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_ _ _ - � <br /> ��� :"'� C�NSTRUCTION -� '"� <br /> everett PERMIT PERMITNO. ZO� 76 <br /> 259 - 8745 <br /> ❑ DEMOLITION ❑ COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MAILADpRE55 CITY ZIP PHONE <br /> � Robert Foos 21505 89th W. Edmonds. 96020 77A-a7�� <br /> PRCHiTECTORDE5IGNER MAILADDFESS CITY ZIP pHONE <br /> GENEflALCONiRALTOR MAILA�DFESS C4Y ZIP PHONE LICENSE� <br /> Owner F005*R*232N3 $ <br /> MECHNNICALCONTRACTOR MFIL/�DRE55 CITY ZIP PHONE LICENSE� <br /> PWMBING CONTPACTOR MAIL ADDRESS dTY ZIP PHONE LICENSE� <br /> GLNSS OF WORK <br /> ❑ NEW ❑ AODITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION I� BUILDING RELOCATION <br /> VAIUATION OF WORK <br /> 5 7610.00 <br /> OESCRIBE WORN � <br /> New foundation to relocate bldg, and remodel interior. <br /> MEATSOURCE <br /> ❑ ELECTflICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED USE OF BUILDING <br /> Single family residence I HEREBY CERTIF`�' THAT 1 HAVE AEAD AND EXAMINED THIS <br /> APPLICATION AiJD KNOW THE SAME TO BE TRUE AND <br /> LEGALDESLRIPTIONOFPROPERTV�SMOWOELOWORATTAGHFOURCOPIES� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 534 Mitchell Land Development S. GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> ior_e�ocK _ oF WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> lst Add. Certified lot #4-88 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 PERFORMAtJCE OF CONSTRUCTION. <br /> JOBAODNESS SIGNAT EOFCONTRACT UTHORIZEDFGENT.OROWNER DATE <br /> 3519 25th St. X �-n- � <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF E�UIPMENT FEE <br /> 1 WATER CLOSET(TOILET) A/C—A/HNDLG UNITS—N.P. <br /> BATHTUB REFRIGERATION UNITS—M.P.EA. <br /> LAVATOflV(WASH BASIN) BOILERS—B TL/HP. <br /> SHOWER GAS FIRED AL.UNITS—B.T.U. <br /> KITCHEN SINK 8 DISP. FORCED Alfl SVSTEMS—B.T.U. M EA. <br /> DISHWASHER WALLHEATERS—BT.U. M <br /> LAUNDRVTRA'( UNITHEATERS—B.T.0 M <br /> CLOTHES WASHEF EVAPORATIVE COOLERS <br /> URINAL CLOTHES DFVERS <br /> Di71NKING FOl1NTAIN VENTILATI04 FAN <br /> FLOOFDRAM � RANGEHOOD <br /> BACKFLOW PqEVENTERS WATEfl HEATER <br /> (i00F DRAINS—RAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETCJ METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT <br /> HEATPUMP <br /> GAS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL S SUB TOTAL 19 SO <br /> PERMIT S PEqMiT <br /> TOTALFEE S TOTALFEE 19 SO <br /> FaoNrSETBnCK REnqSETBACK SmESEToaCK p�ANCHECKNUMBER FEE RECEIPTNO. <br /> 20 20 _ 5 ti8/20176 40.95 97743 I <br /> UfEZONE LOTFREA yq�qNT51TE <br /> R_2 C�es ❑r+o FEES VALUATION FEE <br /> TVPEOFCONST. OCCUPANCYGROUP NOOFOWELLINGUNITS BUILDING 5 761�.�0 99 � <br /> V-N R-3 1 PLUMBING 30 0 <br /> SIZE OF�LOG. ND OF STORIES MR%.00C.LOAD <br /> 870+2nd floor 2 N A MECHANICAL 19 0 <br /> INVESTIGATION FEE pldn Sec.304(e) 23 0 <br /> FIRE SPRINKLERS REOUIFED ❑VES Qq NO <br /> STATE BUILDING SURCHARGE 3 0 <br /> STATE ENERGY SUF7GHARGE <br /> APPIICATION ACC BY PLANS CHECKED DV APPP.FOR ISSUFNCE DY <br /> DRIVEWAV PERMIT 20 0 <br /> M.[d. B.E. B.E. TOTAL 195 0 <br /> PERMIT VALIDATION <br /> WHEN PROPERLY VALIDATED�W THIS SPACE)THI515 VOUR PEHMIT <br /> � 6/�3��� � <br /> � <br /> �� o <br /> , _ � , ; , _ - <br />