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`hc�' �� W� C �"NSTRUCTION <br />everett PERMIT PERMITNQ. � ��'� � <br />259-8745 <br />Cl DEMOL�TION � COMBINATION ❑ BUILDING O MECHANICAL 'Cl PLUMBING ❑ SIGN <br />OWNER MNl ADDRE55 CIiY ZIP �'��ON[ <br />Geonerco 1914 N. 39th #107 Seatt�e, WA 98103 547-3213 <br />RRCIIIIECTOf19E51GN[R MAILACORE55 CILY ZIP PNONE <br />G[NERPL CONiR�CiOP M. IL PDDPE55 CITY LP PMONE LICENS[ � <br />Owner GGONEI173RL <br />MECMANIULCONiPRGTOR MAIL4OOP[55 CITY 21P PHON[ UCENS[• <br />i'LUMBING CONiRPCTOA ��A�� <br />Cl/ 55 OF \40RK <br />cf3cNEW ❑ ADDITION ❑ ALTERATION C� REPAIR <br />VPLUATION OF N'OHK <br />S 55����.0� <br />DE`CRipE 1vOPN <br />New home construction - Basic 1262 <br />❑ ELECTRICITY ❑ GAS <br />Single family reside,ice <br />LO1 19 OLOCK <br />10911 3rd Dr. SE <br />PLUMBING <br />1 <br />TVPE <br />S�ZE OF <br />Twin Cedars <br />TYPE OF FI%TURE OR ITEM <br />WATER CLOSET �TOILHT� <br />BATHTUO <br />IpVAT( �RY pYASN �ASIN� <br />SHOwER <br />NITCHEN SINK 8 DISP <br />LAUNOf�V TRAY <br />CLOTHES VlASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR �RAIN <br />OACKFLOW PREV[NTERS <br />ROO° DRAINS — f7AINLEADEflS <br />SINN �'sERVICE — OAR, ETC! <br />SUBTOTAL <br />PERMIT <br />TOTALiEE <br />REAPSET�4CK <br />20 <br />lOT AREA <br />7099 <br />OCCUPnNCY GROl1P <br />R-3 <br />NO OF STOliiCS <br />1 <br />CItY <br />❑ DEMOLITION <br />❑ WOODSTOVE ❑ OTHER <br />Z�P PHONE <br />❑ BUILDING RELOCATION <br />I HEREBY CERTIfY TH;�.T I HAVE READ AND EXAMINED THIS <br />AP�LICATION AND KNOW THE SAME TO BE TRUE AND <br />vounco�icsi CORRECT. ALL PROV�SIONS OF LAWS AND ORDINANCES <br />GOVERNING TI IIS TYPE OF WORK WIIL BE COMPLIED WITH <br />— WHFTHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHOR:TY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THEPERFORMANCE OFCONSTRUCTION. <br />9GNNU oFcn���RnCiO�i �Uin niZEonc .oRolvrvER 'onTE <br />X � ..=.i � '�f,�«✓l`,?� v/I•/Y,v <br />FEE <br />c <br />� <br />SocsEtuncK <br />6 <br />✓AC/ NL Sli[ <br />Cr[5 ❑no <br />VO O( DIVELLING UNITS <br />1 <br />41r1t OLC LOAD <br />MECHANICA' <br />TYPE OF EOUIPMENT <br />A�C — A�HNDLG UNITS — H P <br />REFRIGERATION UNITS — H P EA <br />OOILERS — � T U: H P. <br />GASPIREDAC UNITS—OTU <br />FORCEDAIRSYSTEMS—OTU h1EA <br />WMl HEATERS — 0 T.U. M <br />UNIiHEATERS—�TU A1 <br />EVAPOPATIVE COOLERS <br />CLOTIiES DRVERS _ <br />VENTIIATION FAN <br />RANGEHOOD <br />WATERHEATER � <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIPEPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN CHECKNUMBER <br />88/19381 <br />FEE <br />SU9TOTAL <br />PEflMIT <br />TOTALFEE <br />FEE RECEIPT NO. <br />Basic <br />�UILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE <br />STATE BUILOING JURCHARG <br />ST�TEENERGVSURCHARGE <br />S 55 <br />Sec.30d1e1 <br />AVPLIf.AiIDNACC OV PlANSCMECN[�IiY APPR GORISSUANCEOV � � <br />DRIVEWAY PERMIT <br />M.M. D.E. B.E. TOfAL <br />— ?EflM�TVALIOATION <br />� MEN PROPERLY VALIDATEU �IN THIS 5'ACE) TH�S IS YOt/R PERMIT <br />;,, <br />00 <br />00 <br />�� <br />SO <br />00 <br />�n <br />50 <br />r� <br />�� <br />N� <br />Q�i <br />� <br />