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.�� <br />cm oF <br />everett <br />259-8745 <br />C'�IVSTRUCTION �-� � - 1 A <br />PERMIT PERMITNQ:= 1 �`�S� <br />� DEMOLiTION �(COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OVMER M�IL�DDRE55 CITY 21P %1� <br />DONALD HERWANDER 5830 - 135th PL NE Marysville WA 96210 653-2391 <br />ARp11TECTOHDE5IGNEN MAILADDRESS LITV ZIP �NE <br />GENEMLLONTMGTON MAILADORlSS CiTY ZiP PHONE UCEKSE• <br />Same <br />MECNANICALGONTR�CTOR MMLAODRE55 CITY ZIP PHONE LJ[NSE• <br />PLUMBINGCONTR�CTOR M�ILADDRE55 CITY ZIP PHON"c IICENSE� <br />;USSOF WpRR <br />� NEyy ❑ ADDITION ❑ ALl[RATION ❑ NEPAIR O DEMO,.ITION ❑ 9UILDINO RELOCATION <br />s $%��0�.�� <br />DESLHiBE VIORK <br />New single famlly residence <br />❑ ELECTRIC�TY ❑ GAS -7 WOODST�Ye <br />vnoroseo u=e or euaort+c <br />Sinqle family residence <br />�o* � 3 e�ocK � <br />Bridle Park <br />5620 Sound Avenue <br />PLUMBIN6 <br />pp, TYPE OF FIXTURE OR ITEM <br />WATER CLCSET (TOILET� <br />BATHTUB <br />LAVATORV (WASH BPSIN� <br />SHOWER <br />KITCMEN SINK 8 OISP. <br />DISHWASMER <br />IAUNDRVTRAV <br />CLOTMES WASHER <br />-- URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN � <br />BACKPLOW PREVENTEFS <br />ROOF DRAINS - RAINLEADERS <br />f "IK (SERVICE - BFR. ETC.) <br />fiv4 irec <br />SUBTOTAL f <br />VERMIT f <br />TOTAL FEE f <br />FNONTSETOALR RERRSETBRCN SI <br />, � <br />USE20NE LOTAREA �� <br />_g C <br />TYPE GF CONST. OCCl1PRNCY GFOUP N� <br />SIZE OL BLOG. <br />mm <br />❑ OTHER <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE Of WORK WILL BE COMPLIED WITN <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CAPlCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCA�_ LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANI.E OF CONSTRUCTION. <br />SIGNATURE OF CONTRPCTOR. RUTHORIZEO RGENT.OR OVMER O�TE <br />X <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPI <br />A/C — A/HNDLG UNITS — M.P. <br />REFRIGF.RATION UNITS — N P. <br />BOILERS — B.T.U./HP. <br />GAS FIRED A.C. UNITS — 8 T.U. <br />FORCED AIR SYSTEMS — B.T.0 <br />W ALL HEATERS — BS.U. <br />Q� UNITHEATERS—BS.U. <br />EVAPORATIVE COOLERS <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER • <br />WOODSTOVE <br />METPL FIREPLACE 8 CHIMNEY <br />FIREPLACE �NSERT <br />HEATPUMP <br />GAS PIPING <br />EXNAUSTFAN <br />❑ NO <br />DW[LLINf• <br />I NO. OF STORIES I MnX OCG LOAO <br />ii — <br />' REOUIRED ❑ YES ❑ NO <br />BY PL/.NSCHECKEUBY FPPR FORISSURNCEUY <br />jef be lc <br />SUB TOTAL <br />86/17481 <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />INVESTIGATIONFEE Add� <br />STATE BUILDING SURCH,1i7G <br />STA7E ENERGV SU(7CHARGE <br />DRIVEWAV PERMIT <br />M E�. <br />M <br />M <br />B SRCH <br />.pp83;82 <br />.Do <br />TOTAL I I <br />yPJENMIT VAl10ArION gC� i <br />St1'UCiure� no���to �exceed�PL'J'Tee�s db0 eRM1T <br />average elevat•ion at the foot of the <br />building. <br />t�ili�'�.f :,S f '�; E <br />