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u�� <br />cin oF <br />everett <br />259-8745 <br />�JNSTRUCTION " "` � . <br />PERMIT PERMITNQ:_17�93 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br />OMMEfl MAILADDRESS CITY ZIP PMONE <br />Jack and Stephanie Lee R883[8888% 745-8621 <br />APLHITECT OR UESIGNER MAIL f.0�PE5S GITY ZIP PMONE <br />GENERALGONTRACTOR MAILADDRESS CITY ZiP PHONE LICENSEI <br />K.T�. Enterpri5es 1460G Beverly Pk Rd. Edmonds, WA 98r.�!Q 745-8818 KLENT232rL <br />MECHANIC/L�'�ONTRACTOR AIAILADDHE55 C�TV ZIP PMONE LILENSE♦ <br />MUMPINGCONTRACTOP MAILAOORE55 CITY 21P PHONE LIGENSE/ <br />CLASi DF WOHIt <br />� NEW ❑ ADDIT16N C] ALTERATION ❑ REPAIR ❑ DEMOLITION O BUILDING RELOCATION <br />g J.20,000.00 _ <br />CESCRIBE WORK <br />N ingcl famil� roc'A�o_n_a <br />HFATSOUNLE <br />❑ ELECTRICITV ❑ GAS ❑ WOODS70VE ❑ OTHER <br />�or �3 e�ocK _ <br />56th St. SW <br />PLUMBING <br />TYPE OF FIXTUHE O <br />WATER CLOSET (TOILET� <br />BATHTUB <br />LAVATORY(WASHBASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP. <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DflINKING FOUNTAIN <br />FLOOR OflAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS - RAINLEADEFS <br />SINK (SEflVICE - BAR. ETC.) <br />25' <br />USE ZC NE <br />.3-S <br />TYPE O` CONST. <br />4'-N <br />� 1ZE OF 9. CG <br />3114 <br />FIFi� SFRINN.'_! <br />np�LU]A"ON F; <br />;;.h'. <br />SUBTOTAL S <br />PERMR S <br />TOTALFEE S <br />HEARSETBFCK 51 <br />25' <br />LOTAREA VI <br />12500 Q <br />OCCUPANCY CRCIIP ��� <br />R-3 <br />NO.OFSTORIES A1 <br />2 <br />) ❑ YES Li�NO <br />PLANSCMIiCKEDPY P <br />B.E. <br />1 HEREBY CERTIFY THAT I HAVE REPD AND EXAMINED T• HIS <br />APPLICATION AND KNOW THE uAME TO BE TRUE AND <br />CORRECT. ALL PROVI.SIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL 8E COMf'LIED WITH <br />\VHETHER 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 PERFORMANCE OF CONSTRUCTION. <br />;'IGNF E OF ,�q�N/TR�AC/7OR. AUTI�OR/�/[ED NGENT, OR OWNER OAT ' <br />X ����s HCLLYL�t1�r�✓� � � <br />ti <br />MECHANICAL <br />FEE NO. TYPE OF EQUIPMENT FEE <br />Ai: - A/HNDLG UNITS- H.P. <br />REFFIGEW� ION UNITS - N.F. EA. <br />BOILFRS - E T.U./H.P. <br />GAS FbiEO A.C. �;NITS - B.T.U. <br />j PORCED AIR SYSTEMS - B T.U. M EA. <br />WALIHEATERS-B.T.U. M <br />UNIT HEATERS - B.T.U. M <br />EVAPORATIVE COOLERS <br />1 CLOTHESDRV[RS <br />3 VENTI�ATION FAN ] <br />], PANGE I100D <br />1 WATER HEATER • <br />WOOD STOI'E <br />], METAL FIREPLACE 8 QiIMNEV <br />1 FIREPLACEINSERT <br />HEAT PUIdP <br />GAS PIPING <br />EXHAUSTFAN <br />% �.�i � <br />ANTSrtE <br />ES GNO <br />OF pwE.LING UNTS <br />c o c �oao � <br />:7/A <br />PR FOR ISSUANCE OY <br />L.C. <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />PLAN CHEf'. �.'�� �' iE(7 FEE RECI <br />8' "': .d3 04/"��.1.1B.-. RH � <br />�FEES VALUATION <br />BUILOING r 17p ` <br />— _ � .J <br />PLUMBING <br />c�i r, ;,:.. n <br />MECHAP:iCAL i�IECH ii0� �,�0 <br />— b tl.l"' : .J <br />INVEST16ATIONFEIc ,_ �y,�304(e) �,��. ,�� <br />STATE 6UILDING <br />STATE ENERGV SUPCFIARGE <br />�{�:�r�Vi�� �5.�'..l'.�� <br />DRNEWAY PERMIT I tiOOO.�i�SS6�' <br />TOTAL I ]i71-� 4^^�,I1L1 <br />PEflMITVALIDATION i, fl'' �����iS��y'2.!�il <br />WHEN PRCPERLV VALIDP.TED (IN T1i��SdACE) THIS IaYOUR PERMIT <br />�DDRESS FILE <br />15 00 <br />20 00 <br />M <br />07 <br />� <br />C�— <br />r-- <br />