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the Euerkreen <br /> �v�rett �`�NSTFiUC:TIt�N -- � <br /> 259 - 8745 PERIUIIT PE"��ii'1' N�. 2�1U �8 <br /> ❑ DEMOLITION (11t COMBINATION ❑ BUILDING ❑ MECHANICA'.L G PL'JIdBING ❑ SIGN <br /> OWNER MNl TUDRESS CirT �—�—�� ZIP PHON[ <br /> Fandy CLark P.O. Box 708 hiukilteo, WA 98275 338—G3";5 <br /> nncHrt[Ct oA OEStGNEn 6N�L nnonESs cRr .��� zIP rHUNE <br /> GENERALCONTR4CTOR MAIL�OOBESS CITY LP PHONE IICENSEM <br /> Select Homes Same SELECM*123DS <br /> MECMANICALCONTRACTOil MAIIADDRE55 CIiY 21P pHONE LICENSEM <br /> PlUN81NGCONipACTOR MMLAJpPE55 Cllv ZIP PH^NE LICENSE• <br />, CLASSUFIYOliK <br /> �ICNEW ❑ ADDI'�ON ❑ ALTERATION ❑ REPAIR ❑ D� IITION ❑ BUILDING RELOCATION <br /> VALUATION OF VJORN � <br /> 3 50,534.00 <br />� O[SCRIDE WOFK . <br /> Construction of y�ngle family residence Basic the "Elm" <br /> nearsouace <br /> ❑ ELhCTRiCITY ❑ GAS ❑ WOODSTOVE ❑ OTHEH - <br /> PPOPOSED USE OF OULL�ING i <br /> Single family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAtdINED THIS � ' <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> '�=_ca.te-sr,�a=noHOF�norenrv�snowoe�ov:onn.rna�rouHcoriesl CORqECT. ALL PROVISIONS OF LAWS AND ORDINAiVCES ; <br /> wT 3fi B�OCK _ pF �rson Pl. GOVEF,�.ING THIS TYPE OF WORK WILL BE COMPLIED WITH I <br /> WHETNER S?ECIFIED HEREIN OR NOT. THE GRANTING 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 P RFOR ANCE OF CONSTRUCTION. I, <br /> doo n�ones, ,icr�� � E oF co� nncroe.auTnonizeo nceNr.on owNen onre � <br /> 10719 lOtn Dr. SE X <br /> PLUMBING MECHANIC L '. <br /> NO. TYPE OF FIXTURE OFi Il'cM FEE IdO. TYPE OF E�UIPMENT FEE <br /> 2 W.\TER CLOSET(TOILET) _ A:C-AiHNDIG UNITS-HP. I <br /> BATHTUB REFHIGERATION UNITS-H P.EA . <br /> LAVATORV(WASH BASIN� BOILERS-0 T.0 rHP. � <br /> SHOWER GAS FIR'c0 AD.UNITS-B T.U. I <br /> HITCHEN SINK&�ISP. FORCEO AIF7 SVSTEM$-?.?.U. M EA. I <br /> DISHWASHER WALL HEAiEflS-6.T.U. .'1 <br /> LAUNDRY TRAV UNIT HEATERS-BS.0 M <br /> CLOTHES VJASHER EVAPORl.'I'IVE COOLERS <br /> URINAL CLOTHESOPYERS <br /> DFINKMG FOUNTAIN VENTILATION FAN <br /> FLOOR DRAIN RANGE HOOD <br /> BFCKFLOW'PqEVENTERS WATER HEATER <br /> ROOF ORAINS-�RAINLEADERS VlOOD STOVE <br /> SINK(SERVICE-BAR,ETC� h1ETAL PIREPLAC[8 CI IIMNEY <br /> FIREPLACE INSEf T <br /> HEAT PU1AP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> sue rorn� S SUB TOTAL SB 50 I <br /> PEflMIT 3 pERMIT i <br /> TOTAL FEE S TOTAL FEE S$ SO <br /> FaoNr selOneH aenn;eioncH Sioe 5[Tenen PLAN CHECK NUM�ER PE[ RECEIPT NO. <br /> 20 20 6 87/18910 09/f3dv'�38c11�3 RH OOORH2485 Kf::k:#: <br /> USEZONE LOTAREA VACANi51TE — <br /> R-1 8062 f�rEs ❑N� FEES N FEE <br /> rvaeoFcoNST occurnNcvcaour r�ooFoweuwuuwrs BUiLDWG �;�939.�iQj ,�p 419 00 '' <br /> v-N R-3 1 pLUMBING PLEG 84 .00 <br /> s¢eoro�oc no.oFsronies nmxocciono 45 00 <br /> 1539 1 N/A ��1ECHANICAL E SRCH $� .50 58 50 <br /> INVESTIGATIONFEE E �' dpy��) $i .�D <br /> FIRE SPRINNLERS P[OUIREO ❑VES C,XNO . <br /> STATE BUILDING SURCHARGE ��006014 � 3 50 <br /> STATEENEFGYSUFCHARGE WATER $6 •�� 15 00 <br /> r1PPLICAT�ONACC �Y VL�NSCHELKEDEIY A�'PH FOfiI55U�NCLOY �— <br /> DRIVEWAV PERMIT ¢' .QO 20 00 <br /> i � <br /> S.H. J.W. J.S9. TOTAL EIJDIII 433 .0� 561 00 <br /> PERMIT VALIDATION ' <br /> WHEN PfiOPERLY VALI�ATED�1N llhlt��CE�f�S]�Y�R PERMIT <br /> �� <br /> ^.��- <br /> �� <br /> 0 <br /> �� <br />