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�e� � �'`�NSTRUCTION � q <br /> Gn oF '- <br /> eV��� PERMIT PERMITNQ:_ ! ��� � <br /> 25�l -8745 <br /> ❑ DEMOLITION ❑ COMBINATION �.'] BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SION <br /> ONNER 1Apl��DDRE55 CIT\' ZIP fMONE <br /> Bud Jamieson 2126 Rucker Ave Everett <br /> APCNiTECTORDE5IGNEH MMLADDRESS CITY ZIP RIONE <br /> 6ENERALCONiRACTOR M�iL�00RE55 CITY 2iP PIIONE LILENSE� <br /> Ed JOnes 2708 Cedar Rd. Lake Stevens 90258 EDJONC160iA 334-6841 <br /> MECNANIC��GONTHACTOR MMLRDDRE55 CITY ZiP PHONE UCENSE� <br /> 0.UMBING CONTR�CTOR M�II�D�RE55 CITY 2iP RIONE LICENSE� <br /> CL�SSOF WC41R <br /> ❑ NEW ❑ ADDITION ❑ ALTERATION $I qEPAIR ❑ DEMOLITION ❑ BUILDING RELOCATON <br /> V�lUAT10N OF WORN <br /> t �- !� d�lr� <br /> DESCRIBE WORK <br /> Level to remove dirt and new beams where needed. <br /> HEATSOURCE <br /> ❑ ELECTRICITY �] pA5 ❑ WOODSTOVE ❑ OTHER <br /> vaoros¢o use or euuort+c <br /> Single family residence I HEREBY CERTIFY TIiAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> LEO�LOESCRIPTIONOFPROPERTV�SMOWBEIOWORATfACHFOURCOPIES) CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> ior_e�ocK _ov_ GOVEiiNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> 4391-432-019-0003 PERMIT DOES NOT PRESUME TO GIVE AUTMORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> Sec. 192905 NE STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> TH[ PERFORMANCE OF CONSTRUCTION. <br /> JOBADpRESS SiGNA E ONTRACTOP.AUTMORIZEDAGENT.ORON?!ER O�TE <br /> 2126 Rucker Ave j( . 9/25/86 <br /> PIUMlING MEC ICAL <br /> NO. TYPE OF flllTURE OR ITEM FEE NO. TYPE OF E�UIPMENT FEE <br /> WATER CLOSET(TOILET� A/C-A/HNDLG UNITS-HP. <br /> BATMTUB REFRIGEPATION UNITS-H P EA <br /> UVATORY(WASH BASIN) BOILEflS-B.TLIH.P. <br /> SHOWER GAS FIRED AC.UNITS-8 TL. <br /> KITCHEN SINK 6 DISP. FORCED AIR SYSTEMS-BS.U. M EA. <br /> DISMWASNFR WALIMEATERS-B.T.U. M <br /> IAUNDRVTRAY UNILHEATERS-B.i.U. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS <br /> DRINKING FOII!;7AIN VENT!LATION FAN <br /> FLOOR�Flplry RANGE MOOD <br /> BACKFLOKPREVENTERS WATERHEATER � <br /> ROOFDRAIN:�-RAINLEAOERS WpO05TOVE <br /> SINY.(SERVIC[.�-BAR,ETC.� METAL FIREPLACE d CHIMNEV <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING i <br /> EXHAUSTFAN <br /> i <br /> 1 <br /> SUBTOTAL f SUBTOT�L <br /> PERMIT S PERMIT <br /> TOTALFEE ! TOTALFEE <br /> FRONi SETBACN REaq SETBRCK S�OF.SETBACK PLAN CHECK NUMBEH FEE RECEIPT NO. <br /> USEIONE LOiAREA <br /> vacnHrsrte FEES YALUATION FEE <br /> ❑YES ❑NO <br /> TYPEOFCONST. OCGUPANCYGROU� �pOFOWELLING'JNITS BUILDING S �.rQ(1er <br /> PLUMBING I� <br /> SIZE OF BLDG NO OF STORtES MA% OCC LOAO <br /> MECHANICAI 04/25/86 10:� OOOR112x20 Y <br /> INVESTIGATION FEE u��f�1 <br /> FIRESPPINKLERSREOl11RED YES NO <br /> STATE BUILDING SURCHARGE �� S� •� 1 50 <br /> SIATEENERGYSURCHARGE ��� SZ .SO <br /> APPUC�TION RGC PY PL/NS CHECNED BV APPP FOR ISSUANCE DY <br /> DRIVEWAV PERMIT <br /> M.M. L.C. TOTAL � a�� <br /> - PERMIT VAl10A?lON <br /> WMEN PROPERLY VAIIDATED(IN THIS SPACE)THIS IS VOUR PERMIT <br /> Q1 <br /> r <br /> N <br /> L�- <br /> a�— <br /> AC�DRLSS f;LE <br />