. ALL PROVISIONS OF LAWS AND OFD'VANCES <br /> 11 Bridgeway GOVERNING THIS TYPE OF WORK WILL BE COMPLIf_D WITH <br /> LOT_BLOLK _� OF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIIJG OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHOHITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> S TE OR LOCAL LAW REGULATING CONSTRUCTICN UR <br /> E RFORMANCEOF ON TRUCTI <br /> JOB AD�RE55 . GNATU OF LONTPACTOR ORi AGENT,O O NER OAT Q <br /> S�Zfl3 558 E. Marine View Dr. ���/7�( ,�C.'-� � D <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CLOSET�TOILET) S OO A�C—A/HNDLG UNITS—HP. <br /> 1 BATMTUB S OO REFRIGERATIONUNITS—H.P.EA. <br /> 1 LAVATORV�WASHBASIN) S OO BOILERS—B.T.U./H.P. <br /> SMOW ER GAS FIRED A�C.UNITS—8 T.U. <br /> 1 KITCHEN SINK 8 DISP. S OO FORCED AIR SVSTEb15—B.T.U. M EA. <br /> 1 DISHWASHEF S OO WALLHEATERS—BS.U. M <br /> LAUNDRY TRAV UNIT HEATERS—B T.U. M <br /> 1 CLOTHES WASHER S OO EVAPORATIVE COOLERS <br /> UfiINAL ]. CLOTHES ORYERS 6 SO <br /> DRINNING FOUNTAIN 2 VENTILATION FAN 9 OO <br /> FLOOFDRAIN 1 RANGEHOOD G SO <br /> BACNFLOW PflEVENTERS 1 WATER HEATER • Ii SO <br /> ROOF DHAINS—RAINLEAOERS �VOOD STOVE <br /> SINK(SERVICE—BAR.ETCJ METAL FIREPLACE 8 CHIMNEV _ <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> EXMAUSTFAN <br /> SUB TOTAL s 30 00 sue rorn� 28 50 <br /> PERMIT S — — PERMIT — ' <br /> TOTALFEE f 3O OO TOTALFEE ZSLG{� � <br /> FRONT SEiBnGK RE/R SETOACK SiOE SEreaCK P. 'N CNECK NUMBER F�'j� $4O B�IPT NO. <br /> 20' 20' S� 86/17595 CHECx76.92C19 .DO 83415 <br /> USE ZONE LOT AREA yqCANT SITE <br /> g-2 6�306 sf ❑y�s ❑No FEES VALUATION FEE <br /> TYPEOFGONST. OCGUPANCYGROUP NOOFOWELLINGUNiTS BUILDING S 3G�OOO 317 OO <br /> V-N R-3 1 <br /> PLUMBING 30 00 <br /> 512E OF BLOG NO OF StOR1E5 MAX OCC LOAp J,.�,' <br /> 984 SE 1 MECHANICAL OS��5�Q7 i�'1 Q� ��A�"'`�8 �p� <br /> INVESTIGATION FEE ��?�,�� <br /> FIRESPRINNLERSFEOUIRED ❑VES O NO STATE BUILDING SURCHARGE ELC�G qZi .QO <br /> $� <br /> STATEENERGYSURCIiARGE �{ECrHp i2 .50 15 00 <br /> APPLIGATIONACC.�Y PLANSCNECMEDOY APPRFORISSUANCEOV E; .�nCH e+ •� <br /> SG BE L.C. DRIVEWAVPERMIT _ 2 00 <br /> TOTAL DRVId'J $� .00 41 00 <br /> PEflMIT VALIDATION HOOOCE�OO¢ <br /> WHEN PROPERLY VALIUATEO PN TriISSP.ACE) iHIS1SYQUR FI�MIT �, <br /> btW^h �SLI UU <br /> 1171-5 855^c.00 � <br /> i;i',ill:�_�'i� �) <br /> .�i.:-,����.�. <br /> T� <br /> i�fl. � ...�.. � �.._ <br />