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`�� f 7N�TRUCTION <br />everett PERMIT PERMIT NO. � S� OZ <br />� ��,-g� <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLIIMBING ❑ SI6N <br />OWNER M�ILADDPESS GITY ZIV PHONE <br />Kevin Dahl P.O. Box 2996 SY4t Elrerett, WA 98203 339-1133 <br />ARCHITECTOROESIGNER MRIL��D�RE55 CITV 21P VHONE <br />GENEMLCJNTR�CTOR MRILRDDRE55 CITY 21P PMONE 4CENSE� <br />Oti er <br />MECHINIC�LCONTR�CTOR M�ILADORE55 CiTV ZiP PHONE LiCENSE� <br />VLUMBING GONTR�CTOR MML RDDNE55 CITY ZIP PHONE LICENSE � <br />I� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDINfi RELOCATION <br />VALU�TICN OF WORN <br />s 64,000.00 <br />New single 87miYX family residence <br />❑ ELECTRICITY ❑ GAS � WOODSTOVE ❑ OTXER <br />Sinqle family 1ti[llYtlt residence <br />LOT �_ BLOCK <br />5619 Sound Ave. <br />PLUMBING <br />NO. <br />WATER CLOSET �TOILET� <br />BATNTUB <br />L4VATORY�WASH BASIN) <br />SMOWER <br />NITCHEN SINK 8 DISP. <br />LAUNDRYTRAY <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR ORAIN <br />BACNFLOW PREVENTERS <br />RQOF DHAINS — RAINLEF <br />SINN (SERVICE — BAR, ET <br />SUBTOTAL f <br />CEPMIT f <br />TOTAL FEE f <br />i$ zs <br />USEZONE IOTAREA <br />R-S 12�50� <br />TYPEOFCONST. OCCUFANCYGROU <br />V-N R-3 <br />512E OF DIOG NO OF STORiES <br />2370 3 <br />FIRESPRINKLERSREQUIRED ❑YEJ LINO <br />APPLICATONRCC.9Y FUNSCNELNEUO <br />S.H. B.E. <br />i � <br />VRCANT SITE <br />pYES ❑NO <br />NO CF DWELLI <br />1 <br />APPq fOR ISSUANCI. OV <br />L.0 <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING TtiIS TYPE OF WORK WILL BE COMF�IED 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 I'ROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SiGNASURFAFCONTRACTO�MUTHORIZEOqGENT.OROWNER DRTE <br />� <br />MECHANICAL <br />TYPE OF EOUIPME <br />q/C - AMNOLG UNITS - HP. <br />REFRIGEPATION UNITS - H P. EA. <br />BOILERS - B T.0 /H P. <br />GAS FlRED A C. UNITS - B T.U. <br />FORCED AIR SYSTEMS - O.T.U. <br />WALL HEATEflS - B?.U. <br />UNIT HEATERS - B T.U. <br />EVAPORATWECOOLERS <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOQ <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />SUB TOT11L <br />M EA. <br />M <br />M <br />PIANCMECKNUMBER FE6..00IHSOL <br />Ru <br />87/18102 g�[SG92.B2 <br />FEES iMEaATION <br />BUILOING <br />PLUMBING <br />MECHANICAL <br />e s�cH <br />FEE <br />5�258 86637 <br />00 �E <br />00 477 <br />50 60 <br />00 24I <br />INVESTIGATIONFEEj�jd pl ij�[��� <br />STATE BUILDING SURCHARGE SEWER 45.� .00 <br />..E"__ <br />STATEEN6RGVSURCYARGE �OrJQOS4:�F i <br />DRIVEWAYPERMIT WaTER 340 .00 <br />�— <br />TOTAL <br />VERMIT Y�LID�TION <br />WMEN PROPERLY VALIDATED �IN TMIS SPACE) THIS IS VOUH PERMIT <br />AD'JNESS i ILt. <br />17 <br />1 <br />1S <br />20 <br />N <br />O <br />� <br />GO <br />� <br />