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.A "j <br />the h°PC <br />CITY 0i CONSTRUCTION everett PERMIT PERMIT NO. 21150 <br />259-8745 <br />❑ DEMOLITION <br />❑ COMBINATION B BUILDING <br />❑ MECHANICAL <br />❑ PLUMBING <br />❑ SIGN <br />OWNEII <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />Renwich G. <br />Congdon Jr. P.O. Box 1332 <br />Mukiltc^ WA 98275 <br />347-2412 <br />ARCHOECT OR D61GNER <br />MAILAOeRESS <br />CITY <br />ZIP <br />PHONE <br />GENERAL CONIPACTOR <br />MqL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSER <br />Owner <br />MECHANCALCONTRACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSEE <br />PLUMBINGCOKGIACTOR <br />MAIL ADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />[I6 ❑ <br />NEW <br />n�nn <br />NEW ❑ADDITION ❑ALTERATION El REPAIR ❑DEMOLITION x BUILDING RELOCATION <br />5000.00 <br />DESCRIBE WORK <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER —_ <br />wn Yp IAFOF BUILDING <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 WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HP9EIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LO AL LA EGULATING CONSTRUCTION OR <br />XHE P NCE )BIZI CTION S T <br />54.NAE TRACT UTNORIZE ENT. OR//OMmEyy DAl <br />4tfkO J 4LG NVe - <br />PLUMBING <br />� — - <br />MECHANICAL <br />jTO. <br />TYPE OF FIXTURE OR ITEM <br />WATER CLOSET ITOILETI <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />AC - AMNDLG UNITS - FU5/L6/89 Z71 <br />FEE <br />N OODR 0 L . <br />BATHTUB <br />REFRIGERATION UNITS —H R EA / <br />LAVATORY (WASH BASIN) <br />BOILERS — S T U M P. MM21150 <br />SHOWER <br />GAS FIRED AC UNITS -BS.Bp.OG S72 <br />DO <br />KITCHEN SINK A DISP. <br />FORCED AIR SYSTEMS - B Ty. Sk01111 EA. $3 <br />50 <br />D'SHWASHER <br />WALL HEATERS - BTU. g00�I0['2p69^8 <br />LAUNDRY TRAY <br />UNIT HEATERS-8T.0 EkUM S3O <br />OD <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS WD ]I 5720 <br />OD <br />URINAL <br />CLOTHES DRYERS 1171-5 f650 <br />OD <br />DRINKING FOUNTAIN <br />VENTILATION FAN g00006116 <br />FLOOR DRAIN <br />RANGE HOOD WRTR $650 <br />00 <br />BACKFLOW PREVENTERS <br />WATER HEATER g0000.1151 <br />ROOF DRAINS - RAINLEADERS <br />WOOD STOVE #00021151 <br />SINK (SERVICE - BAR, ETC I <br />METAL FIREPLACE 6 CHIMNEELOG $1118 <br />00 <br />FIREPLACEINSERT B H 93 <br />50 <br />HEAT PUMP H00026932 <br />GASPIPING SEWER $39 <br />00 <br />EXHAUSTFAN 720 <br />OO <br />1171-5 <br />^ D <br />SUB TOTAL <br />f <br />SUB T <br />PERMIT <br />f <br />PERM) $65 <br />DD <br />TOTALFEE <br />f <br />TOTA T <br />FRONTSETDACK <br />20 <br />REAR SETBACK <br />20 <br />SIDESET➢ACK <br />5 <br />PLAN CHECK NUMBER <br />88/21150 <br />FEE <br />46.80 <br />RECEIPT NO. <br />14420 <br />USE 20NE <br />R-2 <br />LOT AREA <br />Ja <br />VACANT SITE <br />YES ONE,FEES <br />VALUATION <br />FEE <br />BUILDING <br />$SOOO.00 <br />7 <br />GD <br />TYPE OF CONST. <br />V-N <br />OCCUPANCY GROUP <br />R-3 <br />NO OF DWELLING UNITS <br />1 <br />PLUMBING <br />SIZE OF BLDG <br />1120 FTIN]. <br />NO OF STORIES <br />MAX OCC LOAD <br />N/A <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ONES QJNO <br />INVESTIGATION FEE <br />SBc. 304(B) <br />STATE BUILDING SURCHARGE <br />3 <br />50 <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC BY <br />M.M. <br />PLANS CHECKED BY <br />D.E. <br />-- <br />PH FOR ISSUANCE BY <br />B.C. <br />DRIVEWAY PERMIT <br />TOTAL <br />75 <br />50 <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED IN THIS SPACE) THIS IS YOUR PERMIT <br />n <br />r <br />l� <br />CV <br />I <br />ADDRESS FILE <br />