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`��'�' � � C�'��VS1��UCTION � �✓ <br />everett PERMIT PERMITNQ. � 77�G <br />259-8745 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING ❑ SIGN <br />OWNER MAILADDPESS CITY 21P PHONE <br />Robert Jungaro P.O. Box 363 Diukilteo, WA 98275 355-4196 <br />ARCHITECTOP.�ESIGNER MAILqDDfiESS CITV ZIP PHONE <br />Impression Design . <br />GEh.'AL CONTRACTOR MAIL ADDRE55 CITY 21P PNONE LICENSE � <br />Dev Mar P.O. Box 363 I:�ilcilteo, wA 98275 742-5670 DEVMAC162JW <br />MEGMANICAICONTRACTOP MAILAODRESS CITY ZIP PHONE LICENSE• <br />PLUM9ING <br />6scn��.n�aa.xy <br />CLASS OF WORK <br />❑ NEW O ADDITION O ALTERATII;N ❑ REPAIH <br />VAWATION Oi WORK <br />5 29,OOU. <br />DESCHIBE WOfiN <br />Repair moved house and install foundation. <br />❑ DCMOLITION <br />❑ ELECTHICITY ❑ GAS � WOODSTOVE ❑ OTNER <br />vxurwcu uac �r n�aoinu <br />single family residence <br />LEfiAL OESCflIPTION OF PROPERTY �SHOW DEt <br />��6 & ]flZocK 828 ov Evere <br />JO� ADORESS <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />1 WATER CLOSET (TOILET) <br />1 BATHTUB <br />j LAVATORY(WASHBASIN) <br />SHOWER <br />1 KITCHEN SINK & OISP. <br />DISHWASNER <br />LAUNDRYTRAV <br />j CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DPAINS - RAINLEADERS <br />SINK (SERVICE - BAR, ETC.) <br />20' <br />USE20NE <br />R-1 <br />TYPE OF CONST <br />V-N <br />SUBTOTAL <br />PERN.IT <br />70TAL FEE <br />PEAFSETDACK <br />20' <br />LOT AREA <br />6,945 <br />OCCUPANCYGPOUP <br />R- 3 <br />FEE <br />5 <br />S 25 0� <br />_ _ _ <br />5 2$ 0� <br />SIOE SET�ACK <br />10 + 5 <br />VACANT SITE <br />j�YES ❑ NO <br />NO OP OWELLING UNITS <br />1 <br />SIZE OF pLUG. N0. OF STOBIES M!IX OCG <br />B15 1 - <br />FOUNDATTON & EXT. STAIRS <br />pPPIICRT10N ACC. DY <br />SH <br />ED OV APPR F01i ISSUANLE OY <br />Be L.C. <br />ZIP PNUNE I.ICENSEM <br />fl BUILDING FiELOCATION <br />I HEREBY CL•RTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIO� AND KNOW THE SAME TO flE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND QRDINANCES <br />GOVERNING TH�S TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTIN� 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 PERF MA� CE OF CONSTRUCTION. <br />SIGNATURE ONTqA OR. AUTMORIZED AGENT, OR OWNER OATE <br />X � 3/ 3 � <br />MFCHANICAL <br />TYPE OF E�UIPMENT <br />A/C - AMNOLG UNITS - HP. <br />REFFIGERATION UNITS - H.P. EA. <br />BOILERS - BS.U./H.P. <br />GAS FIRED A�Q UNITS - B T.U. <br />FORCEDAIfl5Y5TEM5-B.T.U. MEA. <br />WALL HEATERS - B.T LL M <br />UNITHEATERS-B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />PEHMIT <br />TOTALFEE <br />FEE <br />13 <br />CHECK NUMBER FEE RECEIPT NO. <br />87/17792 46.80 985fi� <br />�3�a� <br />FEES uALUATION FEE <br />BUILDING S i�3r0i�0 <br />PLUMBING pj/Q;,/�7 �% <br />MECHANICAL � <br />i.:m <-•,r• <br />INVESTIGATION FEE E;�S,� 304p <br />STATE BUILDING SURCHARGE <br />PLt3G <br />«� �E=i _ <br />STATEENERGYSURCHARGE E; �RCN <br />DRIVEWAV PERMIT E SF.CH <br />TOTAL SEWth: <br />PEPMITVALIDATION ]I�S-j <br />W HEN PROPEflLY VALIDATED �IN Tyl$ SPACE) <br />.�., � i ��.. <br />',���i..,_ , � . <br />� <br />278 00 <br />'N OUOAif43125 QQ::;.a: i <br />13 00 <br />.U� I <br />.UJ 1 50 i <br />nr� <br />.50 <br />•a`� zo 00 <br />�pp 352 50 <br />. �_'? <br />YQLJR PERMIT <br />