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`�� ;ONSTRUCTIO�'- n <br /> everett PERMIT PERMITNO. � 7`+OD <br /> 259 - 8745 <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ON41EN MRI�pDDRESS CITY ZIP PNONE <br /> A CONSTRUCTION 1003 '�'oodlawn Everett WA 98203 252•-4�2a - <br /> ARp11Tf:CTONOESIGNEi MAI.PDORE55 CITV 21P VHONE <br /> GENERM CONTMCTOR MniL A�ORE55 CrtY 21P PNONE LICENSE� <br /> Same <br /> MECH�YILALCONTRRCTOR MnILApORE55 CIiY 21P PMOPIE LICENSE� <br /> PLUMBING LONTRRCTOR MAIL AOURE55 G��Y 21P PNONE LICENSE� <br /> CLASSOF WORK <br /> K] NEW ❑ ADDITION ❑ ALTERATION � HEPAIR ❑ OEMOLITION ❑ BUILDING RELOCATIOH <br /> VRLU�I�ON OF WORK <br /> S 9�����.�� <br /> DESCRIBE WORK <br /> New single family residence <br /> NEATSOURCE <br /> O ELECTHICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> aaocoseouseovouaoine I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> Single family residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEGALDESCRIPTtONOfI'HOPERTYISHOWOELOWORAiTRCNFOUNCOVIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> K GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> �or 2 e�ocK �ov WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERM�T DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> dHEPERFORMANCE OF CONSTRUCTION. <br /> SIGNAT IR-fIF CONT ACTO ,AU�HOIiIZE�AG6NT.Ofl ONMEN � DRTE ,rO <br /> JOBPDDRE55 � —` . !' /`I ��y-yH� <br /> 2 24 � �� <br /> PLUMBING 1AECHANICAL I1/12 86 4:23PM OOOAq292^c �k#X� <br /> NO. TYPE OF FIXTURE OR ITEM FEE � �10. TYPE OF EOUIPMEN FEE <br /> 3 WATERCLOSET�TOILET� �5 OO ' A,C-A'HN�lGUN1T5-H . <br /> 'j BATHTUB �O OO NEPRIGERATIONUNITS-H . <br /> 3 LAVATORY�W�SMBASIN� 15 �0 BOILERS-OT.U.iHP. <br /> � SHOW@P 5 OO GASFlREDA.C.UNIiS-B.T. . <br /> Q KITCHEN SINK d DISP �O OO � FORCED AIR SYSTEMS-B. . EA. 9 O <br /> � �ISMWASHER rj QQ WAILHEATERS-BT.0 <br /> � LAUNOPYTRAY 5 �0 UNITHEATERS-�T.U. <br /> � CLOTHESWASHEfl S OO EVAPORATIVECOOLERS <br /> URINAL � CLOTHESORVENS <br /> ORINKING FOUNTAIN 4 VENTILATION FAN <br /> FLOOR DRAIN � RANGE HOOD ' GG . <br /> B/+CKFLOW PREVENTERS � WATEfl HEATER <br /> HOOFDRAINS-RnINLEADERS � WOODSTOVE t <br /> SINK�SEfiVICE-DAR.E fC.) METAI FlREPLACE S CHIMN <br /> FIREPLACEINSERT <br /> MEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB TOTAL S J O OO SUB TOTRL <br /> VENMIT f PERMIT <br /> TOTALFEE f J TOTALFEE <br /> FRONiSETBnLK REARSEionCN Si�E5ET0aCR PLANCHECKNUMBER FEE RECEIPTNO. <br /> 75' 7.5' 86/17400 357.18 83345 <br /> USEZONE LOTRRER yqCANi51TE FEES VA IATION �E <br /> R-S 12 502 �°ES ❑"° <br /> TYOEO°CONST OLGUf'ANCYGRDUP NOOF�WELLINGUNIiS BUILDIN�i 5(� O <br /> V-N R-3 � PLUMBING ] <br /> S12E O�f '�• NO Of STOAiES MR%OCC.LORD <br /> 245f + 660 � MECHANICAL ]( 5 <br /> INVESTIGATIONFEE pddl �d��C�ICC� Z9 25 <br /> FIRE SPRINKLERS REOUIRED ❑YES l NO STATE BUILDING SURCHIPGE � 5O <br /> STATE EWERGV SURCHARGE � � OO <br /> pPPLICRTIONPCCOY 1'L/NSGH�G:EOOY nPPHFORI55UANCEOY <br /> DRIVEWAV PERMIT <br /> S9 Jef �� TOTAL ____ BO 5 <br /> PEflMiT VALID.\TION <br /> WHEN FROPEA�V VALIDATEO�!N T41S S�ACE)THIS IS VOUR PEFMIT <br /> 1�,�1c' ,i�,��u� 3ya� �d �- o <br /> �,r.alar, ;�e,:s �'c�f- B��C�J:3" �f-17�� <br /> � — <br />