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`�� �� � C'�NSTRUCTION '"" '"` I <br /> everett PERMIT PERMITNO. ZO5`+4 <br /> 259 -8745 <br /> ❑ DEMOLITIOM C]2 COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBIN:. ❑ SIGN <br /> OWNEF MAI�ADDRESS CITY ZIP PNONE <br /> Tom Szalay 1132 90th St. SW #6 Everett 98204 353-2969 <br /> ARCHITEC70ROESIGNER MAILAOORE55 CITY ZIP FIIDNE <br /> Towne and Country Design 310 N. Central Kent 98035 852-1077 <br /> GENERFL CONTRPCTOP MAIL AUDRESS LITY ZIP VHONE LICEN>E/ <br /> Tom Szalay 1132 90th St. SW #6 Everett 98204 353-2989 <br /> MECHRNICAL CONTNACTOR MAIL A�DRFSS CITV 21P PHONE LICENSE• <br /> PLUMBING CONTPACTOR MAII A�ORESS CITY 21P PHONE LICENSE� <br /> GLASS OF WOFK <br /> � NEW ❑ ADDITION ❑ ALTERATION Ll REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VAWATION OF WORK � <br /> s cXxXXXxxx a�x��x�� x� iso,:sei.00 <br /> DESCR19E WOFN ' <br /> New construction <br /> HEATSOUPCE <br /> . ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVF ❑ OTHER <br /> PROPOSED USE OF tlUI�01NG <br /> Single family residence I HEREBY CERTIFY THA7 I HAVG �iEAD AND EXAYIINED THIS <br /> APPLICATION AND KNOW THE SAME TO FSE TRUE AND <br /> LEGALUESLRIPTIONOFPqOPERTY�SHOWBELOWOHATTACHFOUef,OPiES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 16 Kenilworth Hills #5 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LOT_BLOCK _ OF 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 COIJSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOBAOURE55 SIGNATURE F CONTq[CTOR.AUTHORIZED AGENT.OR OWNER �ATE <br /> �� 9-8-�� <br /> 5306 23rd Ave.W. X @rrri� <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURIf OR ITEM FEE NO. TYPE OF EOU�PMENT FEE <br /> 4 WATER CLOSET(TOILET) ZO OO A/C—A/HNDLG UNITS—H.P. <br /> 2 BATHTUB LO OO REFRIGERATIONUNITS—H.P.EA. _ <br /> gQ LAVATORV�WASHBASIN) ZO OO BOILERS—B.T.U./H.P. <br /> 2 SHO�.VER ZO OO GAS FIRED A�C.UNITS—B.T.U. <br /> 1 KITCHEN SINK 8 DISP. S OO FORCED AIR SYSTEMS—B.T.U. bf EA. <br /> 1 DISHWASHER S OO �M1'ALLHEATERS—B.T.U. M <br /> 1 LAUNDfiV TRAV S O�3 UNIT HEATEfiS—B.T.U. M <br /> 1 CLOTHES WASHER S OO EVAPORATIVECOOLERS <br /> URINAL 1 CLOTHESDRVERS Fi SO <br /> DRINKING FOUNTAIN Q VENTILATIOiJ FAN LR OO <br /> 1 FLOOR DRAIN S OO 1 RANGE HOOD 6 SO <br /> BACKFLOW PREVENTERS 1 WATER HEATER 6 SO <br /> FOOF DFAINS—RAINLEADERS WOOD STOVE <br /> SINK(SEFVICE—BAR.ETC� METAL FIREPLACE 8 CHIMNEY _ <br /> FIREPLACE WSEHT <br /> HEAT PU61P <br /> GAS PIPING <br /> E%HAUSTFAN <br /> � <br /> ,,.e rpTp� S 85 00 $�B 37 5 <br /> .'����....f f PERMI7 <br /> -JTALFEE S $5 TOTALFEE <br /> FRONi SETBNCK REAR SETBnCK SIpE SET�ACN P�AN CHECK NUMBER FEE RECEIPT NO. <br /> 30 25 �•5 Bg/20544 386.43 10821 <br /> USE20NE ��TAREA yqCANTSITE <br /> R—S 20,OOOc[ �res ❑r+o FEEE VALUATION FEE <br /> TYPEOFCONSt. OCCUPANCYGROUP NO.OFOWEILINGUNITS BUIL�ING <br /> V-N R-3 1 PLUMBING / BS 00 <br /> S12EOFBL�G. NOAFSTORIES MA%.00GLOAD <br /> 27SFi 2 N�A MECHANICAL ' <br /> INVESTIGATION FEE �.�41e) f .� <br /> FIRE SPRINKLEFS REOUIRED ❑VES O <br /> STATE BUILDING SURCHARCaE <br /> STATE F.NERGY SURCHARGE e $(j�,�{ 'j ,SQ 15 00 � <br /> APPLICATION ACC.BY PLANS CMECKGD BY APPP FOR ISSU�NCE OY II <br /> ORIVEWAV PERMIT 20 00 <br /> TOTAL NOOOOSO� ,�Z I <br /> M.M J.W. J.W. � <br /> PERMIT YALIDATION <br /> WHEN PFOPERLY VALIUATED(IN�gHIS IS YOUF7 PERMIT , <br /> SE6�R 4:�0.00 � <br /> 1171-5 f2�4.00 � <br /> fC�NT��k <br /> N ' <br /> �i <br /> r ,.��� _ <br />