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f�ti, <br /> �.'1 <br /> ' ' ' �I� ��1./'1�'O� fO� everett <br /> �°.E�.,�,~° � cO N S�'6t U�T6 U N <br /> ' � cirr or � . . <br /> � eyerett PE RM IT <br /> BUILDIhG DEPARTMENT <br /> � 259•8810 TO BE COMFLETED IN INK• PLEASE :�RINT <br /> � �i�C] DEMOLITION ❑ COMBINATION X�1 BUILDING ❑ N�ECHANICAL � PLUMBING d1SIGN <br /> ,� � OWNER � M�ILAOORE55 CITY 21P PHONE <br />� Paragon Construction, Inc. 17371 NE 67th CY #8212 Redmond, Wa. 98052 885-3900 <br /> � ARGMRECTOP�F9�ONEP M�ILAOORES9 C�TY LP PNONE <br /> GENEPAI GONiRAGiOF M�II AODRES: CIiV ZIP PHONE UCENSE• <br /> ' Paragon Construction, Inc. Same as abo��e PARAGCI134BL <br /> MELNANP4L WNTR�CtOq M�IL ROONE55 �� GIIY ZIP PHONE LILENSE• <br /> PLUM9�NGCONTRALIOH MAILADORE55 CII� ZIP Pi�ONE' �ICENSE• <br /> i <br /> GUSSOF WORN <br /> � NEW ❑ ADDI710N ❑ ALTERATION ❑ REPAIR ❑ DSfAOLITiON ❑ WOODSTOVE/FRPL.INSERT ❑ BUILDIkG P.ELOCATION <br /> i __ ' <br /> \MW�TIONOF WOFK�GOSIOF AIALERIaLS PWSUBORI <br /> � <br /> �� (By -7�d <br /> � DESCRIBE WOPH � II <br /> � New construction <br /> � USE OF BUIL9ING I HEREBY CERTIFY THAT i HAVE READ AND EXAMIIJED THIS AP• <br /> 'i Residental PLICATIONANDKNOWTHESAMETOBETRUEANDCORRECT.ALL <br /> LEO��OESGRIPiIONOFPpOPERiVISHOWNOELOWORNTTAChFOURCOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPE <br /> �{ 1� Larsen Park OFWOflKWILLBECOMPLETEDWITHWHETHEASPECIFIEDHERE• <br /> �oi_e�oc�—oF IN OR NOT.THE GF.4NTING OF A PERMIT DOES NOT PRESUME TO <br /> � GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF <br /> ANYOTHER STATE OR LOCAL LAW REGULATINCa CONSTRUCTiON <br /> ; OR THE PERFORMANCE OF CONSTRUCTION. . <br /> � Plan tt1168 SIGNATURE OF CONif7qCTOR OR AUTHORIZEO AGENT �ATE <br /> � <br /> j X • <br /> �i FROJELTA�DFESS APPLICANiSGIiY9U5ME554CEN5EN0 <br /> ' 10921 — lOth Dr. SE Everett, Wa. <br /> jPLUMBING MECHANIC.4L <br /> �� NO. TYPE OF FIICTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> I WATER CLOSET�TOILET� A/C—A/MNOLG UNITS—M.P. <br /> � � BATHTUB REFRIGERATIONUNITS—N.P.EA. <br /> LAVATORVIWASHBASIN� ) Q'Q 801LER5—B.T.U./H.P. ' � <br /> � SNOWER pQ GASFIREDA�C.UNITS—B.T.U. <br /> 1 KITCMEN SINH 8 DISP. FORCED AIR SYSTEMS—B.T.U. M EA. <br /> ' DISHWASHEH WALLMEATERS—B.T.U. M f <br /> " LAUNURVTRAV UNITMEATERS—B.T.U. M � <br /> � <br /> CLOTHES WASHER C FVAPORATIVE COOLEFS � <br /> URINAL CLOTHESORYERS � <br /> + ORINHING FOUNTAIN VENTILATION FAN <br /> �/� FLOOR DAAIN ' RANGE HOOD � <br /> 1 <br /> ] BACKFLOW PPEVENTERS WATER HEATER <br /> �y fi00FDRA1N5—RAINLEADERS WOODSTOVE <br /> SINK(SERVICE—BAF.ETC.� METAL FIREPLACE 8 CHIMNEV <br /> �j FIREPLACE WSEHT <br /> MEAT PUMP <br /> �i GAS PIPING <br /> E%HAUSTFAN <br /> � <br /> j SUD TOTAL f OO SUB TOTAL <br /> � PERMIT f PERMIT <br /> �� TOTALFEE S TOTALFEE <br /> � <br /> I fRONT SEIBeCR RERF SETDACN SIOE SETBACH - P��+N I;HECK NUMBER FEE RECEIP�i NO. <br /> � � / / -G / � \�21n lS — �.�riv <br /> '. USEZON LOiPiIEA _ <br /> (/ VPCRNTSIiE FEES VALUATION FEE <br /> � -� � ' �O I7 pYES ONO � � I I <br /> � TYPEOFGONST OCCUPANLVGflOUP NOOFOWELLINGUN175 BU:LDING S y OO "1 O <br /> i <br /> � PLUMBING OO <br /> SIZE Oi BLW NO OF Si0PlE9 MA%.00C.t AD <br /> n MECHANICAL QO <br /> i't <br /> OTHER <br /> ' FIRE SPRINKLERS REOUIRED ❑ YES NO S7ATE BUIIDING SURCHAPGE <br /> 3 <br /> � STATE ENERGY SURCHARGE I S O� <br /> AVPLiGAt10NnCG9V PLANSCHECNEDBY �PPRFOR1550/NCEDY <br /> ' PUBLIC WORKS <br /> I <br /> . �� �� TOTAL <br /> �� PROPERTVOWNERSARERESPONSIBLEFOFDE' .FMININGALL <br /> � . PROPERN LINE LOCATIONS AND RELATED EASEMENTS <br />