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lhe Euergreen -w°�� � <br /> ��,Yo� c�,�v�T�ucrso�v <br /> eV�rett �'ERIlIIIT PERMITNQ. �0��� <br /> 259 - £3745 <br /> ❑ DEMOLITION ❑ COMBINATION }� BUILDI,vG � MECHANICAL "� PLUMBING ❑ SIGk <br /> owrvFn �.+ni�noonEss � ciTv zir rr�orvE <br /> 8$a�a�� Paragon Construction, Inc. 17371 KE 67th Ct kH212 Redmond 98052 885-3900 <br /> Al1CNREGTORDE5IGNEP AIAILAOOR65 CITY ZIP PMONE <br /> GENERr1LCONTRAC�OR MAll.�00RES5 CRY 21P PHONE UCENSE+ <br /> Paragon COnstruction, Inc. same PARAGCI134BL <br /> MEC110NICPI CONiBAQOR MqILA0URE55 CRY 21P PHONE IICENSEx <br /> PW'�"�'1GCO�lTRACiOR M�ILAODRESS CITY ZiP PHCN[ LICENSEr. <br /> CLASS OF WOPN <br /> � NEW ❑ ADDITION ❑ ALTERATION C REPaIR ❑ DEMOLITION ❑ BUIL�ING RELOCATION <br /> VALUFTION OF WORH <br /> S 64,700.00 <br /> OLCNEtE 1ti0RK <br /> New construction <br /> HEATSOURCE <br /> ❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSED 11SE OF OUILDING <br /> I HEREBY CERTIFY THAT I HP.Ve READ AND EXAMINI=D THIS <br /> Residence APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> �Ecn�oescmrnoNorPnoaennisNowne�owonnrrncnrour�cenie;i CORRECT. ALL PROVISIONS OF LAWS AND ORDR�At:CES <br /> �o, 20 e�ocK La��sen Park GOVERNING THIS 7YPE OF WORK WILL BE COMPLICD WITH <br /> WHETHER SPECIFIED HEP.[IN OR NOT. THE GRANTI�IG OF A <br /> PERMIT DOES NOT PPESURAE TO GIVE AUTHORITY TO <br /> _ VIOLATE OR CANCEL 7HE PROVISIONS OF ANY OTHER <br /> STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br /> Plan #1412 THE FEI9FORMANCE Or CONSTRUCTION. <br /> JODADDRE55 S�GNNf4b[OfC�NIRnf;TOHnUTI' fpZEDAGENT.��'DIVNER �4TE <br /> 10915 - lOth Drive SP•. X �����i�� ,���"��_, - �� - �i 3/�',� <br /> PLUMBING ,MEOHANICAL , <br /> NO. TYPE OF FIXTURE OR ITEM FEE Nv. TYPE OF E�UIPMENT FEE '' <br /> z WATEii CLOSET (TOILET� A'C—A!HNDLG UNITS—H p, �i <br /> ]. BATHTU� S OO FEFiiIGERATIONUNITS—HP.EA. ��. <br /> 3 LAVATORY�IVASH 6ASIN) l�j QQ �OILEii$ -�.T.UJHP. <br /> ]_ SHOWER S OO GASFIREDA�C.UNITS—BTU _ <br /> ], KITCHEN SINK 8 DISP. S OO FORCE�AIR SVSTEMS—B T U. M EA. <br /> ]_ DISH\V;,SHEF S OO �"�ALL HEnTERS—B T.U. M p <br /> I.AUNDRY TflAY UNIT HEATERS—BS.U. h1 <br /> ], CLOTHES NJASHER S OO EVAPORATIVE CQOLERS <br /> URINAL � C�OTHES DRVERS <br /> DRINKING FOUNTAIN 3 VENTILATION FNN 1� SO <br /> FLOOR DRAIN F7ANGE NOOD ( SO <br /> �ACKFL06VPREVENTERS WATER HEATEFl � <br /> ROOF DRNNS—RAMLEADERS 'NOOD STOVE <br /> SINK(SERVICE—FJAR,ETG) METAL FIREPLACE 8 CHIMNEY <br /> FIREPLACEINSERT �� <br /> HEAT PUMP I <br /> GAS PIPING <br /> E%HAUSTFAN <br /> suerorn� 5 50 00 suerorn� 72 pp <br /> PEflM1T 5 PERMIT <br /> TOTAL FEE 5 �jn ro�y/�J88 4:2" • �OOAU 9 '��f=1��i� <br /> r�nONT SEroaCK nEnn sErnncK siDE SEronCK PLAN CHECK NUM�[R FEB / �ECEIPT NO. <br /> 20' 20' 6' 88/19615 a1680�?�1'� <br /> USEZONE LOTANEl. y�L�NTSrtE <br /> R-1 7922 sf ❑vEs ❑rvo FEES A'i10� FEE <br /> .vneoFcoNs. occurnr�crcr�oui� N� oFo�ve�uncur�irs BUILDING �Eg� � .0� 482 <br /> V–N _ R-3 1 PLUMBING E SRCH $ .SO SO OO <br /> szeoFo�oc r�o or,Tonies �.+nx occ iono <br /> 1412 + 451 aY 1 MECHANICl�L p�+UWi� g� .p0 72 00 <br /> INVfSTIGl1TION FEE u��f<9 <br /> FIRE SPRINKLERS REOUIRED ❑YES ❑ NO <br /> STATE[iUILDING SURCHARGE �000`67`1 3 $0 <br /> STATEENERGVSURCHARGE SEWER. �� �� 15 00 <br /> APPLiCATIONACC DY P��tNSCNECNED[lY �PPfI FORISSU�NC[HY � - <br /> DRIVE'�NAV PERMIT iS7S�S SE�S).OQ zO OO <br /> BE AE TOTAL CHEC1� Y1�1 .SO 642 $0 <br /> PEfIMIT VALIDATION �, <br /> WI IEN PROPERLV VALI�ATED�IN THIS SPAC'.-i fH1S I$YOUR PERtv11T <br /> C� <br /> �� <br /> �� <br /> ��� <br /> ��� <br /> ___.._ . —__ . ._—� <br />