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�� <br /> � <br /> theEverRreen � �Q,NSTRUCTION� � � . ' <br /> C�TY OF <br /> ed��re�t PERMIT PERMITN :- � ���`� � <br /> 259 - 8745 <br /> a _ <br /> ❑ DEMOLITION �I COM8INATION 0 BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> OWNER MMl A�DRE55 CITY ZIP PHONE <br /> Michael Connors 8620 Xavier Everet` WA 98204 353-9230 <br /> ARCIIR[CT O(1 pE51GNER h1AIL AppRE55 C:TV )IP fHONE <br /> GfN[BAL CONIRNCTOq h�FIL�ODR[55 CiiY LIP PHCNE LICENSE• <br /> Cronin Custom Homes 713 SE Everett Mall Way Everett WA 98204 353-65G0 <br /> MECHANICAt CONiPACiOR MAIL 40�RE55 CITY ZIP PHON[ �ICENSE e <br /> CRONIIG6214 <br /> PLUTA6�NGWNiP4CTOF AIAILAOOPESS fITY ZIP PHON[ IICENSEv <br /> ClA$S OF WpRH <br /> Igl NEW ❑ ADDITION L .4LTERATION ❑ REPAlR ❑ �EMOLITION ❑ BUILQING RELOCATION <br /> VALUATIONOF WORK <br /> 5 ������.�� <br /> oescnioe woaK <br /> hew single famiiy residence - Basic 6uckingham <br /> HEATSOURCE <br /> ❑ ELECTRICITY C] GAS ❑ WOODSTOVE ❑ OTHER <br /> PROPOSEO US[OF B W LO W G � <br /> Si ngl e family residence I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND <br /> iecn�oescaianoNOFrAoaenrv�s�oweF�o�vonnrACNrouaeoFies� CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES � <br /> �or 24 a�ocK _ oc 5 GOVERNING THIS TYPE OF WORK WILL BE COMPLIEG WITH <br /> WHETHER SPECIFIED HEREIN OR NOT. THF GFANTIN a 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 CUNSTRUCTION OR <br /> THE PERFORMANCE OF CONSTRUCTION. <br /> JOB A�DRE55 SIGNATUR'c OF COHTRnCtOR.PUi��pR12ED�GENT.OR OIVNEii OATE <br /> � <br /> R X � r�l--,� � l Ei—" / - S'C. <br /> PLUMBING MECHANICAL � <br /> NO. TYPE OF FI%TURE OR ITEIA FEE 't0. TYPE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNITS—HP. <br /> BATHTUB REFP.IGERATION UNITS—HP.EA. <br /> LAVATOiiY�WASH BASIN� BOILERS—BSLIH.P. <br /> � SHOWER GASF'REOAC.UNITS—BTU. <br /> � KITCHEN SINK 8 DISP. FORCED AIR SVSTEMS—�T.U. M EA. <br /> � DISHWASHER WA�IHEATERS—BS.U. M <br /> LAUNDRY TRAV UNIT HEATERS—�.T.U. M � <br /> � CLOTHES WASHER EVAPORATIVE COOLERS <br /> URINAL CLOTHESORVERS <br /> ORINI(ING FOUNTAIN VENTILATION FAN <br /> FLOOR DHAIN � RANGE HOOD <br /> BACKFLOW PPEVEKTERS � WATER HEATER � ' <br /> FOOF ORAINS—F4INLEADERS WOO�STOVE , <br /> SINK(SERVICE—'i3AR.ETG) METAL FIREPLACE 8 CHIM1INEV <br /> FIREPLACEINSERT <br /> HEAT PLIMP <br /> GAS PIPING <br /> EXHAUSfFAN <br /> SUBTOTAL S SUBTOTAL <br /> PEflM1T S PERMIT <br /> TOTALFEE 5 TOTALFEE <br /> FRONTSETDACK nennseioneK 5ioeseionCn PLAN CHECK NUMBER FEE RECFIPT NO. <br /> 20' � 20' 6' 86/U263 lO.11d�"�G 6�'i;li; rOG,^,ii�-5E;1 f��.?�2 <br /> USE20NE LOTANET <br /> vncnNr sir� FEES VALUATION FEE <br /> R-1 C�res ❑No <br /> TYPEOFCONST O]CUPANCYGIiOUH NOOFDW[LLINGUNiiS BUILDING Q �'-���y����� <br /> T?� " i-c�. cf� <br /> V-N R-3 � PWMBING i'LL:� i.!)'� <br /> sizeoFu��� rvo orsroeies n�nx occ �ono <br /> MECHANICAL �'�`��' ,':�'I <br /> 1932 + 564 2 �:_ru � � --:, 28 50 <br /> INVES7IGATION FEE ;_ SqC;�4�e) �,y j,_jj <br /> FIRE SPRINKlERS REOUIRED O VFS ❑NO ��� • <br /> STATE6UILDINGSUFr,HARGE ����'`��� �`�'��` � 50 <br /> ur;Lll=;o?G <br /> STATE ENERGY SURCHARGE !J,�T,[(,� ;.�],Qi] � 5 OO <br /> APPLIC�TION AGG PY PLAN3 CHECNEO[�Y q�Fp FUR ISSU�NCE[1Y <br /> DRIVEV✓AVPERMIT �..'.��.��.�•''��`���� <br /> r:iG"r:� �• � n: 2� �� � <br /> mm S9 1 c TOTAL ;�'�t-� :E,�).C9 $�BX $� <br /> PEBMIT VALIDATION �� - � - - --'��-���..�-�� 62Q 50 <br /> VlHEN PROPERLY VALIU�T[D pH T1�11^a SPAGE�THIS�IS VOUR PERh11T <br /> �� <br /> �� <br /> ��� <br /> �'� <br />