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`�� � �NSTRUCTION ��� �`` <br />everett PERMIT PERMITNO. � HO3B <br />���� zs9-eaoo <br />❑ DEMOLITION � COMBINATION Q BUILDING ❑ MECHANICAL U PLUMBING O SIGN <br />oNra[n n+ai� nooness r.irv zia v�+or+e <br />June Van Loon 5122 Sound Ave. Everett 98'LO1 348-3059 <br />PRLNIiECT OR O[SIGNER MAIL R�DRE55 CItY ZIP CHONE <br />Corner Stox% Homes <br />C1A550F WORK <br />� NEW (� AUDITION <br />MRII ADORE55 Gf <br />17331 43rd 8 Dr. NW Scan��aooti <br />MAIL ADDP[55 CI <br />MAIL FO�R[SS CI <br />❑ ALTERATION ❑ REPAIR <br />�8292 <br />❑ DEMOLITION <br />IIP FMONE LICCNSL• <br />CORNESH11lJN <br />ZIP PNONE UCCNSE • <br />21P PIIONF LICENSE� <br />❑ BUILDING RELOCATION <br />S 30,000.00 <br />OESCRIBE WORK <br />Add deck extension, 4 bay 9tXD[8di�1Pt windows, convert recroom inot master bedroom <br />HENi50UPCE <br />❑ ELECTR�CITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />Single <br />LOT 56 BIOCN _ <br />PLUMBING <br />NO. TYPE OF FII <br />1 WATER CLOSET �TOILI <br />i BATHTUB <br />.L IAVATORV�WASH 8AE <br />1 SHOWER <br />KITCNEN SIM1K d DISP. <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW VREVENiE <br />ROOF DRAINS — RAIN <br />SINK �SERVICE — BAR <br />25 <br />usE zor�E <br />R—S <br />l VPE OG CONST. <br />V-N <br />SIZE OF pLOG <br />460 <br />AP{'LICATION ACC BV <br />M.M. <br />� <br />residence <br />SNO W I1FlO1V OR ATTACM �OUR <br />$. ZZrJ� <br />SUBTOTAL <br />PERMIT <br />TOTALFEE <br />\R SEiOFCN <br />25 <br />f AREA <br />15625 <br />CUPANCY GROLIP <br />R-3 <br />OF SiORIES <br />2 <br />I] VES ❑ NU <br />ANS CH W NEO OY <br />B.E. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />'Esi CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />vol 10 GOVERNING THIS TYPE OF WORK WILI BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />V�OLATE OR CANCEL THE PROVISIONS OF ANY (�THER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNAT RE Of ONTRACT R �Uil ORIZE AGE i.OR OWNCR fRiE <br />z -�'�'�.v-��.' ' s-��-8 <br />MECHANICAL <br />FEE NO. TYPE OFEQUIPMENT FEE <br />S OO �/C — ArHNDLG UNITS — H P. <br />�� P[FRIGERATION UNITS — H P. EA. <br />S OO �OILERS—�TUMP. <br />S OO GASFIREDAC.UNITS—BTL <br />FORCED AIR SYSTEMS — B.T U M EA <br />WALLHEATERS—�T.U. M <br />UNIT HEATERS — D.T.0 M <br />EVPPORATIVE COOLERS <br />CLOTNES ORVERS <br />1 VENTILATION FAN <br />RANGEIi00D <br />WATER HEAiER <br />WOODSTOVE <br />METAL FlflEPLACE 8 CHIMNLY <br />FIREPLACEINSERT <br />HEAT PUMP <br />1�A5 PIPING <br />EXHAVSTFAN <br />7 1/2 <br />VACI.NT SITE <br />❑YE� �j �O <br />NO OF OWEIIING UNiiS <br />1 <br />r.mx occ �ono <br />N/A <br />pPPR FOf1155UPNCE �Y <br />L.0 <br />SUBTOTAL <br />PERMIT <br />PI.ANCHECNNUMDER FEE RECEIPTNO. <br />87/18038 189.92 89592 <br />FEES VALUATION FEE <br />BUILDINc 5 30 000.00 <br />rwn�eiNc _ - <br />n., ri <br />MECHANICAL i <br />INVESTIGATION FEE ��� SeF��Od(eY <br />ci , Sq��,, '1 <br />STATEBUILDINGSURCNARGE ;'��:� 7S].L� <br />',,.... P..]U <br />STATE ENERGY SUfiCHAFGE _ <br />�RIVEWAYPERMIT LI;�_LI, �- <br />TOTAL OS <br />PERMIT VALIDATION <br />\VHEN PROPEI�LV VALIDATEf] pN THIS SPAC[) THIS IS VOUR H.'RMIT <br />� <br />4 <br />5� <br />