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� `�� ^ C�NSTRUCTION '� ''' c <br />everett PERMIT PERMITNO. 21 66u <br />259-8745 <br />❑ DEMOLITION ❑ COMBINATION i7 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MRILRDDRES$ CITY ZIP PMONE <br />Helen Norgaard 6106 Dexter Everett 98203 353-7544 <br />ARCMrtECT OR �ESIGNER A1.R ADDRE55 CITV • 21P PNONE <br />GENERRL CONTRRCTOR MAIL �D�l1E55 GITY ZIP MONE IICENSE � <br />owner <br />MECNRNIC/LCONTPRCTOR MAILADDRE55 CITY '�P PHONE LiCENSE� <br />KUMOiNGCONTRACTOR MRILApDRE55 CITY ZIP PHONE UCENSE� <br />CL�SS OF WORK <br />❑ NEW f7 ADDITION <br />Vr1lUr1TION OF WORN <br />S 2%�SS2.�� <br />DESCAIBE WOPN <br />Addition <br />❑ ELECTRICITY <br />Duplex <br />20 <br />LOT _ �LOCN _ <br />❑ ALTERATION ❑ REPAIR <br />❑ GAS ❑ WOODSTOVE <br />❑ DEMOLITION <br />O OTHER <br />❑ BUILDING HELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />DELOWOfiPTTACHFOUl1COPiE51 CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />Cascade Terrace GOVERNING 7HIS 7YPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN 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 LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PF�RFORMANCE OF CONSTRUCTION. <br />c� iu oncmuinnci�N RuiuOfl¢EOAGENT.OROWNERI �_ PATE��� <br />�i? Woodlawn <br />PLUMBING <br />NO. TYPE OF FIXTURE OR I <br />WATER CLOSET (TOILET� <br />BATMTUB <br />LAVATORY�WASH OASIN� <br />SHOWER <br />KITCHEN SINN 6 DISP. <br />OISHWASHER <br />LAUNORVTRAV <br />CLOTMES WASHEF <br />URINAL <br />�RINNING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTER$ <br />ROOF �RAINS — RAINLEADERS <br />SINK (SERVICE — DAR, ETC � <br />SUBTOT�L <br />PERMIT <br />TOTALFEE <br />20 20 <br />LOTRRER <br />R-2 <br />TVPE <br />V-N <br />SIZE Of �LDG <br />672 add <br />S.H. <br />OCCUP�NGYGROUP <br />R-3 <br />NO OF STORIES <br />1 <br />PLANS CMECN[O OV <br />B.E <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />A/C — NHNDLG UNITS — M P <br />REFRIGEPATION UNITS — H.P. EA. <br />DOILERS — 8.T U �H P. <br />GASFIREDAC UNITS—OSL. <br />FORCEDAIRSYSTEh15—�S.0 MEA. <br />WALL HEATERS— BSL. M <br />UNITHEATERS—B.T.U. M <br />EVAPORnTIVE COOLERS <br />CLOTHES ORYERS <br />VENTILATION FAN <br />RANGEMOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE d CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXN�USTFAN <br />5 <br />VFCANT SITE <br />❑YES �INO <br />2 <br />c �ono <br />ISSUANLE DY <br />B.E. <br />PLAN CHECN Nl <br />89/21666 <br />SUBTOTAL <br />FEE <br />�� SRGH IPTNO. <br />CWE�:4� 42 .IXR7418 <br />VAIUAT�ON FEI <br />eui�oiNc 5 27,552.00 <br />PLUMBING <br />MECHANICAL <br />INVESTIGATION FEE Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />DRIVEWAY PERMIT <br />TOTAL <br />PERMIT VALIDATION <br />WHEN PROPERLY VALIDATED (IN TNIS SPACE� THIS IS YOUR PERMIT <br />2711 50 <br />31 50 <br />