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��° - C'')NSTRUCTION C <br />everett PERMIT PERMITNQ:= � ���J <br />259-8745 <br />❑ DEMOLITION O COMBINATION C3 ^.UILDING ❑ MECHANICAL ❑ PLUMBING �] SIGN <br />ONMER MNIL PODRE55 CITV IIP PIIONE <br />Marvin Ayers P.O. Box 771 Snohomish, WA 98290 568-1923 <br />AFCHRECTOROESIGNEq MAI�ADDRE55 CIiY ZIV PHONE <br />GFNEN/L CONTRRCTOfi NFIL AODRESS [ITY ZIP PNONE LICENSE • <br />Owner <br />MFCHRNILRLCONTRnCTOR MAILAODRE55 CITY ZIP PM(1NF. �ICENSE• <br />FLUMBING WNTRnLTO� MRit pDDRE55 �ITY LIP VMONE UCENSE • <br />CUSS OF WORK <br />C� NEW ❑ A�DITION ❑ ALTERATION ❑ REPAIR <br />YALUATION OF W01iN <br />S 320��.�� <br />oesenme waarc <br />Construct new single family residence <br />NERTSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE <br />Single�family residence <br />lt WL ucxHn• i iurv tir n�orcn i r �>nU�v fiELO\Y OF TTTAGH LOUR COPIESI <br />°.������K 27 0� Plat of the Town of Lowell <br />PLUMtlING <br />WATER CLOSET �TOILET� <br />BATHTUB <br />LAVATORY�WASH BASIN <br />SMOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />CLOTHES WASIIER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />�1VV�U IVJ— <br />SINK �SERVICE - <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />T9ACR -- REFRS[TpACN <br />20 20 <br />LOTpNEA ega <br />R-2 3600Noncon <br />.rvc or cor+sr <br />V-N <br />512[ OF �LDG <br />888 <br />APPLICATIONFCG OY <br />R-3 <br />NO OF STOli�ES <br />1 <br />❑ DEMOLITION <br />❑ OTHEN <br />❑ BUILDING NELOCATION <br />I HEREBY CERTIFY THAT I H4VE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE 'fRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVEFNING THIS TYPE OF WORK WILL BE CONPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GR4NTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUI'I�ORITY TO <br />VIOLATE OR CANCEL THE PROVISIUNS OF ANY OTHER <br />STATE OR LOCAL LAW REGUTATING CONSTRUCTiON OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAi [OF yONiRACTO(1 }A �i110pIZEO GENT.OROWNER OAIE <br />X n,tl�,rt, /Ilx�� 7_ l�_A7 <br />MECHANICAL <br />FEE NO. TVPE OF EOUIPMENi <br />5 OO A�C — A�NNDLG UNIiS — H P. <br />5 QQ REFRIGERATIONUNITS—MP EA. <br />rj QD DOILER$—BTU/HP. <br />GASFIREDAC UNITS—BS.U. <br />rJ OO FORCEO AIR SYSTEMS — D T U M EA <br />S OO ���lL NEATEFS — B T.0 M <br />UNITMEATERS—B.T.0 M <br />S OO EVAPORATIVE COOLEPS <br />1 CLOTHESDRYERS <br />VENTILATION FAN <br />RnNGEMpOD <br />1 WATERHEATER • <br />WOGu STOVE <br />METAL FlREPLACE 8 CHIMNEV <br />FIREPLACEINSERi <br />NEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />VFCANT SITEJ <br />❑YES ❑NO <br />NO Of DWEIIING ONIiS <br />1 <br />APFR <br />B.E. I L.C. <br />SU@TO?4L <br />PERMIT <br />TOTA�FEE <br />HECNNUMOEF �fEEll/o� : •: ry�CE1P'7'��T,'ir� <br />87/17735 117!00 83544 <br />i+nnn�77'.4 <br />ouaoiNc <br />PLUMBING <br />MECHANICAL <br />INVESTIC��N �dfl Chi <br />STATE 9UILDING SURCHARG <br />STATEENERGYSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />i'L3�.400 . 003 . L'0 <br />r.�� i.,. . <br />rnA 'J a ^� <br />E� SRCH 4 .50 <br />•' d :l �.UU <br />i� �inr,i (cl <br />E�Q�D�S:�� <br />SEWcF: :311.00 <br />uwu�n .�rv <br />WMEN PROPERLV VALIDATED �IN TFI(��SC�CE� YHISIS'rOf1R PERMIT <br />,,.i:hl.ss r I. � <br />