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i <br /> ��c���° - .� CINSTRUCTION � <br /> everett PERM11' PERM�T �,Q.: 2064'� � <br /> 259 - 8745 <br /> ❑ DEMOLITION �yJ COMBINATION ❑ BUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br /> ow�:e�+ rnni�nooness eirv zir r�ior�e <br /> Randy Clark P.O. Box 708 Mukilteo 98275 338-0335 <br /> ARCMITECTOR�ESiGNEP MAILADpfi[55 CIiY ZIP PHON[ I <br /> GENERAL CONiRACTOR MAIL AODRE55 CITV 21P PHONE LICENSE n � ' <br /> Select Homes Same SELcCH*123DS <br /> MECMANICALCONiRFCTOR h1AILApCItF.55 CIiY 21P PHONE LICENSEx , <br /> PWM9INGCONTRACTOR �1NLADDR[SS CITY pIP PNONE IICENSEe �� <br /> CLASSOFWORK — � <br /> �] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ BUILDING RELOCATION <br /> VALUATION OF WOFH <br /> 5 50,534.00 <br /> oEscaio=_woeK . <br /> Construction of single family residence. Basi.c "Elm" <br /> HEAT SOIIfiCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER ! <br /> anoaoseo use oF oui�oir�c �i <br /> FYX�X Single family residence I HEREBY CERTIFV THAT I HAVE READ AND EXAMINEG THIS i <br /> r�PPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �ecn�oescnianoNOFPnovearv�sNowsei.avonnrrncNrouacoaies� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br /> 44 Larson Park GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br /> LUT__pLOCK _ OF <br /> WHETHER SPECIFIED HEREIN OF NOT. T�iE GRANTING OF A <br /> PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br /> VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br /> STAT OR LOCAL LAN' REGULATING CONSTRUCTION OR <br /> T ER RNANCE OF CSd STRUCTION. <br /> J08AODRE55 51 TURE CONTRr1Ci P./+UtH R E�ACENi.OH WNE�V DATE <br /> 10718 lOth Dr. SE y'_ �7r.8& <br /> PLUMBING MEC NICAL <br /> NO. TYPE OF FI%iURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 2 WATER CLOSET(TOILET) AiC–AiHNDLG UNITS–H P <br /> 1 BATHTUB 5 REFRIGERATION UNITS–H.P.EA. <br /> Z LAVATORV�WASH BASIN) 1 �OILERS–B.T.U:H P. <br /> 1 SNGWER GAS FIRED A C.UNITS–B.T U. <br /> 1 '<ITCHEN SINK 8 DISP. FORCED AIF SYSTEMS–BSL. M E�. <br /> 1 OISFIWASHER WALL HEATLRS–BS.0 h1 <br /> LAUNDRV TRAY UNIT HEATERS–�T.0 M <br /> 1 CLOTHES WASHER EVAPORATIVECOOLEF75 <br /> URINAL CLOTHESDRYERS <br /> DRINHING FOUNTAIN VENTILATION FAN <br /> FLOOR ORAIN qANGE HOOD <br /> BACKFLOW PREVENTERS WATER HEATEN � <br /> ROOF DRAINS–RAINLEAOERS INOOD STOVE <br /> SINK�SEFVICE–BAR,ETCJ METAL FIREPLACE 8 CHIMNEV <br /> FIREPLACE INSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTF�N <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PEflMiT S PERMIT 5 <br /> TOTALFEE S TOTALFEE <br /> FnONT SETBACK n6�q sCianCK SioE 5[innCK pLAN CHECK NUM6ER FEE RECEIPT NO. <br /> 2p 20 6 87/18910 Basic <br /> USE ZONE �aT��REA VACANT SITE <br /> R-1 7107 fj��Es f_lr+o FEES VALUATION FEE <br /> rrae ov coNsr OCCUP�NCY GPOUP NO OF pWELLING UNITS Eiul�oiNG S 419 00 <br /> V-N R-B 1 PLUMBING QS OO <br /> SIZEOFBIDG NOOFSTORIES b1�% OCCLOAO <br /> 1539 j N P MECHANICAL S$ SO <br /> INVESTIGATION FFE Sec.J04�e) <br /> FIRE SPRINKLERS REOUIRED ❑YES YCI NO <br /> STATE C�UILDING SURCHARGE 3 SO <br /> STATE ENERGY SUf1CHARGE 15 00 <br /> APPLICATION�CC �V PI.ANSCHLCN[DPY pPPil FO(IIS:U�NCEpY <br /> DFIVEW�Y PERMIT <br /> 20 00 <br /> S.H. J.W. J.47. TOTAL 561 00 <br /> - PEFMIT VALIOATION <br /> WHEN PROPERLV VALIDATED QN THIS SPACE)THIS IS VOUR PERIAIT <br /> � ./ ��' <br /> �1V� � '—�'•�y�l/�= (.L f� '0l"1� � =�`�`� . C�' <br /> �� � i � 1 <br /> `�� '/i�/c�"� INJ,�i�! , o <br /> N <br />