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� <br /> `he��Y� � C'�'3NSTRUCTI�ON �� <br /> evere��t pERMIT PERMITNQ:: � �OO � <br /> 259 -8745 <br /> ❑ CEMOLITION � COMBINATION ❑ BUIIDING ❑ MECHANICAL CJ PLUMBING ❑ SIGN <br /> aN,��ER MAILApORESS CITY ZIP PHONE <br /> David Bigelo�+ 29206 — 64th Ave NW Stanwood, WA 98292 629-3785 __ <br /> ARCMITECTOROESIGNER MAIL���RESS CiTY ZIP PNONE <br /> GENERALCONTfiALTOR MAILl�DOPESS CITY ZiP PHONE LICENSEx <br /> MECnANICALGOPiIRPGtOR MAILFDDfiESS CIT� ZIP PHONE L�CENSE� <br /> PLUMBINGCO4TPACTOfi MPILAOpRE55 f,IIV LIP PHJNF. LICENSE• <br /> CLASS Of WOFK <br /> �1 NEW ❑ ADDITION ❑ ALTERATION ❑ RE.�AIR ❑ DEMOLITION O BUIIDING FELOCATION <br /> `l�LU/TION OF WORK <br /> s 60,OQ0 <br /> oescaioe wonK <br /> Single family residence <br /> MEATSOURfE <br /> ❑ ELECTRI�:ITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PPOPO�ED.SE OF�UILOING <br /> I HEREBY CERTIFY THAT I HA\�E READ AND EXAMINED THIS <br /> APPIICATION AND KNOW TI1E SAME TO BE TRUE AtJD <br /> iecn�oescaivrioNOFa.:nrenrr�sNowoe�owonnTrncNFouacories� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> �or 31 O�OCK __ OF Firever GOVERNING THIS TYPE OF WORK WILL 8E COMPLIED WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEI THE PROVISIONS OF ANY OTHER <br /> S�iATE OR LOCAL LAW REGULATING CONSTFlUC110N OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB ADDRE55 SIGNAT Of CONTR IOR.�UTIIORIZEJ�GGNT,UR tJ1YNER �^TE <br /> 10510 — lOth Dr SE X � � 4-1—&7 <br /> i`� <br /> PLURIBING MECHANICAL <br /> NO. TYPE OF FI%TURF. OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 3 WATER CLOSET(TOILET� �.S OO �/C—A'hNOLG UNITS—H P. <br /> 2 BATHTU9 ZC' OO REFP.;GFRATION UNITS—HP.EA. <br /> j I LAVATORY�WAS`!BASIN) IS.00 $ BOILERS—dT.UMP. <br /> SHC7/ER GAS FIRED A.C.UNITS—B.T.U. <br /> 1 KITCHEN SINK&DISP. S OO ]. FORCED AIR SYSTEMS—e T.U. �S M EA 9 O <br /> 1 DISHWASHER S OO WALL HEATERS—B T.U. M <br /> LAUNDRY TRAY UNIT HEATERS—B T U. M <br /> 1 CLOTHES WASHE(i S OO EVAPORATIVE COOLERS <br /> URINAL CLOTHESDRVERS C SO <br /> DFINKING FOUNTAIN A VENTILATION FAN IS OO <br /> FLOOR DRAIN 1 RANGE HOOD E� SO <br /> BACKFLOWPREVENTEPc 1 �WATERHEATER • C SO <br /> ROOF ORAINS—FAINLEADERS WOOD STOVE <br /> SINK(SERVICE—BAR,ETC.) METAL FIREPLACE A CHIMNEV <br /> PIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> E%HAUSTFAN �� <br /> SUB TOTAL S Sl1B TOTAL 46 50 <br /> PERMIT 5 PEfiMll' — — <br /> TOTAL FEE S 1'OTAL FEE . n6 SO <br /> FR�Ni5ET6ACH PEARSETOACN SI�ESETBACK PLANCHECKNUMBER FEE . � - REGEIPTNO., <br /> � 20� 6' 87/18003 '248.30 "^9568 <br /> USE20NE LOTARE4 yqCANT5ITE <br /> R-1 17,720 �ves ❑�o FEES VALUATION FEC• <br /> TYPEOFCONST. OCCUPANCYGROUP NOOFDWELLINGUNITS BUILDING S 60,000. 459 SO <br /> 1 PLUMBING S5 00 <br /> 512EOF�LDG. NO.OFSTORiES M11�%.00C.LOAD -- <br /> 2019 2 MECHANICAL _. . . . � �� 46 50 <br /> �1mtQi7CR8�ldn C eC}6ec.3041e) $0 38 <br /> FIRESPRINKLEi1SFE0UIRED ❑YES ❑NO 3 SO <br /> STATEBUILDINGSURCHARGE . - . <br /> STATEENERGYSURCHAFGE � 1S 00 <br /> APPLICATION ACC �Y PLFNS CHECKE��Y APPP FOR ISSUNNCE DV <br /> DRIVEWAV PERMIT . 20 00 <br /> SH B.E. L.C. TOTAL � . 649 88 <br /> PEHl.�IT VALIDATION <br /> WHEN PROPERLV VALIDATED pN THIS SPACE)THIS IS YOUR PEAMIT <br /> �7 <br /> � <br /> 0 <br /> � <br /> r� <br /> i�.L'�L'iiE:iS i�!LE <br />