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`�� - r'�NSTRUCTION - - p c <br /> everett PERMIT PERMITNO. � o�2U <br /> 259-8745 <br /> ❑ DEMOLITION ❑ COMBINATION C,� BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIfiN <br /> OMMER MRIL R�ORESS CITY 21P PNONE <br /> Donald B. White 5615 Seahurst Everett, WA 98203 348-5996 <br /> �pCHITECT OH OESIGNER M�IL��OPE55 ��TY Z�P ��� <br /> Same <br /> GENER4CONTR�LTON MMLAUDRESS CrtY ZIP RIONE IICENSE� <br /> Same <br /> MECHANIC�I CONTR�CTOR M�IL�DDRE55 CITY 21P �ONE LICENSE� <br /> RUMBINGCONTP�GTOR M�IL�DDAESS CiTY ZIP RIONE UGENSE• <br /> CL11550F WORN <br /> � �y/ ❑ ADDITION ❑ AITER�TION ❑ REPAIR ❑ DEMOLITION ❑ BUILDIN6 RELOGITON <br /> V�LUATION OF WORIt <br /> { 4���0. <br /> DfSCRiBE WOPK <br /> Motor home port <br /> HEATSOURLE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> vaoaoseouseoFeunon+c I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br /> Motor home port APPLICATION AND KNOW THE aAME TO BE TRUE AND <br /> LEG�lOESLPIFTIONOfPROPERTY�5N0\48ELOWORATfRCMfOUNCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> E 291 ft of the N 64.5 ft as Meas plt N ln GOVERNING THIS TYPE CF WORK WILL BE COMPLIED WITH <br /> tor_eioc Blk 000-0-03 WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING OF A <br /> of Tr 45 pERMIT �('ES NOT PRESUME 70 GIVE AUTHORITY TO <br /> Tax N4368-000-045-0302 VIOLATE C � CANCEL TtiE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> THE PERFORMANCE OFCONSTRUCTION. <br /> JOBADDRE55 SInNRTURE,P�/.`D�NiRACTOR.4�UTNO�RI EDRGENT OR R URTE <br /> 5615 Seahuret Ave z ��v�..,�.—+�-,�--�-�� _ G .� �`J <br /> PLUMSIN6 MECHANICAL <br /> Np, TYPE OF FIMUNE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—HP. <br /> BATYTUB REFRIGERATION UNITS—HP.EA. <br /> LpVATORV(WASH BASIK� BOILEflS—B 1'L/MP. <br /> SHOWEH GAS FlRED A�C.UNITS—B.T U <br /> KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—B i U. M F.A <br /> DISMWASMER WALLHEATERS—BT.U. M <br /> LAUNDRY TRAY UNIT NEATER$—B TL. M <br /> CLOTHES WASHER EVAPORATIVE COOLERS <br /> UFINAL CLOTHES DflYERS <br /> DHINKING FOUNTAIN VENTILA710N FAN <br /> FLOOR ORAIN RnNGE HOOD <br /> BACKFLOW PREVENTEFS WATER HEATER <br /> ROOF DRAINS—RAINLFAOER$ �'dOOD STOVE _ <br /> SINK�SERVICE—DAR,ETC� METAL FIREPLACE 8 CMIMNEY <br /> FlREPLACEINSERT _ <br /> MEAT PUMP <br /> GAS!'IPING <br /> E%MAUSTFAN <br /> SUBTOT�L f SUBTOT�L <br /> PERMIT f PERMIT <br /> TOTALFEE f TOULFEE <br /> FRONTSEienGN REnRSETenGK SiDESETBnCN PLt,NCHECKNUMDER FEE RECEIPT40 <br /> 20, yp� 5� 67/18326 40.95 86834 <br /> USEZONE IOTARER yqLRNTSITE <br /> g_2 ❑rEs 7�r+o FEES VALUATION �E <br /> BUIIDING S 9 000. 63 00 <br /> TVPEOfCONST OCCUPANG�GROUP NOOFOWELLINGUNITS � <br /> V—N M-1 � PLUMBING <br /> S�ZE OI BLOG NO OF S10RIE5 MA% OCC IOFO <br /> SZZ S£ 1 NA MECNANICAL <br /> IYVEST�GATION FEE .?j/���lel�j::; ,lih �i�OGtR`•�,� '.4'.:I�.{.'' <br /> FIRE SPRINKLERS REOUIRED YES NO STATE OUILDING SURCHARGE � 1 SO <br /> STATE ENERGY 5��qCHARGC- I,�_�;�. � p .,Ul� <br /> qPPLiCRTION ACC BY PUNS CHECNEO 9V RFPP (OR 155UANCE BY ,_.� � �� <br /> DRNEN'AY PEFMIT ' " <br /> SN Be L.C. TOTAL 64 50 <br /> PERMIT V�LID�TION <br /> WNEN PROPERLV VALIOATED(IN TNIS SPACE)THIS IS VOUfl PERMIT CQ <br /> N <br /> M <br /> O� <br /> a--- <br /> /.OU;ieaS I ILi. <br />