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� <br /> `��� � C�NSTRUCTION � �° .� . <br /> everett P�RMIT PER�,T NQ:_ 21197 <br /> 259 -8745 <br /> ❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING O SIGN <br /> OWNER MAILADORESS CITY LIP PHONE <br /> Julia Anderson 2312 23rd St. SE Everett 98201 252-0545 <br /> ARCMITECTOROESIGNER MAILAOORESS CITY ZIP PIIONE <br /> Impression Design 229 Jackson Everett 98203 355-3200 <br /> GENERALCONTRACTOR MAILADDRESS CITV ZIP FMONE LICENS[a <br /> GI:I Const. 4802 103rd P1. SW Everett 96204 355-3506 GG� GIHCOT'�121KS9 <br /> MECHANICAL GONTRACTOR MAIL ADDRESS ptY 21P PMONE LILENSE d <br /> PIUMBINGCONTRACTOR MAILAOORESS CITY 21P PHONE UCENSEx <br /> CLASS OF WORH <br /> ❑ NEW ❑ ADDITION ❑ ALTEHATION �I REPAIR ❑ DEMOLITION ❑ BUILDING HELOCATION <br /> VALUATION OF WORK <br /> S .LrJ��O�.�� <br /> DESLRISE WORK <br /> install foundation under existing home <br /> NEATSOURCC <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSE�USE OF BUILDING <br /> Sin le famil res�dence I HEREBY CERTIFY THAT I HAVE R[AD AND EXAMINED THIS <br /> g y APPLICATION AND KNOW THE �AME TO BE TRUE AND <br /> LEGALDESCHIPTIONOFPflOPERTY�SHOWBELOWORATTACMFOUFCOPIES� CORflECT. ALL PROVISIONS OF '_AWS AND ORDINANCES <br /> �oT 31-3�o�K 497oF Plat of 2nd Capitol Hill Add. GOVERNING THIS TYPE OF WORK WII_L BE COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR IJOI'. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME 'i0 GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PRCVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW GULPTING CONSTRUCTION OR <br /> THE P RFORMANCE OF � NST UCTIfrSN. <br /> JOB ADDRE55 SIGNl+TUA OF CONTR�GTOR.A OPIZEO EIIT �GWNER ATE <br /> 2312 S8f 23rd St. SE X `� � i� ' �f� <br /> PLUMBING ME <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMEN'f FEE <br /> WATER CLOSET(TOIIET) A/C-A/NN�LG UNITS-H.P. <br /> BATHTUB - qEFRIGEflATION UNITS-H.P.EA. <br /> IAVATORV(WASH BASIN) BOILERS-B.T.U./H.P. <br /> SHOWER GAS FIRED A.C.UNITS-B.T.U. <br /> NITCHEN SINN 8 DISP. FOFCED AIR SVSTEMS-B.T.IL M EA. <br /> DISHWASHER WALLHEATERS-BT.U. �A <br /> LAUNDRVTRAV UNITHEATERS-B.T.U. �A <br /> CLOTHES WASHER EVAPORATIVECOOLERS <br /> Ui71NAL CLOTHES DRVERS <br /> DflINKING FOUNTAIN VENTILATION FAN <br /> FLOO��RAIN RANGE HOOD <br /> BACKFLOW PREVENTEFS WATER HEATER � <br /> ROOF DRAINS- RAINLEADERS WOOD STOVE <br /> SINK(SERVICE-BAR,ETCJ METAL FIREPLACE 8 CHIMNEY <br /> FIFEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB70TAL f SUBi'OTAL <br /> PERMIT S PER�IIT <br /> TOTAL FEE f TOT,IL FEE <br /> FRONTSETBACK nEnnSETBnCN Si�ESETPACrc PLANCHECKNUM�ER FEE RECEIPTNO. <br /> 20 20 5 88/21197 105.30 14448 <br /> USEZONE LOTAREA ypCANT5ITE <br /> _Z ❑YES �o FEES VALUATION FEE _ <br /> TYPEOFCONST. OCCUPANCYGROUP NOOFOWELLINGUNITS BUILDWG g�,S�OOO.00 162 OO <br /> V—rt R-3 1 PLUMI3ING 12/07/88 2� PM OOOAH3656 �t=K�kK <br /> S12E OF BLOG NO OF STORIES M�X.OCC.LOAp — <br /> 1 N/A MECFIANIC.9L �}OOOG1197 I � <br /> INVE3TIGATION FEE E�M'z.soa����ib .00 �I <br /> FIRESPRINKLERSREOUIRED ❑VES �IGJO � <br /> STA"EBUILDINGSURCHARGE CHECI� SIE .SO .s SO �. . <br /> STATEENERGYSURCHARGE � ' <br /> APPLICATION FCC OY P�ANS CH[CNE�BV �PPR.FOR i55UANCE BY � � - <br /> DRI'/EWAV PEfiM1T I � <br /> M.M. J.W. J.41. TOTAL 165 50 �I <br /> PEFIMIT VALIDATION � <br /> WHEN r^ROPERLY VALIDATED QN THIS SPACE)THIS IS VOUR PERMIT � � <br /> �� i <br /> Q� <br /> r� ci <br /> `� <br /> N <br /> ADDnESS FILE <br />