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the �crRre�m <br />��T,- oF <br />everett <br />259-8745 <br />G��VSTRUCTION <br />PERMIT <br />PERMITNO. �O�UU <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MFILAD�RE$`v CIiY 21G PNONE <br />Joseph & Gladys Bismore 9fafl8xSx 5603 S. 3rd Everett, SaA 98203 259-G69C <br />ARCMIT[CTOROESIGNER MAIIAODRE55 GTY 210 PHONE <br />GENE�niCONTnnCTOR MAIL/DORESS CITY ZIP PM^tlf. IICENSE� <br />Broughton Construction P.O. Box 396 Sultan 98294 793-1611 SSWfLS9W6�8 BROUGC222PF <br />M[CMANiCPLCONTRACTOR h1AILA0Df1E55 GITY ZIP VHONE LICENS[� <br />PWMpINGCONTPACTOR MMLA��RESS CITY IIP PHONE UCENS[• <br />C1R55 OF WOnK <br />❑ NEW C�ADDITION <br />539,012 <br />❑ AITEHATION ❑ HEPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br />Enclosure of carport, kitchen remodel, deck addition <br />rEnrsouncE <br />❑ ELECTHICIl'Y G GAS ❑ WOODSTOVE ❑ OTHER <br />Single family home <br />ior�J_29ioc� 35 0` Smith's First Addition to <br />town of Lowell. <br />5603 So. 3rd Ave <br />PLUMBING <br />TYPE OF FIXTURE OI <br />WATER CLOSET �TOILET� <br />OATHTU� <br />LAVATORY�WASH�ASM� <br />SHOWEf± <br />KITCHEN SINK 8 �ISP <br />DISHWASHER <br />LAUNORYTRAV <br />CLOTHES N'ASHER <br />URIN�L <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS — RAINLEADERS <br />SINK �SERVICE — �AR ETCJ <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />�HONTSEi�ACH �E4fi5LTpACK <br />20' 20' <br />lSEZONE IOTMEA <br />fl_� <br />fYP[OFCONSL OCCUPAN YGROUP <br />V-N R-3 <br />i12E OF OIOC NO OF STORIES <br />14,909 sf add. 1 <br />I IRE SPRINKLERS REOUIRED ❑ VES U` NO <br />ni'�`iICAT10NACCliY PLANSCMECNEODV <br />M.M. Be <br />FEE <br />S� X lO� <br />CANi SRE <br />VES UPlO <br />1 04 pWELIING UNiTS <br />1 <br />�x occ �onc <br />NF� <br />^Pf1 f0� �SSUANCE OY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED WiTH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />P[RN�IT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OP, LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />9GNAllIRC Of CONTR�CTOR. AlIT110R12EO AGENT.OR ONNEP D4TE <br />X ,NOA,Oi� , �„a ,�...,.»z;�� 9�s �� <br />TVPE OF EOUIPMENT <br />A C— A HNDLG UkITS — H V <br />REFPIGERATION UIJITS — H P. EA. <br />fiO1L[RS — 0 T U d1 P <br />GAS FIRCD A C UMT$ — OS.0 <br />FORCEDFIRSYS'EIdS—UTU M17E1 <br />WALL HFATERS - 0 T U. h1 <br />UNIT NEAiERS -❑ T U M <br />EVnPOnATIVE COOLEflS <br />QMHES DRVE�S <br />VENTILATICN FAN <br />RANGEHOOD <br />VlATER NEATEfi <br />WOODy10VE <br />METAL FlREPIACE 8 CHIMNEV <br />FIREPLACB INSERT <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PLAN <br />88/20768 <br />FEES <br />�UILOING <br />PLU!.IBING <br />MECHANICAI <br />�crvggecetx�y�ptx�cP 1 dn <br />STATE 9UILDING SURCHAR <br />SUBIOTAL <br />PERMIT <br />TOTALFEE <br />FEL <br />206.05 <br />VALUATIOD <br />c 39,012 <br />/ <br />� aooao�ss <br />h ' �0�(�1 <br />�E MECH <br />STATEENERGVSURCHARGE <br />30 00 I <br />30 00 I <br />30 00 <br />EIPT NO. <br />13246 <br />FEE <br />399 50 <br />UODAN JJ ..� <br />5 0 � <br />�cr! <br />21 13 <br />DRIVEWAV PERMIT I �{{EC{; 340�.13 <br />TOTAL � � 909.13 <br />PEflM�T VALIDATION <br />WHEN PROPERLV VALIDATED QN THIS SPACE) TNIS IS YOUR FERMIT <br />7� <br />