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i ? <br /> the Euergreen ��. <br /> ��TY°F C'�N ST R U GT l�f� <br /> everet�t p����7 PERMITNO. �O6�U <br /> 259 - 8745 <br /> ❑ D=MOLITION � COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ON'NEP M1IAILAOORE55 CIiY ZIP PIIONE <br /> Randy Clark P.O. Bor.. 708 A]ukilCeo, WA 98725 338-0335 � <br /> ARCHRGCTORpf9�:JER AtFILA00PE55 CRv ZIP PHONE i <br /> GEN[�4LCONTRACTOR RIAIL���qE55 CITV 21P PHnN[ UCENSfI <br /> Select Homes Same S�LECH*123DS <br /> f.'ECHANICNLCONTR�GiOR �,1NLAO�RE55 QTY ZIP PHONE LICENSEu � ' <br /> PtUMCfINGCONTR4CTUR MAILAL�R[55 CIiV ZIP VHONE LICENSEM <br /> I <br /> GLASS OF WORH <br /> C�NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATIUN ,(' <br /> VALUATION OF WORK ' � <br /> s 50,534.00 , �,S <br /> I <br /> oescaise wonK s <br /> ` <br /> Construction of sinqle familv residet.ce <br /> HEATSOURLE �� . <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER I � <br /> i <br /> PROPOSED USE OF�111L01NG � <br /> I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS I <br /> Sinqle Famiiv Residence APPLICATION AND KNOW THE SAME TO BE TRUE , >JD <br /> �mn�oescnianoNa�anoaearv�snowoe�ov+oanrTr,er+�ouncoviesi CORRECT. ALL PROVISIONS OP LAWS AND ORDINANCES I `, <br /> �or 39 �,�o�K _ �F Larsen Park Div Div II GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH � <br /> WHETHER SPECIFIED HEREIN OR NOT. TH'' GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE. AUTHORITY TO � <br /> - V�IOLATE OR C'.NCE:. THE PROVISIONS OF ANY OTHER <br /> STATE O^ LOCA LAIY REGULATING CONSTRUCTION OR .. <br /> THE PEF �RMAN E OF CONSTRUCTION. � <br /> JOBADORESS SIGRntU F CONTRIC UR.N'T��ON12ED AGENT,OR OKN[N �yDATE �', - <br /> 10713 lOth Dr. SE X "( d <br /> -- _ ^ i <br /> PLUMBING MECHANICAL � � <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE ''i . <br /> 2 WATEH CLOSET(TOILET� 1 A:C--A�HNDLG UNITS-H.P. I <br /> 1 BATHTUB 5 REFRIGERATION UNITS—H.P.EA. I <br /> 2 LAVATORV(WASH BASIN� 10 �OILERS—B T.U1H.P. I � <br /> 1 SHONlER 5 GAS FIRED A�C UNITS—B.T.0 ', <br /> 1 KIrCHEN SINK 8 DISP. 5 FORCED AIR SYSTEMS—B T.U. M EA II <br /> DISHWASHER WALLH[ATERS—OS.U. M �, <br /> LAUNDRVTRAV UNITHEATERS—BT.U. fd �i . <br /> CLOTHECIYASHER EVAPORATIVECOOLERS <br /> URINAL CLOTHES DRVERS <br /> �RINKING FOUNTAIry VENTILATION FAN � <br /> FLOOR�RAIN RANGE FIOOD <br /> BACKFLOW PREVENTERF lh'ATER HEATER <br /> ROOF DRAINS—17AINLE��E75 WOOD STOVE <br /> SINK�SERVICE—�AR,ETC.1 METAL FIREPLACE 6 CHIh1NEV <br /> FIREPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXH�USTFAN <br /> SUBTOTAL S SUB TOTAL i <br /> PEPMIT 5 pERMIT <br /> TOTALFEE S TOTALFEE 5 � <br /> FRONi SETpACN qEnR SEiPnCK SifJE tiL1pnCN PLAN CHECK NUM�ER J � r �F�-{"k� , <br /> 20 20 6 87/18910 Ba ic � <br /> USE20NE LOTAREF � <br /> �ArEs T O r�io FEES ATIO FEE 'I <br /> R-1 7775 � <br /> TYPEOFCONST. OCCUPANCYGFOUP NooFowei.uucu^iir: BWLDING �'��j534.0�1� •00 919 00 I <br /> V—N R-3 1 PLUMBING �J 45 Q� <br /> SIZEOFBLOG NOOFSTOPIES 61A% OCCI.O�O <br /> 1314 1 N A MEL'HANICAL E SkCH S1 .O� SB SO <br /> INVESTIGATION FEE ' .'30a e <br /> FlRE SPFINKLERS REOUIRED ❑VES $I NO �� - <br /> STATE BUILDING SURCHARGE SEWEh S. .00 3 SO <br /> STATEENEFGVSURCHARGE EN�III �3` 15 GO <br /> nrvucnriounr.c ov rinrvscr�ecnennr nrr�; ronissunr�ceor - <br /> DRIVEW,:YPEPMIT I$OOOOfiOS9 20 00 <br /> S.H. J.W. J.W. TOTAL , � � 561 00 <br /> PEflM1T V�LIDATION <br /> V111EN PROPFlIL Y VALII]ATED�IN THIS SPACE�THIS IS YOUR FERMIT <br /> �� <br /> �� <br /> �1� <br /> � <br /> CV <br />