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._ <br /> �.�E����n C )PISTRUCI'iON ' <br /> CITY OF I <br /> ��V�"�.'el�l, r'E�Id1I� PERMITNC� � U� � �1 <br /> 259 - 0745 ��� <br /> ❑ OEMOI.ITION [�COMBINATION CJ BUILDING ❑ hAECHANICAL ❑ pLUMBING O SIGN <br /> OWN[P. 6fAllAO�PESS CITY ZIP GMONf: <br /> RC Construction 111 SE Eve_^ett hiall Way Everett, ;aA 98204 35:1-57'0 . <br /> ARCHiTECT GR DESIGNEB AIAIL npOR[55 CITY Zlr� PHONE <br /> GENERALCOAiP.ACTOR MAILqDDRE55 CItY ZIP PHONE �iCENS[< <br /> Same RCCONCI11480N <br /> MEGHANICALCONTRACTOR MNLADDR[55 CIiV 21P p1�lONE UCENSEn <br /> PL� IIBINGC9NTRACTOfl 61AILAODflE$5 GTY ZIV pMCNE LICENSEv <br /> CLA55 OF 1YURK <br /> CS}NEW ❑ AD61TI0!� ❑ ALTERATION ❑ REPAIR C] DEMOLITION ❑ BUILDING fiEI.GCATION <br /> VALUATION CF N'OHK <br /> 5 46, zou. 00 <br /> oescr+ioe wonK . <br /> Construction of sincle family dwelling Basic"The Elm" <br /> HEATSOUPCE I <br /> ❑ ELECTRICITY ❑ GAS ❑ WOO�STOV�i ❑ OTHER � <br /> PROPOSED USE OF�UiL01NG <br /> Single i:amily residence I HEREBV CERTIFY THAT I HAVE READ 4ND EXAMINED THIS � <br /> APPLICATION AND KNOW THF SAM� TO BE TRUE AND � <br /> �ecn�oescniaTioNo�-rnorEa�vi;Howoeio�vonnrrac��rounr,oaies� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES ��. <br /> 49 Larson Park GCVERNING THIS TVPE OF WORK WILL BE COMPLIED WITH '� <br /> �or_o�ocK _ oF -- WHETHER SPECIFIED HEflEIN OR NOT. THE GRHNTI!`JG OF A <br /> PE4MIl' DOES NOT PRESLSME TO GIVE AUTHORITY TO <br /> - VIOLATE OR CANCEL THF PROVISIONS OF AN1' OTHER <br /> S?ATE GR LOCAL LAW RcGULATING COiVSTRUCTION OR <br /> THE PE'rIFORMANCE OF CONST9�R�UCTIO�N�y. <br /> �oonoo�es� —� _.,- sicr,� ee�r�,co�rr. =ro�u ���i��fJ'IL,Uf�c�fZi o,�re <br /> �� inR�l�i.��y' � X �r�� -x��. t �z��-�� <br /> PLUMBING MECHAN CAL <br /> NO. TYPE OF FIY.TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> 1 WATER CL03ET(TOILET) S OO ��C -MHNOLG UNITS--HP. <br /> 1 BATHTUB S OO .7EFRIGERATION UNITS-H P.EA. <br /> 1 LAVATORV�WASHBASiN� S OO BOILERS-6TLMP. <br /> SHOWER GAS FIRED AD UNITS-B.T U. <br /> __ 1 KITCHEN SINK 8 DISP. S O O ]. POFCED AIR SYSTEiNS-BS U. M FJI. 9 OO <br /> 1 DISHWASHER 5 Q p WALL HEATERS-�.T U. M <br /> LAUNDRY TRAY UNIT H[ATEFS-B T.0 M <br /> 1 CLOTHESVJASHER S OO EVAPORATIVE..00LERS <br /> URINAL 1 CLOTHESDRYEHS G SO <br /> DRINKING FOUNTAiN 1 VENTILATION FAN A S O <br /> FLOOR DRAIN RANGF HOOD ( S� <br /> BACKFLOW PREVENTERS WATER HEATER 6 S <br /> ROOF�RAINS-RAINLEADEfiS WOOD STOVE <br /> SINK(SERVICE-BAR,ETC� IdETAL FIREPL�CE R CHI67NEY <br /> FlPEPLACEINSERT <br /> HEAT PUMP <br /> GAS PIPING <br /> EXHAUSTFAN <br /> SUB T'JTAL S 3 SUB TOTAL <br /> PERMiT S PEflMIT � <br /> TOTAL FEE 5 TOTAL FEE <br /> FRor�T SETBnCK nEnn S[r9ncK SioE s/ErnnCK PLAN CHECK NUMOER FEE RECEIPT NO. <br /> � �`�v �i 87/18910 206. 05 90392 � <br /> usEzor�E �ornnEa � <br /> ./� cnursitc FEES VAWATION FEE <br /> // �- Y[5 ❑NO �, <br /> 1`. <br /> TYPEOFCONSi OCCUPANf.YGROl1P NOOFOWELLiNGUNT$ BUILDING 546 � 20� 395 �� � <br /> V–N R-3 1 <br /> PLUM8ING 30 00 <br /> sizEOFnioc No oFstonics n+nx occ �ono . <br /> 1034 1 N/A MECHANICAL 63 �� <br /> INVESTIGATIONFEEPZdn k s�c.3oa�e� 50 70 <br /> FIRE SPRINNLERS REOUIFED ❑VES FCJ NO <br /> S7A7E BUILOING SURCHARGE 3 5 0 <br /> S7A7EENERGVSUFiCHARGE 15 00 <br /> nPP�ICATIONACC 0Y VlnNSCHECRE00Y N'PR IOHISSUANC[f1Y <br /> DRIVEWAVPEFMIT 20 00 <br /> PI.h1. B. E. L. C. TOTAL 577 20 <br /> - PENMIT VALIOATION <br /> VJIiLN PROPEHLY VAI IDAT_D(IN THIS tiPAC[�THI515 YOUfI P[RMIT <br /> � <br /> ti <br /> �� <br /> 1� <br /> •e— <br />